Anxiety and Pain Severity in Children Based on Self-Report

Authors

  • Maryam Mirmotalebi Department of Social and Family Medicine, School of Medicine, Kerman University of Medical Science, Kerman, Iran
  • Behshid Garrusi Department of Social and Family Medicine, School of Medicine, Kerman University of Medical Science, Kerman, Iran
  • Mina Danaei Department of Social and Family Medicine, School of Medicine, Kerman University of Medical Science, Kerman, Iran

DOI:

https://doi.org/10.6000/1929-4247.2021.10.01.3

Keywords:

Anxiety, Severity of pain, Children, Self-Report

Abstract

Background and Objective: Evaluation of the severity of pain in children can help the medical team diagnose the type of disease. In this study, anxiety and pain intensity in children were examined based on self-report.

Materials and Methods: This cross-sectional study was performed in 2018 on 300 children aged 3 to 12 years, referring to outpatient treatment centres in Kerman. To measure the severity of pain felt by children, FPS-R was used. The level declared by children was evaluated by the pain intensity estimated by parents and doctors using a visual analogue scale (VAS) and the standard FLACC (Face, Legs, Activity, Cry, Consolability scale) for correlation. The data were analysed using SPSS software version 25.

Results: The pain reported by children was obtained by VAS (4.16 ± 3.49), and the estimated pain by the doctor was obtained by FPS-R (2.87±1.68). The pain severity estimated by the doctor using FLACC had the highest correlation with the pain estimated by the doctor using VAS and the lowest correlation with the pain estimated by the mother using VAS.

Conclusion: The results of this study showed that FPS-R could be used as a suitable self-report tool in children and, along with the standard FLACC, can help the medical team recognize the severity of children's pain.

References

[1] Van Hecke O, Austin SK, Khan RA, Smith BH, Torrance N. Neuropathic pain in the general population: a systematic review of epidemiological studies. PAIN® 2014; 155(4): 654-62.
https://doi.org/10.1016/j.pain.2013.11.013
[2] Hauer J, Houtrow AJ. Pain assessment and treatment in children with significant impairment of the central nervous system. Pediatrics 2017; 139(6): e20171002.
https://doi.org/10.1542/peds.2017-1002
[3] Hatfield NT. Introductory maternity and pediatric nursing. Lippincott Williams and Wilkins; 2013.
[4] Huguet A, Stinson JN, McGrath PJ. Measurement of self-reported pain intensity in children and adolescents. Journal of Psychosomatic Research 2010; 68(4): 329-36.
https://doi.org/10.1016/j.jpsychores.2009.06.003
[5] Mousavi R, Mousavi SS, Mahmoudi GJ, Akbari ZS. Assessment and Diagnosis instruments of Anxiety disorders among child and adolescents 2008. Annals of Military and Health Sciences Research 2008. 6(2): 147-154.
[6] Tran ST, Jastrowski Mano KE, Anderson Khan K, Davies W, Hainsworth KR. Patterns of anxiety symptoms in pediatric chronic pain as reported by youth, mothers, and fathers. Clinical Practice in Pediatric Psychology 2016; 4(1): 51.
https://doi.org/10.1037/cpp0000126
[7] Emmott AS, West N, Zhou G, Dunsmuir D, Montgomery CJ, Lauder GR, et al. validity of simplified versus standard self-report measures of pain intensity in preschool-aged children undergoing venipuncture. The Journal of Pain 2017; 18(5): 564-73.
https://doi.org/10.1016/j.jpain.2016.12.015
[8] Hadden KL, LeFort S, O’Brien M, Coyte PC, Guerriere DN. Validity of the Child Facial Coding System for the assessment of acute pain in children with cerebral palsy. Journal of Child Neurology 2016; 31(5): 597-602.
https://doi.org/10.1177/0883073815604228
[9] Sekhon KK, Fashler SR, Versloot J, Lee S, Craig KD. Children’s behavioral pain cues: Implicit automaticity and control dimensions in observational measures. Pain Research and Management 2017; 2017.
https://doi.org/10.1155/2017/3017837
[10] Foroud A, Foroud A, Mehdipour S. The effects of breathing patterns and massage on the pain and perception of labor in primiparous women. Journal of Shahrekord University of Medical Sciences 2006; 7(4): 70-77.

