RESUMO
This paper is a brief primer in pediatric pain measurement.Two measurement instruments--the Faces, Legs, Activity, Cry and Consolability Scale and the Faces of Pain Scale-Revised--are presented along with their limitations.
Assuntos
Assistência Odontológica para Crianças/normas , Medição da Dor/métodos , Dor/diagnóstico , Adolescente , Fatores Etários , Criança , Comportamento Infantil/psicologia , Pré-Escolar , Assistência Odontológica para Crianças/métodos , Humanos , Dor/prevenção & controle , Dor/psicologiaRESUMO
The objective of this review is to integrate current knowledge of pediatric procedure pain to develop a conceptual framework of good, clinical pediatric pain practice that can be used to improve the processes and outcomes of the clinical management of pediatric procedure pain in dentistry. This paper will present four characteristics of pain neurobiology that critically influence clinical decisions in pediatric procedure pain management.
Assuntos
Dor Facial/fisiopatologia , Dor Facial/psicologia , Afeto , Aprendizagem da Esquiva , Criança , Desenvolvimento Infantil , Pré-Escolar , Humanos , Memória , Padrões de Prática Odontológica , Psicologia da CriançaRESUMO
The primary objective of this review is to integrate current knowledge on pediatric procedure pain to develop a conceptual framework of good, clinical pediatric pain practice that can be used to improve the processes and outcomes of the clinical management of pediatric procedure pain in dentistry. This paper will review the manner in which iatrogenic factors influence the management of pediatric procedure pain.
Assuntos
Assistência Odontológica para Crianças/ética , Dor Facial/prevenção & controle , Doença Iatrogênica , Pré-Escolar , Cognição , Humanos , Lactente , Medição da Dor , Limiar da Dor , Padrões de Prática Odontológica/éticaRESUMO
The objective of this review is to integrate current knowledge of pediatric procedure pain to develop a conceptual framework of good, clinical pediatric pain practice that can be used to improve the processes and outcomes of the clinical management of pediatric procedure pain in dentistry. This argues that targeting behavior confounds the assessment-intervention dynamic of pain management.
Assuntos
Assistência Odontológica para Crianças/métodos , Dor Facial/prevenção & controle , Controle Comportamental , Comportamento Infantil , Pré-Escolar , Humanos , Lactente , Medição da Dor , Padrões de Prática Odontológica , Restrição Física/efeitos adversosRESUMO
OBJECTIVE: To examine psychiatric morbidity and functional impairment of adolescents with and without poor reading skills during mid- to late adolescence. METHOD: The sample consisted of 188 adolescents, 94 with poor reading skills and 94 with typical reading skills, screened from a larger sample in the public schools at age 15. To assess psychiatric disorders, participants were assessed annually with the Schedule for Affective Disorders and Schizophrenia for School-Age Children-Epidemiologic Version (up to 4.5 years; maximum age, 20 years). Functional impairment was assessed with the Child and Adolescent Functional Assessment Scale. RESULTS: Adolescents with poor reading skills evidenced higher rates of current attention-deficit/hyperactivity, affective, and anxiety disorders, particularly social phobia and generalized anxiety disorder. Anxiety disorders but not affective disorders were related to reading status after controlling for attention-deficit/hyperactivity disorder. Adolescents with poor reading evidenced more functional impairment across multiple areas than youths with typical reading skills, even after considering the presence of comorbid attention-deficit/hyperactivity disorder. CONCLUSIONS: The increased psychiatric morbidity and functional impairment of adolescents with reading problems highlight the importance of developing interventions that help these youths address reading deficits and associated vulnerabilities during the last years of secondary school.
