Evans Subhadra, Shipton Edward A, Keenan Thomas
Department of Health and Social Care, Brunel University, Isleworth, United Kingdom.
J Pain. 2006 Apr;7(4):236-43. doi: 10.1016/j.jpain.2005.10.010.
The role of parenting in the relationship between maternal chronic pain and negative child outcomes, including internalizing, externalizing, and social and health problems, was investigated. Parenting strategies used by mothers with chronic pain were compared to parenting strategies used by a control group of mothers without pain. Thirty-nine mothers experiencing chronic pain, their 55 children, 35 pain-free mothers, and their 48 children participated in the study. The results showed that for mothers with chronic pain, dysfunctional parenting strategies and the quality of the mother-child relationship were related to negative child outcomes. Mothers with chronic pain were more likely to engage in lax parenting and report reduced relationship quality with children than were control mothers. For the chronic pain group, over-reactive parenting was found to mediate the relationship between maternal physical functioning and child adjustment. Dysfunctional parenting strategies may constitute part of the risk that maternal chronic pain poses for children. The similarities between the impact of maternal chronic pain on child adjustment and that of other maternal stressors, such as depression, are discussed.
In mothers with chronic pain, poor maternal physical functioning was associated with increased maternal over-reactive behavior that was in turn related to poor child adjustment. Maternal over-reactive behavior did not, however, differ in chronic pain and control mothers.
本研究调查了养育方式在母亲慢性疼痛与儿童负面结果（包括内化问题、外化问题以及社交和健康问题）之间关系中的作用。将患有慢性疼痛的母亲所采用的养育策略与无疼痛的对照组母亲所采用的养育策略进行了比较。39名患有慢性疼痛的母亲及其55名子女、35名无疼痛的母亲及其48名子女参与了该研究。结果表明，对于患有慢性疼痛的母亲而言，功能失调的养育策略以及母婴关系质量与儿童负面结果相关。与对照组母亲相比，患有慢性疼痛的母亲更有可能采用宽松的养育方式，并且报告与孩子的关系质量下降。对于慢性疼痛组，发现过度反应性养育方式介导了母亲身体功能与儿童适应之间的关系。功能失调的养育策略可能构成母亲慢性疼痛给孩子带来风险的一部分。文中还讨论了母亲慢性疼痛对儿童适应的影响与其他母亲压力源（如抑郁症）影响之间的相似之处。
在患有慢性疼痛的母亲中，并与较差的儿童适应相关。然而，慢性疼痛母亲和对照组母亲的过度反应性行为并无差异。母亲身体功能不佳与母亲过度反应性行为增加相关，而这种过度反应性行为又
