Functional assessment of pediatric pain patients: Psychometric properties of the Functional Disability Inventory

Claar, Robyn Lewis; Walker, Lynn S.

doi:10.1016/j.pain.2005.12.002

Cited by 371 publications

(337 citation statements)

References 34 publications

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“…It consists of 15 items to be rated on a 5-point scale (0 to 4), and yields total scores that can range from 0 to 60. The reliability and validity of the FDI has been demonstrated in previous research (Walker and Greene, 1991;Claar and Walker, 2006). Cronbach's alpha of .84, respectively .88 in the present sample indicated high reliability at time 1 and time 2 assessment.…”

Section: Functional Disability Was Assessed With the Dutch Version Ofmentioning

confidence: 72%

“…First, we investigated whether, in a sample of school children, catastrophizing measured at baseline (time 1) positively contributes to the prediction of pain and disability measured six months later (time 2). Second, given the significant role of pain intensity for pain and disability outcomes (Claar and Walker, 2006), we investigated whether the relationship between catastrophizing (time 1) and pain and disability (time 2) holds for different levels of pain (time 1). Given that high-intensity pain in itself is less likely to go unnoticed for everyone, and therefore more likely to interfere with daily functioning (Eccleston and Crombez, 1999), the effects of catastrophizing may become most pronounced at lower pain intensities.…”

Section: Introductionmentioning

confidence: 99%

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Children's catastrophic thinking about their pain predicts pain and disability 6 months later

Vervoort

Eccleston

Goubert

et al. 2010

European Journal of Pain

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Catastrophic thinking about pain has been identified as an important determinant of adjustment to pain, in both adults and children. No study has investigated the prospective and unique role of catastrophizing in explaining later pain and disability in children. The aim of the present study was to investigate the prospective roles of catastrophic thinking about pain, pain intensity, and trait anxiety and their putative relationship with pain and disability tested 6 months later. Participants were 323 schoolchildren. Analyses revealed that the child's pain catastrophizing at baseline had a small but unique contribution to the prediction of pain and disability 6 months later, even when controlling for the initial pain and disability levels. In line with expectations, moderation analyses revealed that the effects of catastrophizing upon pain and disability at follow‐up were only true for those children reporting low levels intensity of pain at baseline. The variability in disability and pain complaint could not be explained by trait anxiety. Instead anxious disposition might be best conceived of as a precursor of catastrophizing in children; i.e. children with higher levels of trait anxiety at baseline were more inclined to report higher levels of catastrophizing at follow‐up. The findings are discussed in terms of potential mechanisms through which catastrophizing might exert its negative impact upon pain and disability outcomes in children.

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Section: Functional Disability Was Assessed With the Dutch Version Ofmentioning

confidence: 72%

Section: Introductionmentioning

confidence: 99%

Children's catastrophic thinking about their pain predicts pain and disability 6 months later

Vervoort

Eccleston

Goubert

et al. 2010

European Journal of Pain

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“…Functional disability was measured with the Functional Disability Inventory, a validated and reliable instrument. 5,26 Anxious and depressive symptoms were measured with the Revised Child Anxiety and Depression Scale-short version. 27 Two separate scores for anxious and depressive symptoms were calculated.…”

Section: Methodsmentioning

confidence: 99%

“…However, in ∼10% of children in Western countries, the pain does not disappear and becomes chronic, 3 affecting daily life significantly. 4,5 An explanatory organic disease is rarely found. Without an organic cause, chronic AP is called "functional" (FAP).…”

mentioning

confidence: 99%

Cognitive Behavior Therapy for Pediatric Functional Abdominal Pain: A Randomized Controlled Trial

