父母的保护反应是否在父母痛苦与慢性疼痛儿童的儿童功能残疾之间起中介作用？
Do parent protective responses mediate the relation between parent distress and child functional disability among children with chronic pain?
机构信息
Pediatric Pain Rehabiliation Center, Children's Hospital Boston at Waltham, Waltham, MA 02453, USA.
出版信息
J Pediatr Psychol. 2011 Oct;36(9):1043-51. doi: 10.1093/jpepsy/jsr043. Epub 2011 Jul 8.
OBJECTIVES
To examine whether protective parent responses mediate the relation between parent distress and child functioning.
METHODS
At a pain clinic evaluation, 157 families participated. Parents completed measures of global distress (BSI-18), distress in the context of their child's pain (BAP-PIQ), and protective responses to their child's pain. Children completed measures of functional disability and pain.
RESULTS
BAP-PIQ subscales were significantly associated with child functional disability, whereas BSI subscales were unrelated. Protective parent responses partially mediated the relation between parent distress and child functional disability for depression, anxiety, and catastrophizing. However, parent protective behavior fully mediated the relationship between parent helplessness and child functional disability, indicating that feelings of parent helplessness did not uniquely contribute to child functional disability. Discussion Results suggest that when treating youth with chronic pain, parental distress in the context of children's pain needs to be addressed.
目的
探讨保护型父母反应是否在父母痛苦与儿童功能之间起中介作用。
方法
在疼痛诊所评估中，157 个家庭参与了研究。父母完成了一般痛苦量表（BSI-18）、儿童疼痛背景下的痛苦量表（BAP-PIQ）和对儿童疼痛的保护反应的测量。儿童完成了功能障碍和疼痛的测量。
结果
BAP-PIQ 分量表与儿童功能障碍显著相关，而 BSI 分量表则没有关联。保护型父母反应部分中介了父母痛苦与儿童功能障碍之间的关系，抑郁、焦虑和灾难化。然而，父母无助感与儿童功能障碍之间的关系完全由父母保护行为中介，这表明父母无助感并没有对儿童功能障碍有独特的贡献。讨论结果表明，在治疗患有慢性疼痛的青少年时，需要解决儿童疼痛背景下父母的痛苦。
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