[11] Bikmoradi A, Zafari A, Oshvandi K, Mazdeh M, Roshanaei G. Effect of progressive muscle relaxation on severity of pain in patients with multiple sclerosis: a randomized controlled trial. Journal of Hayat 2014; 20(1): 26-37.
[12] Safari N, Sabzaligol M, Naseri Salahshour V, Latifi M, Kouhestani H, Baghcheghi N. The Effects of Music on Pain of Heel Blood Sampling in Infants. Iranian Journal of Nursing Research 2016; 11(4): 43-8.
https://doi.org/10.21859/ijnr-110405
[13] Berghmans JM, Poley MJ, van der Ende J, Weber F, Van de Velde M, Adriaenssens P, et al. A Visual Analog Scale to assess anxiety in children during anesthesia induction (VAS?I): Results supporting its validity in a sample of daycare surgery patients. Pediatric Anesthesia 2017; 27(9): 955-61.
https://doi.org/10.1111/pan.13206
[14] Castarlenas E, Jensen MP, von Baeyer CL, Miró J. Psychometric properties of the numerical rating scale to assess self-reported pain intensity in children and adolescents. The Clinical Journal of Pain 2017; 33(4): 376-83.
https://doi.org/10.1097/AJP.0000000000000406
[15] Tsze DS, von Baeyer CL, Bulloch B, Dayan PS. Validation of self-report pain scales in children. Pediatrics 2013; 132(4): e971.
https://doi.org/10.1542/peds.2013-1509
[16] Brown R, Fortier MA, Zolghadr S, Gulur P, Jenkins BN, Kain ZN. Postoperative pain management in children of Hispanic origin: a descriptive cohort study. Anesthesia and Analgesia 2016; 122(2): 497.
https://doi.org/10.1213/ANE.0000000000001042
[17] Von Baeyer CL. Children’s self-reports of pain intensity: scale selection, limitations and interpretation. Pain Research and Management 2006; 11(3): 157-62.
https://doi.org/10.1155/2006/197616
[18] Chambers CT, Reid GJ, Craig KD, McGrath PJ, Finley GA. Agreement between child and parent reports of pain. The Clinical Journal of Pain. 1998; 14(4): 336-42.
https://doi.org/10.1097/00002508-199812000-00011
[19] Zhou H, Roberts P, Horgan L. Association between self?report pain ratings of child and parent, child and nurse and parent and nurse dyads: meta?analysis. Journal of Advanced Nursing 2008; 63(4): 334-42.
https://doi.org/10.1111/j.1365-2648.2008.04694.x
[20] Brudvik C, Moutte S-D, Baste V, Morken T. A comparison of pain assessment by physicians, parents and children in an outpatient setting. Emergency Medicine Journal 2017; 34(3): 138-44.
https://doi.org/10.1136/emermed-2016-205825
[21] De Azevedo CB, Carenzi LR, de Queiroz DLC, Anselmo-Lima WT, Valera FCP, Tamashiro E. Clinical utility of PPPM and FPS-R to quantify post-tonsillectomy pain in children. International Journal of Pediatric Otorhinolaryngology 2014; 78(2): 296-9.
https://doi.org/10.1016/j.ijporl.2013.11.027
[22] Newman C, Lolekha R, Limkittikul K, Luangxay K, Chotpitayasunondh T, Chanthavanich P. A comparison of pain scales in Thai children. Archives of Disease in Childhood 2005; 90(3): 269-70.
https://doi.org/10.1136/adc.2003.044404
[23] Subhashini L, Vatsa M, Lodha R. Comparison of two pain scales in Indian children. The Indian Journal of Pediatrics 2008; 75(9): 891.
https://doi.org/10.1007/s12098-008-0096-4

Published

2021-02-26

Issue

Section

General Articles