| Texto completo | |
| Autor(es): |
Valeri, Beatriz O.
;
Ranger, Manon
;
Chau, Cecil M. Y.
;
Cepeda, Ivan L.
;
Synnes, Anne
;
Linhares, Maria Beatriz M.
;
Grunau, Ruth E.
Número total de Autores: 7
|
| Tipo de documento: | Artigo Científico |
| Fonte: | CLINICAL JOURNAL OF PAIN; v. 32, n. 12, p. 1086-1093, DEC 2016. |
| Citações Web of Science: | 12 |
| Resumo | |
Introduction:Children born very preterm display altered pain thresholds. Little is known about the neonatal clinical and psychosocial factors associated with their later pain perception.Objective:We aimed to examine whether the number of neonatal invasive procedures, adjusted for other clinical and psychosocial factors, was associated with self-ratings of pain during a blood collection procedure at school age in children born very preterm.Materials and Methods:56 children born very preterm (24 to 32 weeks gestational age), followed longitudinally from birth, and free of major neurodevelopmental impairments underwent a blood collection by venipuncture at age 7.5 years. The children's pain was self-reported using the Coloured Analog Scale and the Facial Affective Scale. Parents completed the Child Behavior Checklist and the State-Trait Anxiety Inventory. Pain exposure (the number of invasive procedures) and clinical factors from birth to term-equivalent age were obtained prospectively. Multiple linear regression was used to predict children's pain self-ratings from neonatal pain exposure after adjusting for neonatal clinical and concurrent psychosocial factors.Results:A greater number of neonatal invasive procedures and higher parent trait-anxiety were associated with higher pain intensity ratings during venipuncture at age 7.5 years. Fewer surgeries and lower concurrent child externalizing behaviors were associated with a higher pain intensity.Conclusions:In very preterm children, exposure to neonatal pain was related to altered pain self-ratings at school age, independent of other neonatal factors. Neonatal surgeries and concurrent psychosocial factors were also associated with pain ratings. (AU) | |
| Processo FAPESP: | 11/50788-8 - Reatividade a dor em neonatos pré-termo sob intervenção de sacarose, em grupos diferenciados pelo risco clínico neonatal |
| Beneficiário: | Beatriz Oliveira Valeri Pereira da Silva |
| Modalidade de apoio: | Bolsas no Brasil - Doutorado |