Using the Parent Risk Screening Measure (PRISM) to Assess Pain-Related Risk Factors in Parents of Youth Seeking Treatment for Acute Musculoskeletal Pain.
Using the Parent Risk Screening Measure (PRISM) to Assess Pain-Related Risk Factors in Parents of Youth Seeking Treatment for Acute Musculoskeletal Pain.
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DOI：
10.1097/ajp.0000000000001053
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发表时间：
2022-08-01
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父母风险筛查措施（PRISM）快速评估父母的痛苦，心理社会功能和行为与儿童疼痛相关的功能障碍的青少年与慢性疼痛的父母。认识到急性疼痛期间父母疼痛相关认知和对疼痛反应的重要性，当前的研究考察了PRISM在筛查患有急性疼痛的青少年父母中的实用性。参与者是175名父母-青年二人组，他们参加了一项更大的研究，研究急性肌肉骨骼疼痛青年的风险和弹性。父母完成了PRISM，以及一系列关于他们孩子的疼痛相关残疾和认知/行为的措施，以应对他们孩子的疼痛。青年报告了他们的疼痛，疼痛相关的残疾，疼痛相关的恐惧，灾难化，疼痛自我效能。PRISM总分（M=2.55，SD=2.77）与许多父母和儿童报告指标（例如，保护性，灾难性，疼痛相关的恐惧），得分越高，症状越严重。使用已发表的PRISM临界值，86.9%的父母被归类为低风险，13.13%为高风险。t检验显示，高风险组与低风险组在几项指标上存在显著差异。此外，高风险组中父母的年轻人更有可能达到疼痛灾难化和恐惧避免措施的临床截止值。研究结果表明，PRISM是有用的筛查父母的痛苦和行为相关的儿童急性肌肉骨骼疼痛样本的疼痛神经病学升高。重要的后续步骤是确定实施PRISM的理想时间，并检查PRISM评分与疼痛结果随时间的相关性。
The Parent Risk Screening Measure (PRISM) rapidly assesses parent distress, psychosocial function and behaviors associated with child pain-related dysfunction in parents of youth with chronic pain. Recognizing that importance of parent pain-related cognitions and responses to pain during the acute pain period, the current study examined the utility of the PRISM in screening parents of youth with acute pain. Participants were 175 parent-youth dyads taking part in a larger study examining risk and resilience in youth with acute musculoskeletal pain. Parents completed the PRISM, and a battery of measures reporting on their child’s pain-related disability and cognitions/behaviors in response to their child’s pain. Youth reported on their pain, pain-related disability, pain-related fear, catastrophizing, and pain self-efficacy. PRISM total scores (M=2.55, SD=2.77) were correlated with many parent and child report measures (e.g., protectiveness, catastrophizing, pain-related fear), with higher scores associated with greater symptoms. Using published PRISM cut-offs, 86.9% of parents were classified as low, 13.13% as elevated risk. T-tests revealed significant differences between elevated versus low risk groups on several measures. Moreover, youth of parents in the elevated risk group were more likely to meet clinical cut-offs on pain catastrophizing and fear avoidance measures. Findings suggest the PRISM is useful in screening for parent distress and behaviors associated with elevated pain symptomatology in a pediatric acute musculoskeletal pain sample. Important next steps are to identify ideal time of administering the PRISM and to examine associations among PRISM scores and pain outcomes over time.