ANALI PAZU HD Let. 8, 1, pp. 3 14, februar 2022 https://doi.org/10.18690/analipazuhd.8.1.3-14.2022 Besedilo Horvat Rauter 2022 P Sprejeto 3. 6. 2021 Recenzirano 15. 8. 2021 Izdano 28. 2. 2022 BARBARA HORVAT RAUTER & - , Slovenija. E- : barbarahorvat84@gmail.com, katja.groleger@ir-rs.si DOPISNA AVTORICA barbarahorvat84@gmail.com posledice, mladostnice, pilotna , stanje Povzetek izvora. Pojavlja se pri 14,9 let (SO 1,9). Vse so bile pregledane pri specialistki fizikalne in rehabilitacijske medicine, stanje smo ocenili s samoocenjevaln anksioznosti in depresije separacijske anksioznosti in depresivne simptomatike. Pogosteje o depresivno ANALI PAZU HD Vol. 8, No. 1, pp. 3 14 February 2022 https://doi.org/10.18690/analipazuhd.8.1.3-14.2022 Text Horvat Rauter 2022 PSYCHOLOGYCAL SYMPTOMS OF COOPING WITH CHRONIC PAIN IN ADOLESCENT GIRLS A PILOT STUDY BARBARA HORVAT RAUTER & Accepted 3. 6. 2021 Revised 15. 8. 2021 Published 28. 2. 2022 University Rehabilitation Institute RS - , Ljubljana, Slovenia. E-mail: barbarahorvat84@gmail.com, katja.groleger@ir-rs.si CORRESPONDING AUTHOR barbarahorvat84@gmail.com Abstract Chronic pain is a recurrent pain that persists beyond the expected normal time of healing, lasting three months or longer. The prevalence of chronic pain in children is about 30%. Longer lasting coping with chronic pain leads to different psychological, social consequences and school absenteeism. The aim of our paper is to establish and investigate psychological consequences of chronic pain in 10 adolescent girls with the average age 14.9 years (SD = 1.9). All of them were examined by the physical and rehabilitation medicine specialist, meet criteria for chronic pain. We assessed their current psychological wellbeing through self-evaluation (The RCADS, Fear of Pain Questionnaire - FOPQ, The catastrophizing scale PCS) and parent reported behaviour (CBCL). The adolescent girls reported separation anxiety and more pronounced depression symptoms. They more often avoid physical activity, deal with emotions of fear and think about pain increase through activity. Anxiety and depressive symptoms, somatisation, difficulties in social relationships and copping with stress. We conclude that all participants deal with psychological consequences of chronic pain. The awareness of psychological consequences in long term chronic pain and a detailed assessment are crucialfor planning further psychological treatment and therapy. Keywords: chronic pain, psychological consequences, adolescent girls, pilot study, psychological wellbeing B. Horvat Rauter : 5. 1 Uvod Hazebroek, Kampschreur, Hunfeld, Bohnen idr., 2000). Pri nekaterih lahko tovrstna (Coakley in Wihak, 2017; King idr., 2011; Lee, Yeh, Hsiao, Yeng, Hu, 2017; . Povezana je 2017; Noel, Groenewald, Beals- om - (Eccleston i kar pomeni, da zajema tudi spoprijemajo s ino, kot pa z depresijo. Po izsledkih nekaterih raziskav je anksiozno depresivna tveganje za poskus samomorov in sicer na 5-14% (Lee idr., 2016). Anksioznost je - diagnosticiranje katere od anksioznih motenj (Jastrowski Mano, 2017). Tran in sodelavci (2016) ugotavljajo, da je skoraj polovica mladostnikov, ki so sodelovali v 6 ANALI PAZU HD . cialna fobija. Strah, ki se pojavlja ob -ta med ahko Friedrichsdorf idr., 2016; McKillop in Banez, 2016). postanejo odmaknjeni, upade tudi kakovost Roth- ki j -5. Ob poglobljeni anksioznost in izostajanje od pouka, pogosto pridobijo katero od diagnoz anksioznosti (npr.: separacijska anksioznost, socialna anksioznost, generalizirana anksiozna motnja) (Tran idr., 2016; Mychailyszyn, Mendez, Kenall, 2010; Silverman, Albano, 2004). B. Horvat Rauter : 7. programa obravnave te populacije mladostnikov. 