Erin A Brown1, Justin A Kenardy2, Belinda L Dow2. 1. Centre of National Research on Disability and Rehabilitation Medicine (CONROD), School of Medicine, The University of Queensland, Brisbane, Australia e.brown5@uq.edu.au. 2. Centre of National Research on Disability and Rehabilitation Medicine (CONROD), School of Medicine, The University of Queensland, Brisbane, Australia.
Abstract
OBJECTIVE: This study tested theoretical models of the relationship between pain and posttraumatic stress disorder (PTSD) in children with traumatic brain injury (TBI). METHODS: Participants consisted of 195 children aged 6-15 years presenting to 1 of 3 Australian hospitals following a mild-severe TBI. Children were assessed at 3, 6, and 18 months after their accident for PTSD (via the Clinician-Administered PTSD Scale for Children and Adolescents [CAPS-CA] clinical interview) as well as physical pain (via the Child Health Questionnaire, 50-item version [CHQ-PF50]). Trained clinicians administered the CAPS-CA at home visits, and the CHQ-PF50 was collected through questionnaires. RESULTS: Structural equation modeling found the data supported the mutual maintenance model and also the nested perpetual avoidance model. CONCLUSIONS: Both models indicate PTSD is driving the presence of pain, and not vice versa. A fourth model stating this was proposed. Therefore, it may be useful to address PTSD symptoms in treating child pain for expediting recovery.
OBJECTIVE: This study tested theoretical models of the relationship between pain and posttraumatic stress disorder (PTSD) in children with traumatic brain injury (TBI). METHODS:Participants consisted of 195 children aged 6-15 years presenting to 1 of 3 Australian hospitals following a mild-severe TBI. Children were assessed at 3, 6, and 18 months after their accident for PTSD (via the Clinician-Administered PTSD Scale for Children and Adolescents [CAPS-CA] clinical interview) as well as physical pain (via the Child Health Questionnaire, 50-item version [CHQ-PF50]). Trained clinicians administered the CAPS-CA at home visits, and the CHQ-PF50 was collected through questionnaires. RESULTS: Structural equation modeling found the data supported the mutual maintenance model and also the nested perpetual avoidance model. CONCLUSIONS: Both models indicate PTSD is driving the presence of pain, and not vice versa. A fourth model stating this was proposed. Therefore, it may be useful to address PTSD symptoms in treating childpain for expediting recovery.
Authors: Megan Simons; Alexandra De Young; Steven M McPhail; Gillian Harvey; Justin Kenardy; Sanjeewa Kularatna; Roy Kimble; Zephanie Tyack Journal: Pilot Feasibility Stud Date: 2020-08-19
Authors: Aimee K Hildenbrand; Nancy Kassam-Adams; Lamia P Barakat; Kristen L Kohser; Jeffrey A Ciesla; Douglas L Delahanty; Joel A Fein; Lindsay B Ragsdale; Meghan L Marsac Journal: Pediatr Emerg Care Date: 2020-10 Impact factor: 1.602