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Pain Experience, Physical Function, Pain Coping, and Catastrophizing in Children With Sickle Cell Disease Who Had

Octavia Hyacinth1, Fernanda Machado Silva-Rodrigues2, Michelle Darezzo Rodrigues Nunes3

  • 1University of California, Los Angeles, California, USA.

Journal of Pain and Symptom Management
|August 11, 2020
PubMed

Insights

Children with sickle cell disease (SCD) and abnormal sensory patterns (ASPs) experience worse functional disability and use emotion-focused coping strategies compared to those with normal sensory patterns (NSPs). Further research is recommended.

Area of Science:

  • Pediatric Pain Management
  • Neurology
  • Genetics

Background:

  • Recurrent pain in sickle cell disease (SCD) can lead to abnormal sensory patterns (ASPs).
  • Understanding sensory patterns is crucial for managing pain in pediatric SCD patients.

Purpose of the Study:

  • To compare pain experience, physical function, pain coping, and pain catastrophizing in children with SCD who have normal sensory patterns (NSPs) versus abnormal sensory patterns (ASPs).

Main Methods:

  • Quantitative sensory testing data from children with SCD were analyzed.
  • Comparisons were made between children with NSP (n=35) and ASP (n=13).
  • Standardized questionnaires assessed pain intensity, functional disability, pain coping, and pain catastrophizing.

Main Results:

  • No significant difference in pain intensity between NSP and ASP groups.
  • Children with ASP exhibited significantly worse functional disability (38.5% vs. 11.4%).
  • The ASP group reported significantly higher use of emotion-focused pain coping strategies.

Conclusions:

  • Children with SCD and ASPs experience greater functional disability and utilize emotion-focused coping more than those with NSPs.
  • Psychosocial interventions and physical activities may help minimize ASP development in pediatric SCD.
Abstract

Keywords:
Sickle cell diseasepainpain catastrophizingpain copingphysical functionquantitative sensory testing

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