Department of Pediatrics, Vanderbilt University School of Medicine.
J Pediatr Psychol. 2011 Jan;36(1):55-63. doi: 10.1093/jpepsy/jsq043. Epub 2010 May 19.
We tested the hypothesis that pain threat appraisal and catastrophizing by children with functional abdominal pain (FAP) will moderate the relation between parent verbal behavior and children's symptom complaints following experimentally induced visceral discomfort.
Thirty-three pediatric patients with FAP and their parents participated. Children completed measures of pain threat appraisal and catastrophizing. Weeks later they completed the Water Load Symptom Provocation Test to induce visceral discomfort. Spontaneous parent-child interactions during child discomfort were audiotaped and coded for content.
Parent symptom-related talk was associated with more child symptom complaints and parent non-symptom-related talk with fewer child complaints. The relation between symptom talk and complaints was greater for children with high catastrophizing. Non-symptom talk was associated with fewer complaints for children with high threat appraisals.
Child characteristics should be considered in research on the relation between parent behavior and children's symptom complaints.
我们检验了这样一个假设,即功能性腹痛(FAP)患儿的疼痛威胁评估和灾难化思维会调节父母言语行为与实验性内脏不适后儿童症状主诉之间的关系。
33 名 FAP 患儿及其父母参与了研究。孩子们完成了疼痛威胁评估和灾难化思维的测量。几周后,他们完成了水负荷症状激发试验以诱发内脏不适。在孩子感到不适时,父母与孩子的自发互动被录音并进行内容编码。
与症状相关的父母谈话与更多的孩子症状主诉相关,与非症状相关的父母谈话与更少的孩子主诉相关。对于具有高灾难化思维的孩子,症状谈话与主诉之间的关系更大。对于威胁评估较高的孩子,非症状谈话与较少的主诉相关。
在研究父母行为与儿童症状主诉之间的关系时,应考虑儿童的特征。