Parental catastrophizing about their child's chronic pain: are mothers and fathers different?
Parental catastrophizing about their child's chronic pain: are mothers and fathers different?
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DOI：
10.1016/j.ejpain.2010.09.015
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发表时间：
2011-05-01
影响因子：
3.6
通讯作者：
Zernikow, Boris
中科院分区：
文献类型：
--
作者：
Hechler, Tanja;Vervoort, Tine;Zernikow, Boris
初步证据表明，父母对孩子疼痛的灾难化可能对理解父母对孩子疼痛的反应和孩子的疼痛体验都很重要。然而，人们对母亲和父亲之间的潜在差异知之甚少。本研究有三个目的来解决这种知识的缺乏：（i）调查德国版父母痛苦灾难性量表（PCS-P）的三因素结构（Goubert等人，2006），（ii）探讨父母灾难化的差异，（iii）探讨父母灾难化对儿童慢性疼痛问题和疼痛相关的父母行为的影响。结果复制了以前建立的三因素结构（i。e.反刍，放大和无助）。与父亲相比，母亲报告了更高水平的灾难化。具体来说，母亲和父亲不同的反刍水平，两组没有不同的放大和无助。母亲，但不是父亲的灾难性的贡献显着解释儿童的疼痛强度，而母亲和父亲的灾难性的显着相关的儿童的残疾。母亲和父亲的灾难化显着提高父母的关怀反应。父亲而不是母亲的灾难化也导致了更高的分心反应。目前的研究结果证明了母亲和父亲的灾难性的儿童的疼痛特征和疼痛相关的父母的行为，这都是相关的治疗概念化的重要性。(C)2010年，国际疼痛分会研究协会欧洲联合会。由爱思唯尔有限公司出版。保留所有权利。
Preliminary evidence suggests that parental catastrophizing about their child's pain may be important in understanding both parental responses to their child's pain and the child's pain experience. However, little is known about potential differences between mothers and fathers. There were three aims of the present study addressing this lack of knowledge: (i) to investigate the three-factor structure of the German version of the Parental Pain Catastrophizing Scale (PCS-P) (Goubert et al., 2006) in mothers and fathers of children with chronic pain, (ii) to explore differences between mothers and fathers in parental catastrophizing, (iii) to investigate the contribution of parental catastrophizing on the child's chronic pain problem and pain-related parent behavior.In a sample of 128 mothers and fathers of paediatric chronic pain patients, the invariance of the PCS-P was evaluated. Results replicated the previously established three-factor structure (i. e. rumination, magnification and helplessness) in both groups. Mothers reported higher levels of catastrophizing as compared to fathers. Specifically, mothers and fathers differed on levels of rumination; the two groups did not differ in magnification and helplessness. Maternal but not paternal catastrophizing contributed significantly in explaining the child's pain intensity whereas neither mothers' nor fathers' catastrophizing were significantly related to the child's disability. Both maternal and paternal catastrophizing contributed significantly to heightened parental solicitous responses. Fathers' but not mothers' catastrophizing also contributed to heightened distracting responses. The present findings attest to the importance of maternal and paternal catastrophizing for the child's pain characteristics and pain-related parent behavior, which are both relevant for treatment conceptualization. (C) 2010 European Federation of International Association for the Study of Pain Chapters. Published by Elsevier Ltd. All rights reserved.