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- Title
Assessing pain catastrophizing and functional disability in pediatric epidermolysis bullosa patients.
- Authors
Rangu, Sneha; Collins, Jessica; García-Romero, Maria Teresa; Augsburger, Bret D.; Bruckner, Anna L.; Diaz, Lucia Z.; Eichenfield, Lawrence F.; Faig, Walter; Gorell, Emily S.; Lefferdink, Rachel; Lucky, Anne W.; Morel, Kimberly D.; Paller, Amy S.; Park, Helen; Pastrana-Arellano, Elena; Peoples, Kathleen; Wiss, Karen; Perman, Marissa J.; Castelo-Soccio, Leslie
- Abstract
Background/Objectives: The primary objective was to assess pain catastrophizing and functional disability in pediatric patients with epidermolysis bullosa (EB) and their parents/guardians. Secondary objectives included examining relationships between pain catastrophizing, functional disability, and correlations with other factors (e.g., age, disease severity, and percent of body surface area (BSA) involved). Methods: Patients with EB ages 8–16 and their parents/guardians who were English or Spanish speaking completed a one-time online survey. Parent measures included: demographics questionnaire, Pain Catastrophizing Scale-Parent (PCS), and Parent Functional Disability Inventory (FDI). Child measures included: PCS child and child FDI. Higher scores on both scales indicate higher levels of catastrophizing and functional disability. Results: Of 31 children, the mean age was 11.47 years and the majority (70.97%) had dystrophic EB. Mean scores were: 35.84 = PCS parent; 34.58 = PCS child; 30.87 = parent FDI; 29.77 = child FDI. Total scores for PCS parent, parent FDI, and child FDI increased significantly with disease severity and percentage of involved BSA (p < .01 for all). Total scores for PCS child increased significantly with percent of EB skin involvement (p = .04) but not disease severity. Older children reported more functional disability than their parents and younger children (p = .02). Conclusions: Our results demonstrate significant positive correlations between negative thoughts related to pain and the experience of functional difficulties in patients with EB and their caregivers. Psychological, psychiatric, and/or behavioral interventions to help managing chronic pain may be effective for patients with EB.
- Subjects
PAIN catastrophizing; PAIN measurement; EPIDERMOLYSIS bullosa; CHILDREN with disabilities; BODY surface area; CHILD patients; DISABILITIES
- Publication
Pediatric Dermatology, 2023, Vol 40, Issue 3, p422
- ISSN
0736-8046
- Publication type
Article
- DOI
10.1111/pde.15220