2 Metode 17 leti (M = 14,9, SO = januarjem 2018. riterije: 18 letom starosti. Izvzeli smo dekleta, ker bi bil vzorec fantov s to diagnozo premajhen in ga ne bi mogli primerjati z vzorcem deklet. d RCADS (The Revised Children s Anxiety and Depression Scale; Chorpita, Yim, Moffitt, Umemoto in Francis, 2000) -stopenjski Likertovi lestvici, kjer pomeni 0 nikoli in 3 vedno. Postavke se 8 ANALI PAZU HD . generalizirana anksioznost, panika, obsesivno kompulzivna simptomatika, skupna vrednositi, ki predegajo T = 60. oblika za otroke (Fear of Pain Questionnaire, FOPQ-C; Simons, Sieberg, Carpino, Logan in Berde, 2011) FOPQ- stopnjo zanesljivosti: Strah pred -stopenjski Likertovi lestvici (0 oblika za otroke (The catastrophizing scale child version, PCS-C; Crombez idr., 2003) Lestvica vsebuje 13 postavk, ki so usmerjenje v oceno stopnje negativnega odnosa stopenjski Likertovi lestvici (1 sploh rumin Ocenjevalna lestvica vedenja za otroke od 6 do 18 let, CBCL/6-18 (CBCL; Achenbach in Rescorla, 2001) 6-18) ugotavlja simptomatiko, -stopenjske B. Horvat Rauter : 9. rezultati normativne skupine, ki je = 60. Postopek psihologu med januarjem 2017 in januar interdisciplinarno obravnavo, ki je pri devetih zajemala sodelovanje fiziatra, potekale po principih sodobnih z dokazi podprt podatke, ki smo jih neenakomerne porazdelitve smo uporabili enosmerni T- primerjavo rezultatov vzorca z normativnimi v uporabili paket IBM SPSS statistic (verzija 22). 3 Rezultati o Tabela 1: Opisna statistika in rezultati enosmernega T-testa na testu RCADS. Lestvice separacijska anksioznost 57.0 19.1 -0.498 0.631 generalizirana anksioznost 50.5 11.8 -2.545 0.031 panika 54.7 14.6 -1.152 0.279 socialna fobija 50.3 12.4 -2.477 0.035 obsesivno kompulzivna simptomatika 51.4 10.7 -2.539 0.032 10 ANALI PAZU HD . Lestvice depresija 57.0 14.3 -0.666 0.522 skupna anksioznost 53.8 16.9 -1.162 0.275 anksiozno depresivna simptomatika 56.0 15.9 -0.797 0.446 Opombe: N = 10, df = 9. podlestvicah: generalizirana anksioznost, socialna fobija in obsesivno kompulzivna simptomi, ki j depresivni simptomatiki. M = 40.2, SD =13.0, t = 3.189, p = 0.011, df = 9). Nadalje simptomatike. Intenzivnost pon pomembno prisotne ruminacije, magnifikacij pom B. Horvat Rauter : 11. Tabela 2: Opisna statistika in rezultati enosmernega T-testa na testu CBCL. anksiznost, depresija 63.8 15.1 4.78 0.795 0.447 odmaknjenost 65.8 17.8 5.63 1.031 0.329 64.2 6.1 1.92 2.188 0.056 61.2 10.5 3.34 0.360 0.727 56.2 6.9 2.20 -1.731 0.117 56.9 10.1 3.18 -0.974 0.355 54.0 6.5 2.06 -2.920 0.017 abresivno vedenje 56.8 10.9 3.45 -0.927 0.378 ponotranjanje 63.4 12.8 4.04 0.842 0.422 pozunanjanje 50.9 10.6 3.37 -2.705 0.024 56.5 12.8 4.05 -0.865 0.410 depresivna simptomatika 61.6 10.9 3.46 0.463 0.654 anksiozna simptomatika 65.2 16.5 5.20 1.000 0.344 66.1 8.9 2.82 2.164 0.059 55.7 7.5 2.37 -1.817 0.103 opozicionalnost 55.8 9.2 2.91 -1.444 0.183 agresivno vedenje 53.6 5.5 1.74 -3.679 0.005 57.0 7.6 2.40 -1.248 0.243 obsesije 55.8 7.1 2.26 -1.859 0.096 preokupacija s stresom 62.0 13.2 4.17 0.480 0.643 Opombe: df = 9. 4 Interpretacija raziskave nismo obravnavali nobenega mladostnika s kr raziskave. 12 ANALI PAZU HD . pod poglobljeni oceni in vk in Banez, 2016). 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