Sensory Modulation: An Important Piece of the Disability Puzzle for Adolescents With Persistent Pain.
Objectives: Sensory modulation patterns contribute to altered pain perception and disengagement in activities; atypical sensory modulation patterns have been associated with higher pain sensitivity, catastrophizing, and reduced function. Objectives of this study were to ascertain whether: adolescent...
| Publicado en: | Clinical Journal of Pain Vol. 35; no. 2; pp. 121 - 133 |
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| Autores principales: | , , , |
| Formato: | research Journal Article |
| Publicado: |
Lippincott Williams & Wilkins
Feb2019
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=134826220&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 134826220 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 07498047 8CA jtl: Clinical Journal of Pain issn: 07498047 maglogo: N pubinfo: dt: Feb2019 vid: 35 iid: 2 pid: 5086 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 134826220 134826220 NLM30286049 134826220 10.1097/AJP.0000000000000663 NLM30286049 134826220 ppf: 121 ppct: 12 formats: tig: atl: Sensory Modulation: An Important Piece of the Disability Puzzle for Adolescents With Persistent Pain. aug: au: Sinclair, Cate Meredith, Pamela Strong, Jenny Chalkiadis, George A. affil: Department of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Qld, Australia sug: subj: Chronic Pain Physiopathology Chronic Pain Psychosocial Factors Sensation Adolescence Human Male Cross Sectional Studies Female Emotions Disability Evaluation Quality of Life Validation Studies Comparative Studies Evaluation Research Multicenter Studies Adolescent: 13-18 years Male Female ab: Objectives: Sensory modulation patterns contribute to altered pain perception and disengagement in activities; atypical sensory modulation patterns have been associated with higher pain sensitivity, catastrophizing, and reduced function. Objectives of this study were to ascertain whether: adolescents with persistent pain had atypical sensory modulation patterns, atypical sensory modulation was associated with reduced functioning and higher pain, and pain catastrophizing mediated the relationship between sensory modulation and functional disability.Methods: Adolescents (N=70, females=63, males=7) attending tertiary level interdisciplinary team assessment for persistent pain completed sensory modulation (Adolescent/Adult Sensory Profile), pain catastrophizing (Bath Adolescent Pain Questionnaire), pain intensity, functional disability (Functional Disability Index), and quality of life (QOL) (Pediatric QOL Scales) questionnaires.Results: Adolescents with persistent pain had atypical patterns of sensory modulation compared with normative data. Sensory modulation patterns were not associated with pain intensity; however, higher sensitivity was associated with greater disability (r=0.36, P<0.01), and lower registration of sensation was associated with poorer emotional (r=0.31, P<0.01), social (r=0.35, P<0.01), and school-related (r=0.49, P<0.001) QOL. Sensory modulation, pain intensity, and catastrophizing contributed independently to disability; catastrophizing mediated sensory sensitivity and both functional disability and emotional QOL.Discussion: This study is the first to show that atypical sensory modulation patterns are associated with poorer function for adolescents with persistent pain, suggesting that individualized sensory-informed interventions can potentially facilitate participation in daily activities and improve QOL. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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