Vervoort T, Goubert L, Vandenbossche H, Van Aken S, Matthys D, Crombez G
Department of Experimental-Clinical and Health Psychology, Ghent University, Belgium.
Psychol Rep. 2011 Dec;109(3):879-95. doi: 10.2466/07.15.16.21.PR0.109.6.879-895.
The contribution of the child's and parents' catastrophizing about pain was explored in explaining procedural pain and fear in children. Procedural fear and pain were investigated in 44 children with Type I diabetes undergoing a finger prick. The relationships between parents' catastrophizing and parents' own fear and estimates of their child's pain were also investigated. The children and their mothers completed questionnaires prior to a routine consultation with the diabetes physician. Children completed a situation-specific measure of the Pain Catastrophizing Scale for Children (PCS-C) and provided ratings of their experienced pain and fear on a 0-10 numerical rating scale (NRS). Parents completed a situation-specific measure of the Pain Catastrophizing Scale For Parents (PCS-P) d provided estimates of their child's pain and their own experienced fear on a 0-10 NRS. Analyses indicated that higher catastrophizing by children was associated with more fear and pain during the finger prick. Scores for parents' catastrophzing about their children's pain were positively related to parents' scores for their own fear, estimates of their children's pain, and child-reported fear, but not the amount of pain reported by the child. The findings attest to the importance of assessing for and targeting child and parents' catastrophizing about pain. Addressing catastrophizing and related fears and concerns of both parents and children may be necessary to assure appropriate self-management. Further investigation of the mechanisms relating catastrophizing to deleterious outcomes is warranted.
在解释儿童程序性疼痛和恐惧方面，探讨了儿童及父母对疼痛的灾难化认知的影响。对44名患有I型糖尿病的儿童在进行手指采血时的程序性恐惧和疼痛进行了调查。还研究了父母的灾难化认知与父母自身的恐惧以及他们对孩子疼痛的估计之间的关系。在与糖尿病医生进行常规会诊之前，儿童及其母亲完成了问卷调查。儿童完成了针对特定情境的儿童疼痛灾难化量表（PCS-C）的测量，并在0至10的数字评分量表（NRS）上对他们经历的疼痛和恐惧进行评分。父母完成了针对特定情境的父母疼痛灾难化量表（PCS-P）的测量，并在0至10的NRS上对孩子的疼痛和他们自己经历的恐惧进行估计。分析表明，儿童更高程度的灾难化认知与手指采血期间更多的恐惧和疼痛相关。父母对孩子疼痛的灾难化评分与父母自身的恐惧评分、对孩子疼痛的估计以及孩子报告的恐惧呈正相关，但与孩子报告的疼痛程度无关。研究结果证明了评估并针对儿童及父母对疼痛的灾难化认知的重要性。解决父母和孩子的灾难化认知以及相关的恐惧和担忧对于确保适当的自我管理可能是必要的。有必要进一步研究将灾难化认知与有害结果联系起来的机制。
