Abstract
Context
Sickle cell disease (SCD) is associated with recurrent pain that could lead to abnormal
sensory patterns (ASPs).
Objectives
The purpose of this study is to compare children with SCD who had normal sensory patterns
(NSPs) and ASPs in pain experience, physical function, pain coping, and pain catastrophizing.
Methods
Children with quantitative sensory testing data were selected from a larger study
that examined pain and symptoms in children with SCD. Comparisons were made between
children with NSP (n = 35; 13.9 ± 1.9 years) and ASP (n = 13; 12.8 ± 1.9 years). Children completed the Adolescent Pediatric Pain Tool, Functional
Disability Inventory, Pain Coping Questionnaire, and Pain Catastrophizing Scale.
Results
No significant differences were found in pain intensity (2.9 ± 3.0 vs. 2.6 ± 2.8 on
0–10 Visual Analogue Scale) between the NSP and ASP, respectively. The most common
marked pain sites for both groups were lower extremities (22.9%), head and neck (20.8%),
and upper extremities (20.8%). Functional Disability Inventory scores were significantly
worse in ASP (38.5%) compared with NSP (11.4%). The ASP group had significantly worse
scores in emotion-focused pain coping subscales.
Conclusion
Children with SCD with ASP had worse functional disability, were expressing more affective
pain quality, and had emotion-focused pain coping compared with NSP. Future studies
are needed to examine the effectiveness of physical activities on the physical function
as well as psychosocial interventions such as peer support and creative arts expression
to minimize development of ASP in children with SCD.
Key Words
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Article info
Publication history
Published online: August 07, 2020
Accepted:
July 4,
2020
Identification
Copyright
© 2020 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved.
