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Funcionamento cognitivo em adolescentes com dor crónica em Portugal: Propriedades psicométricas da PEDSQL Cognitive Functioning Scale
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Abstract(s)
Introdução: A dor é uma experiência multidimensional e complexa que quando se torna persistente, mantendo-se para além do tempo considerado necessário para a sua cura da lesão (i.e., três meses) é designada de dor crónica. A dor crónica pode impactar negativamente o funcionamento cognitivo das crianças e dos adolescentes que dela padecem. Os objetivos deste estudo visaram a tradução, adaptação e estudo das propriedades psicométricas da PedsQL Cognitive Functioning Scale, numa amostra de adolescentes, dos 12 aos 17 anos de idade, residentes em Portugal e a comparação da funcionalidade cognitiva de participantes com dor crónica com aquela dos participantes sem dor crónica. Método: A amostra é constituída por 649 participantes, com idade média de 14,5 (DP=1,37). Os instrumentos utilizados foram: questionário sociodemográfico, questionário de dor, a escala Pedeatric Quality Life Cognitive Functioning, a subescala de Ansiedade PROMIS Pediatric Profile Form, a subescala de Depressão PROMIS Pediatric Profile Form e a subescala de Mobilidade PROMIS Pediatric Profile Form. Resultados e Conclusão: A análise fatorial exploratória resultou na extração de um fator, com um coeficiente alfa de Cronbach que demonstra uma boa fiabilidade da escala. Observou-se uma diferença estatisticamente significativa entre os participantes com e sem dor crónica no que toca ao funcionamento cognitivo, tal que os participantes com dor crónica tinham pior funcionamento cognitivo que os participantes sem dor crónica.
Introduction: Pain is a multidimensional and complex experience that when it becomes persistente lasting beyond the time considered necessary for the injury to heal (i.e., three months) is called chronic pain. Chronic pain can negatively impact the cognitive functioning of children and adolescents who suffer from it. The objectives of this study were to translate, adapt and study the psychometric properties of the PedsQL Cognitive Functioning Scale, in a sample of adolescents, aged 12 to 17 years, living in Portugal and to compare the cognitive functioning of participants with chronic pain with that of participants without chronic pain. Method: The sample consists of 649 participants, with an average age of 14.5 (SD=1.37). The instruments used were: sociodemographic questionnaire, pain questionnaire, the Pediatric Quality of Life Cognitive Functioning scale, the PROMIS Pediatric Profile Form Anxiety subscale, the PROMIS Pediatric Profile Form Depression subscale and the PROMIS Pediatric Profile Form Mobility subscale. Results and Conclusion: The exploratory factor analysis resulted in the extraction of a factor, with a Cronbach's alpha coefficient that demonstrates good reliability of the scale. A statistically significant difference was observed between participants with and without chronic pain in terms of cognitive functioning, such that participants with chronic pain had worse cognitive functioning than participants without chronic pain.
Introduction: Pain is a multidimensional and complex experience that when it becomes persistente lasting beyond the time considered necessary for the injury to heal (i.e., three months) is called chronic pain. Chronic pain can negatively impact the cognitive functioning of children and adolescents who suffer from it. The objectives of this study were to translate, adapt and study the psychometric properties of the PedsQL Cognitive Functioning Scale, in a sample of adolescents, aged 12 to 17 years, living in Portugal and to compare the cognitive functioning of participants with chronic pain with that of participants without chronic pain. Method: The sample consists of 649 participants, with an average age of 14.5 (SD=1.37). The instruments used were: sociodemographic questionnaire, pain questionnaire, the Pediatric Quality of Life Cognitive Functioning scale, the PROMIS Pediatric Profile Form Anxiety subscale, the PROMIS Pediatric Profile Form Depression subscale and the PROMIS Pediatric Profile Form Mobility subscale. Results and Conclusion: The exploratory factor analysis resulted in the extraction of a factor, with a Cronbach's alpha coefficient that demonstrates good reliability of the scale. A statistically significant difference was observed between participants with and without chronic pain in terms of cognitive functioning, such that participants with chronic pain had worse cognitive functioning than participants without chronic pain.
Description
Dissertação de Mestrado apresentada no Ispa – Instituto Universitário para obtenção do grau de Mestre na especialidade de Psicologia Clínica.
Keywords
Dor crónica Crianças e adolescentes Funcionamento cognitivo Chronic pain Children and adolescents Cognitive functioning
Pedagogical Context
Citation
Carrilho, A. B. (2024). Funcionamento cognitivo em adolescentes com dor crónica em Portugal: Propriedades psicométricas da PEDSQL Cognitive Functioning Scale [Dissertação de Mestrado]. Ispa – Instituto Universitário.