کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3916364 1599463 2016 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Pain coping strategies: Neonatal intensive care unit survivors in adolescence
ترجمه فارسی عنوان
راهبردهای مقابله با درد: بازماندگان واحد مراقبت ویژه نوزادان در دوران نوجوانی
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی زنان، زایمان و بهداشت زنان
چکیده انگلیسی


• In adolescents born very preterm or with a low birth weight, neonatal complications have limited effect on pain coping.
• In adolescents born very preterm or with a low birth weight, intelligence positively effects adaptive pain coping styles.
• In adolescents born very preterm or with a low birth weight, maladaptive pain coping is used less than in healthy peers.

BackgroundData on long-term consequences of preterm birth on pain coping later in life are limited.AimTo assess whether gestational age, birth weight and neonatal disease severity have effect on pain coping style in adolescents born preterm or with low birth weight.Study designObservational, longitudinal study (Project On Preterm and SGA-infants, POPS-19).SubjectsWe analyzed data of 537 adolescents at the age of 19 years, who were born at a gestational age < 32 weeks or with a birth weight < 1500 g.Outcome measuresParticipants completed the pain coping questionnaire (PCQ) that assesses pain coping strategies in three higher-order factors: approach (“to deal with pain”), problem-focused avoidance (“to disengage from pain”) and emotion-focused avoidance (“expression of pain”). Furthermore, their pain coping effectiveness, pain controllability and emotional reactions to pain were assessed. All participants completed an IQ test.ResultsUnivariate analysis showed no significant correlation between length of stay, sepsis and necrotizing enterocolitis and any of the higher-order factors. Approach was only correlated with IQ. Problem-focused avoidance was, in the multiple regression analysis (including gestational age, IVH and IQ), only correlated with IQ. For emotion-focused avoidance (including birth weight, SGA, IVH, respiratory support and IQ) three independent predictors remained: IVH was positively correlated, while respiratory support and IQ were negatively correlated with emotion-focused avoidance.ConclusionsEarly neonatal characteristics and neonatal disease severity have limited effect on pain coping style in adolescence. Higher IQ was associated with the use of adaptive coping strategies, while maladaptive strategies were used less.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Early Human Development - Volume 103, December 2016, Pages 27–32
نویسندگان
, , , , , , , , ,