Liossi Christina, White Paul, Franck Linda, Hatira Popi
School of Psychology, University of Southampton, Highfield, Southampton, UK.
Clin J Pain. 2007 Jun;23(5):392-9. doi: 10.1097/AJP.0b013e31804ac00c.
The aim of this prospective investigation was to evaluate child and parental expectancies as a predictor of pain perception in pediatric oncology patients undergoing painful medical procedures.
Forty-five children with leukemia or non-Hodgkin lymphoma and their parents rated expected and experienced pain during lumbar punctures at baseline, during intervention (ie, cognitive-behavior therapy) administered by a therapist and when children were using cognitive-behavior therapy skills independently.
Parental and child expectancies were significantly correlated. Parents consistently expected their children to experience more pain than children were expecting themselves. Parental expectancy was found to mediate the relationship between child expected and experienced pain during every phase of the study.
It is concluded that parental expectancies are reliable predictors of pediatric procedure-related pain and possible useful targets for psychologic interventions to manage such pain.
这项前瞻性研究的目的是评估儿童和家长的预期，以此作为接受痛苦医疗程序的儿科肿瘤患者疼痛感知的预测指标。
45名患有白血病或非霍奇金淋巴瘤的儿童及其父母在基线、由治疗师进行干预（即认知行为疗法）期间以及儿童独立使用认知行为疗法技能时，对腰椎穿刺时预期的和实际经历的疼痛进行评分。
家长和儿童的预期显著相关。家长一直预期他们的孩子会比孩子自己预期的经历更多疼痛。研究发现，在研究的每个阶段，家长的预期都在儿童预期疼痛和实际经历疼痛之间起到中介作用。
得出的结论是，家长的预期是儿科手术相关疼痛的可靠预测指标，也是管理此类疼痛的心理干预可能有用的目标。
