Evans Subhadra, Tsao Jennie C I, Lu Qian, Myers Cynthia, Suresh Joanne, Zeltzer Lonnie K
Pediatric Pain Program, Department of Pediatrics, David Geffen School of Medicine, University of California, Los Angeles.
J Pain Manag. 2008 Dec 1;1(3):237-246.
Chronic or recurrent pain is a widespread health issue that affects a large proportion of the population, including adults and children. Family factors in the development of pain have received increasing attention of late as research has shown that pain tends to run in families, A burgeoning literature has also demonstrated the influence of parental factors in children's responses to chronic and laboratory pain. This review attempts to integrate: first,) the literature documenting an association between parent and child pain both within the clinical chronic pain and laboratory pain literatures; and second,) research accounting for likely mechanisms explaining the parent-child pain association. To this end, we present a conceptual model that incorporates a number of parent and child specific characteristics, such as parental responses, coping and gender role socialization as well as broader socio-demographic factors such as parent and child age and sex, family functioning, socioeconomic status, and race/ethnicity. It is anticipated that consideration of such variables will lead to needed research exploring the mechanisms of parent-child pain relationships, and to interventions designed to prevent and ameliorate child pain sensitivity when it correlates with poor adaptation to pain.
慢性或复发性疼痛是一个普遍存在的健康问题,影响着很大一部分人口,包括成人和儿童。近年来,疼痛发展中的家庭因素受到了越来越多的关注,因为研究表明疼痛往往在家族中具有遗传性。大量文献也证明了父母因素对儿童对慢性疼痛和实验性疼痛反应的影响。本综述试图整合:第一,临床慢性疼痛和实验性疼痛文献中记载的父母与子女疼痛之间关联的文献;第二,解释亲子疼痛关联可能机制的相关研究。为此,我们提出了一个概念模型,该模型纳入了许多父母和子女的特定特征,如父母的反应、应对方式和性别角色社会化,以及更广泛的社会人口学因素,如父母和子女的年龄和性别、家庭功能、社会经济地位以及种族/民族。预计对这些变量的考虑将促使开展必要的研究,以探索亲子疼痛关系的机制,并制定干预措施,在儿童疼痛敏感性与疼痛适应不良相关时,预防和改善儿童的疼痛敏感性。