Dyadic parent-child influences on pain expression and proxy ratings in children with IDD

亲子关系对 IDD 儿童疼痛表达和代理评分的影响

• 批准号: 10732690
• 负责人: Breanne J Byiers
• 金额: $ 43.35万
• 依托单位: UNIVERSITY OF MINNESOTA
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-15 至 2028-06-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10732690
• 关键词: Adaptive Behaviors; Affect; Age; Anxiety; Behavior; Behavioral; Belief; Biological Factors; Blood; Categories; Child; Childhood; Clinical; Cognition; Communication; Cues; Developmental Delay Disorders; Diagnosis; Disparity; Event; Exhibits; Expectancy; Face; Facial Expression; Family; Foundations; General Population; Goals; Guidelines; Individual; Intellectual functioning disability; Judgment; Knowledge; Lead; Learning; Learning Disabilities; Longitudinal Studies; Measures; Modeling; Morbidity - disease rate; Motor; Outcome; Pain; Pain Measurement; Pain intensity; Pain management; Parent-Child Relations; Parents; Patient Self-Report; Perception; Play; Process; Proxy; Psychological Factors; Psychosocial Factor; Public Health; Recording of previous events; Reporter; Reporting; Risk; Role; Sampling; Shapes; Social Processes; Source; Standardization; System; Testing; Variant; Venipunctures; Video Recording; Work; behavioral response; clinically relevant; disability; disparity reduction; experience; health goals; improved; limb movement; mortality; motor deficit; negative affect; novel; pain behavior; pain catastrophizing; pain model; pain score; pain sensitivity; parental influence; peer; psychosocial; recruit; response; social communication; social factors; social influence; standard of care; verbal; vocalization

Because children with intellectual and developmental disabilities (IDD) are frequently unable to report their pain verbally, parents often serve as proxy reporters in interpreting and describing their child's pain. Although there is substantial evidence that interactions among biological, psychological, and social factors at the level of both the child and the parent influence children's behavioral pain expression and parents' interpretation of pain behavior in the general population, there has been almost no work investigating the influence of dyadic parent-child relationships on pain assessment among children with IDD. The long-term goal of this project is to improve the understanding of dynamic and reciprocal processes influencing how parents rate and respond to pain in children who have difficulty expressing themselves verbally due to IDD and who may exhibit idiosyncratic pain signs. To achieve this end, the short-term goal of this project is to identify the specific parent and child factors associated with pain expression among children with IDD and differences in parental pain intensity ratings. The project will achieve this objective by recruiting a large sample of parent-child dyads in which the children are between the ages of 1.5 and 5 years and have been diagnosed with global developmental delay (GDD). Dyads will be video recorded during a clinically-indicated blood draw to evaluate pain expression, parents' pain intensity ratings, and parental behaviors during the pain event. Information on parents' overall judgments of their children's pain sensitivity will also be collected. We will collect information on the children's adaptive behavior, communication abilities, and gross motor function, as well as several standardized rating scales to categorize parents' general negative affect and pain-related beliefs and cognitions. Completion of the proposed project will lead to improved understanding of how parent-child factors interact to influence parents' judgments of pain among children who cannot self-report.

因为患有智力和发育障碍 (IDD) 的儿童通常无法报告他们的疼痛 在口头上，父母经常充当代理记者来解释和描述孩子的痛苦。虽然有 大量证据表明生物、心理和社会因素之间在这两个层面上的相互作用 孩子和父母影响孩子的行为疼痛表达和父母对疼痛的解释 在一般人群的行为中，几乎没有研究二元关系的影响 亲子关系对 IDD 儿童疼痛评估的影响。该项目的长期目标是 提高对影响父母如何评价和回应的动态和交互过程的理解 因 IDD 而难以言语表达的儿童可能会感到疼痛 特殊的疼痛症状。为了实现这一目标，该项目的短期目标是确定具体的母公司 与 IDD 儿童疼痛表达相关的儿童因素以及父母疼痛差异 强度等级。该项目将通过在以下地区招募大量亲子情侣样本来实现这一目标 这些孩子年龄在1.5岁到5岁之间，被诊断患有全球性 发育迟缓（GDD）。将在临床指示的抽血过程中对二元进行视频记录以进行评估 疼痛表达、父母的疼痛强度评级以及疼痛事件期间父母的行为。有关信息 家长对孩子疼痛敏感度的总体判断也会被收集。我们将收集以下信息 孩子的适应行为、沟通能力、粗大运动功能，以及一些 标准化评级量表对父母的一般负面情绪和与疼痛相关的信念进行分类 认知。完成拟议项目将有助于更好地理解亲子因素如何影响 互动以影响父母对无法自我报告的儿童的疼痛判断。