et al. 2013

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WHAT'S KNOWN ON THIS SUBJECT: Pediatric functional abdominal pain is common and costly. Cognitive behavior therapy (CBT) is a promising treatment for these complaints, but solid evidence for its effectiveness is lacking. WHAT THIS STUDY ADDS:This randomized controlled trial shows that CBT reduces abdominal pain in 60% of children 1 year after treatment. Six sessions of CBT delivered by trained master' s students in psychology were equally effective as 6 visits to an experienced pediatrician. abstract OBJECTIVE: This randomized controlled trial investigated the effectiveness of a 6-session protocolized cognitive behavior therapy (CBT) compared with 6 visits to a pediatrician (intensive medical care; IMC) for the treatment of pediatric functional abdominal pain (FAP). METHODS:One hundred four children aged 7 to 18 were randomized to CBT or IMC. CBT was delivered primarily by trained master' s degree students in psychology; IMC was delivered by pediatricians or pediatric gastroenterologists. Assessments were performed pretreatment, posttreatment, and at 6-and 12-month follow-up. Primary outcomes were level of abdominal pain (AP) as reported on questionnaires and diaries. Secondary outcomes were other gastrointestinal complaints, functional disability, other somatic complaints, anxiety, depression, and quality of life.RESULTS: Both CBT and IMC resulted in a significant decrease in AP (P , .001), but no significant difference was found between the treatments in their effectiveness (P . .05 for all end points). According to the questionnaire-derived data, 1 year after treatment, 60% of children that received CBT had significantly improved or recovered, versus 56.4% of children receiving IMC, which did not significantly differ (P = .47). These percentages were 65.8% versus 62.8% according to the diary-derived data, which also did not significantly differ (P = .14). Additionally, nearly all secondary outcomes improved after treatment.CONCLUSIONS: CBT was equally effective as IMC in reducing AP in children with FAP. More research into the specific working mechanisms of CBT for pediatric FAP is needed.

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“…It has demonstrated reliability in several different pediatric chronic pain populations [5,23,39,61]. On a scale ranging from 0 ("no trouble at all") to 4 ("impossible"), patients indicate how much trouble they have performing normal physical and daily activities such as walking up stairs or sitting in class for a full day.…”

Section: Functional Disabilitymentioning

confidence: 99%

Perceived Injustice Is Associated With Pain and Functional Outcomes in Children and Adolescents With Chronic Pain: A Preliminary Examination

Miller

Scott

Trost

et al. 2016

The Journal of Pain

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Chronic pain is prevalent in children/adolescents and contributes to high healthcare utilization. Research suggests injustice perceptions about pain are important in adult patients and a possible treatment focus. We conducted a preliminary evaluation of the psychometric properties of the Injustice Experiences Questionnaire (IEQ) and the relationship between injustice perceptions, pain, and functioning in chronic pain patients (N=139, mean age=15 years, 72% female) presenting to a pediatric pain clinic. Patients completed measures assessing pain intensity, injustice perceptions about pain, catastrophizing, overall functional disability, emotional functioning, social functioning, and school functioning. The IEQ demonstrated good reliability and validity. Higher levels of perceived injustice were associated with higher levels of pain intensity, catastrophizing, and functional disability, and with poorer emotional, social, and school functioning. Additionally, perceived injustice remained significantly associated with pain intensity, functional disability, emotional functioning, social functioning, and school functioning after accounting for relevant demographic and clinical factors. This is the first study to suggest that injustice perceptions are important in the experience of pediatric chronic pain patients.Future studies should more thoroughly examine the psychometric properties of the IEQ in children/adolescents and elucidate the causal nature of these relationships, which will inform treatment efforts to improve pediatric pain care.Perspective: This initial investigation suggests that injustice perceptions about pain can be reliably and validly measured and are tied to important clinical outcomes in children/adolescents. Future studies that replicate and extend these preliminary results are necessary to determine the extent to which injustice perceptions are an important target for intervention.

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Functional assessment of pediatric pain patients: Psychometric properties of the Functional Disability Inventory

Cited by 371 publications

References 34 publications

Children's catastrophic thinking about their pain predicts pain and disability 6 months later

Children's catastrophic thinking about their pain predicts pain and disability 6 months later

Cognitive Behavior Therapy for Pediatric Functional Abdominal Pain: A Randomized Controlled Trial

Perceived Injustice Is Associated With Pain and Functional Outcomes in Children and Adolescents With Chronic Pain: A Preliminary Examination

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