Chambers Christine T, Craig Kenneth D, Bennett Susan M
University of British Columbia.
J Pediatr Psychol. 2002 Apr-May;27(3):293-301. doi: 10.1093/jpepsy/27.3.293.
To provide an experimental investigation of the impact of maternal behavior on children's pain experiences.
Participants were 120 healthy children (60 boys, 60 girls) between the ages of 8 and 12 years and their mothers. Mothers were randomly assigned and trained to interact with their children in one of three ways while the children were exposed to lab-induced cold pressor pain: (1) a pain-promoting interaction, (2) a pain-reducing interaction, and (3) a no training control group. Training was based on behaviors presumed to have the expected impact, as based on correlational studies reported in the literature. Children's pain experiences during the cold pressor were assessed using self-reports of intensity and affect, coding of facial activity, tolerance, and heart rate responsiveness.
Girls whose mothers interacted with them in the pain-promoting manner reported more pain than daughters of mothers in the control group, who in turn reported more pain than girls whose mothers interacted with them in the pain-reducing manner. This effect was not significant for boys. Maternal interaction type had no effect on children's pain affect, facial activity, tolerance, or heart rate.
Results indicate that maternal behavior can have a direct impact on their daughters' subjective reports of pain. These data support the importance of social learning factors in influencing children's pain experiences.
提供关于母亲行为对儿童疼痛体验影响的实验性研究。
参与者为120名8至12岁的健康儿童（60名男孩，60名女孩）及其母亲。母亲们被随机分配，并接受训练，以便在孩子接受实验室诱导的冷压痛时，以三种方式之一与孩子互动：（1）促进疼痛的互动，（2）减轻疼痛的互动，（3）无训练对照组。训练基于文献中相关研究推测的具有预期影响的行为。使用强度和情感的自我报告、面部活动编码、耐受性和心率反应性来评估孩子在冷压痛期间的疼痛体验。
母亲以促进疼痛方式与孩子互动的女孩报告的疼痛比对照组母亲的女儿更多，而对照组母亲的女儿报告的疼痛又比母亲以减轻疼痛方式与孩子互动的女孩更多。这种效应在男孩中不显著。母亲的互动类型对孩子的疼痛情感、面部活动、耐受性或心率没有影响。
结果表明母亲行为可直接影响女儿对疼痛的主观报告。这些数据支持社会学习因素在影响儿童疼痛体验方面的重要性。
