Vervoort T, Craig K D, Goubert L, Dehoorne J, Joos R, Matthys D, Buysse A, Crombez G
Department of Experimental-Clinical and Health Psychology, Ghent University, Henri Dunantlaan 2, B-9000 Ghent, Belgium.
Pain. 2008 Jan;134(1-2):59-68. doi: 10.1016/j.pain.2007.03.038. Epub 2007 May 9.
We investigated the role of the child's pain catastrophizing in explaining (1) children's self-reported tendency to verbally share their pain experience with others and (2) different dimensions of pain expression, as described by the mother and the father, including non-verbal and verbal communicative pain behaviour and protective pain behaviour. Participants were school children, children with chronic or recurrent pain, and their parents. The results showed that: (1) Pain catastrophizing was associated with children's greater self-acknowledged tendency to verbally share their pain experience with others. (2) Mothers and fathers perceived highly catastrophizing children to be more communicative about their pain. (3) The role of pain catastrophizing in the child's verbal sharing of pain experiences and in explaining expressive behaviour as rated by parents did not differ between the school children and children with recurrent and chronic pain. (4) Nevertheless, findings indicated marked differences between school children and the clinical sample. Children of the clinical sample experienced more severe pain, more pain catastrophizing, more protective pain behaviour, but less verbal communications about their pain. These results further corroborate the position that catastrophic thoughts about pain have interpersonal consequences. Findings are discussed in terms of the possible functions and effects upon others of pain catastrophizing and associated categories of pain behaviour.
（1）儿童自我报告的向他人口头分享疼痛经历的倾向；（2）母亲和父亲所描述的疼痛表达的不同维度，包括非言语和言语性疼痛交流行为以及保护性疼痛行为。研究参与者为在校儿童、患有慢性或复发性疼痛的儿童及其父母。结果表明：（1）疼痛灾难化思维与儿童更倾向于自我承认向他人口头分享疼痛经历有关。（2）母亲和父亲都认为疼痛灾难化程度高的儿童在疼痛交流方面更频繁。（3）在校儿童与患有复发性和慢性疼痛的儿童在疼痛灾难化思维对儿童口头分享疼痛经历以及解释父母所评定的表达行为方面所起的作用并无差异。（4）然而，研究结果表明在校儿童与临床样本之间存在显著差异。临床样本中的儿童经历了更严重的疼痛、更多的疼痛灾难化思维、更多的保护性疼痛行为，但关于疼痛的言语交流较少。这些结果进一步证实了关于疼痛的灾难性思维具有人际影响的观点。我们从疼痛灾难化思维及相关疼痛行为类别对他人可能具有的功能和影响方面对研究结果进行了讨论。
