Background and aim

Acceptance, catastrophising and kinesiophobia have been identified within the adult literature as important processes in the relationship between pain intensity and functioning. While these constructs have received some attention within paediatric chronic pain, research is still in its infancy in understanding how these processes relate to one another and pain-related outcomes. The current study aimed to explore the mediating roles of acceptance, catastrophising, and kinesiophobia in the relationship between pain severity and adjustment.

Methods

A sample of 129 adolescents (aged 12–18 years) with heterogeneous pain conditions completed self-report measures of: pain intensity, acceptance, catastrophising, kinesiophobia, disability, anxiety, depression and quality of life once. Multiple mediation analysis was used to compare the specific mediating effects of the three processes in the relationship between pain and functioning.

Results

The current study demonstrated that acceptance and kinesiophobia partially mediated the effects of pain across measures of disability and quality of life, while catastrophising mediated the relationship between pain and emotional distress.

Conclusions

The results demonstrated that all three processes play an important role in the well-being of adolescents with chronic pain, and support emerging models, which adopt a more encompassing perspective of paediatric chronic pain.

中文翻译：

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小儿慢性疼痛与适应之间关系的心理调解者：接受，灾难性和运动恐惧症的调查

背景和目标

在成人文献中，接受，灾难性和运动恐惧症已被确定为疼痛强度和功能之间关系的重要过程。虽然这些结构在小儿慢性疼痛中引起了一定的关注，但在了解这些过程如何相互关联以及与疼痛相关的结果方面仍处于起步阶段。当前的研究旨在探讨接受，灾难性和运动恐惧症在疼痛严重程度与适应之间的中介作用。

方法

129名患有异类疼痛状况的青少年的样本完成了以下自我报告指标：疼痛强度，接受程度，灾难性，运动恐惧症，残疾，焦虑，抑郁和生活质量。多重调解分析被用来比较这三个过程在疼痛和功能之间的关系中的具体调解作用。

结果

当前的研究表明，接受和运动恐惧症部分地通过各种残疾和生活质量来介导疼痛的影响，而灾难性的则介导了疼痛与情绪困扰之间的关系。

结论

结果表明，这三个过程在患有慢性疼痛的青少年的福祉中都起着重要作用，并支持新兴模型，这些模型采用了更全面的儿科慢性疼痛观点。