Jamison R N, Walker L S
Department of Anesthesia, Brigham & Women's Hospital, Boston, MA 02115.
Int J Psychiatry Med. 1992;22(4):329-42. doi: 10.2190/AMAN-GJ29-4N1C-6JR2.
Recent studies on pain behavior have pointed to a relationship between expression of illness in patients with chronic pain and reports of physical complaints in other family members. This article includes two related studies. The aim of the first study was to determine whether, among pain patient families, parents who exhibited higher levels of illness behavior and emotional distress were more likely to report that their children had frequent pain complaints. The aim of the second study was to assess whether children of patients with chronic pain were perceived by their parents to have more pain and illness behavior than children of non-pain parents.
In the first study, forty-two primary caregivers in families with a parent with chronic pain completed questionnaires regarding their children's pain and illness behavior. In the second study, report of somatic complaints in children of chronic pain parents was compared to complaints in fifty-five children of parents without chronic pain.
Results of the first study showed that frequently reported pain in the child was associated with significantly higher levels of parent disability, pain behavior and emotional distress. Results of the second study showed that children of patients with chronic pain were reported to have more frequent abdominal pain and to use more medication than children of parents without pain.
The findings of these studies suggest that children of parents with chronic pain may be at risk for illness behavior, especially when the parents exhibit emotional reactions to their pain.
近期关于疼痛行为的研究指出，慢性疼痛患者的疾病表现与其他家庭成员身体不适报告之间存在关联。本文包含两项相关研究。第一项研究的目的是确定在疼痛患者家庭中，表现出较高疾病行为水平和情绪困扰的父母是否更有可能报告其子女经常有疼痛主诉。第二项研究的目的是评估慢性疼痛患者的子女是否被其父母认为比无疼痛父母的子女有更多疼痛和疾病行为。
在第一项研究中，42名有慢性疼痛父母的家庭中的主要照料者完成了关于其子女疼痛和疾病行为的问卷。在第二项研究中，将慢性疼痛父母子女的躯体不适报告与55名无慢性疼痛父母子女的不适报告进行了比较。
第一项研究结果显示，子女经常报告的疼痛与父母残疾、疼痛行为和情绪困扰水平显著较高有关。第二项研究结果显示，据报告，慢性疼痛患者的子女比无疼痛父母的子女有更频繁的腹痛且使用更多药物。
这些研究结果表明，慢性疼痛父母的子女可能有疾病行为风险，尤其是当父母对其疼痛表现出情绪反应时。
