Parental response to children's pain: The moderating impact of children's emotional distress on symptoms and disability
Parental response to children's pain: The moderating impact of children's emotional distress on symptoms and disability
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DOI：
10.1016/j.pain.2007.12.005
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发表时间：
2008-08-15
期刊：
影响因子：
7.4
通讯作者：
Logan, Deirdre E.
中科院分区：
文献类型：
--
作者：
Claar, Robyn Lewis;Simons, Laura E.;Logan, Deirdre E.
父母的反应在儿童疼痛行为的发展和维持中起着核心作用。此前研究父母的反应对儿童疼痛的影响主要集中在保护性或关怀反应上。这项研究考察了父母的反应，包括保护性、最大限度地减少疼痛，以及鼓励和监测反应，对儿童的功能残疾和躯体症状的影响。参与者包括327名8-17岁的慢性疼痛患者，他们完成了疼痛、残疾、躯体症状和抑郁的测量。和焦虑。患者的父母完成了一项评估父母对孩子疼痛反应的测量。结果表明，对于情绪困扰程度较高的儿童，父母对疼痛的不适应反应(例如，批评、忽视疼痛、增加对疼痛的关注、给予特殊特权)与残疾和躯体症状的增加有关。这项研究的结果表明，父母可以通过重要的方式影响孩子应对和管理慢性疼痛的方式。父母过度保护或批评其疼痛的儿童可能会经历更多的损伤或躯体症状，特别是那些已经因为更高水平的情绪困扰而面临困难风险的儿童。(C)2007年国际疼痛研究协会。版权所有，版权所有。
Parental responses play a central role in the development and maintenance of children's pain behavior. Previous studies examining the impact of parental responses on children's pain have focused mainly on protective or solicitous responses. This study examined the impact of parental responses, including protectiveness, minimization of pain, and encouraging and monitoring responses, on children's functional disability and somatic symptoms. Participants included 327 patients with chronic pain, ages 8-17, who completed measures of pain, disability, somatic symptoms, depression. and anxiety. Patients' parents completed a measure assessing parental responses to their children's pain. Results show that for children with higher levels of emotional distress, maladaptive parental responses to pain (e.g., criticism, discounting of pain, increased attention to pain, and granting of special privileges) were associated with increased disability and somatic symptoms. Results of this study demonstrate the important ways in which parents can influence how their children cope with and manage chronic pain. Children whose parents are overly protective or critical of their pain may experience more impairment or somatic symptoms, particularly those children who are already at risk for difficulties due to higher levels of emotional distress. (c) 2007 International Association for the Study of Pain. Published bv Elsevier B.V. All rights reserved.