Parental catastrophizing about their child's pain. The parent version of the Pain Catastrophizing Scale (PCS-P): A preliminary validation

Parental catastrophizing about their child's pain. The parent version of the Pain Catastrophizing Scale (PCS-P): A preliminary validation
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DOI:
10.1016/j.pain.2006.02.035
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发表时间:
2006-08-01
期刊:
影响因子:
7.4
通讯作者:
Crombez, Geert
Crombez, Geert
中科院分区:
医学1区
文献类型:
--
作者:
Goubert, Liesbet;Eccleston, Chris;Crombez, Geert

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许多研究已经发现了证据,证明对疼痛的灾难化在成人和儿童的疼痛适应中的作用。然而,影响疼痛和疼痛行为的社会背景在很大程度上被忽视了。特别是在理解童年痛苦的复杂性时,家庭过程可能非常重要。在解释调整和残疾的成人和儿童的痛苦灾难化的关键作用,本研究探讨了父母的灾难性思维的作用,他们的孩子的痛苦,解释儿童残疾和父母的痛苦。为了研究父母的灾难化,父母版本的疼痛灾难化量表(PCS-P)的开发。一个倾斜的三因素结构出现,以最适合的数据在两个样本的父母的学龄儿童(N = 205)和慢性疼痛的儿童(N = 107)的父母。此外,这三个因素的结构被发现是不变的,在两个父样本。此外,在临床样本中,父母对孩子疼痛的灾难性思考在解释(a)与儿童疾病相关的养育压力,父母抑郁和焦虑,以及(B)孩子的残疾和上学方面有显着的贡献,超出了孩子的疼痛强度。(c)2006年国际疼痛研究协会。Elsevier B. V.出版,保留所有权利。
Numerous studies have found evidence for the role of catastrophizing about pain in adjustment to pain in both adults and children. However, the social context influencing pain and pain behaviour has been largely ignored. Especially in understanding the complexities of childhood pain, family processes may be of major importance. In line with the crucial role of pain catastrophizing in explaining adjustment and disability in adults and children, this study investigates the role of parental catastrophic thinking about their child's pain in explaining child disability and parental distress. To study parental catastrophizing, a parent version of the Pain Catastrophizing Scale (PCS-P) was developed. An oblique three-factor structure emerged to best fit the data in both a sample of parents of schoolchildren (N = 205) and in a sample of parents of children with chronic pain (N = 107). Moreover, this three-factor structure was found to be invariant across both parent samples. Further, in the clinical sample, parents' catastrophic thinking about their child's pain had a significant contribution in explaining (a) childhood illness-related parenting stress, parental depression and anxiety, and (b) the child's disability and school attendance, beyond the child's pain intensity. (c) 2006 International Association for the Study of Pain. Published by Elsevier B.V. All rights reserved.