父母术前焦虑对儿童操作疼痛的影响：儿童操作焦虑的中介作用。
The influence of parent preprocedural anxiety on child procedural pain: mediation by child procedural anxiety.
机构信息
Department of Psychology, Georgia State University, Atlanta, GA 30302-5010, USA.
出版信息
J Pediatr Psychol. 2012 Jul;37(6):680-6. doi: 10.1093/jpepsy/jss041. Epub 2012 May 22.
Abstract
OBJECTIVE
Data suggest parents' preprocedural anxiety is related to children's acute procedural anxiety and pain. This study examined the temporal relations among these constructs to determine whether children's anxiety mediates the relation between parents' anticipatory anxiety and children's procedural pain.
METHODS
A total of 90 preschoolers receiving immunizations, their parents, and the nurses rated children's procedural anxiety and pain. Parents provided ratings of their own preprocedural anxiety.
RESULTS
Bootstrapping analyses revealed that children's procedural anxiety mediated the relation between parents' preprocedural anxiety and children's procedural pain according to parents' report and nurses' report but not children's self-report of anxiety and pain.
CONCLUSIONS
Analyses suggest that children's procedural anxiety mediates the relation between parents' anticipatory anxiety and children's procedural pain. Thus, targeting parents' preprocedural anxiety might be beneficial to the parents as well as the children undergoing a distressing medical procedure.
摘要
目的
数据表明，父母术前焦虑与儿童急性手术焦虑和疼痛有关。本研究考察了这些结构之间的时间关系，以确定儿童的焦虑是否在父母的预期焦虑与儿童手术疼痛之间起中介作用。
方法
共有 90 名接受免疫接种的学龄前儿童、他们的父母和护士对儿童的手术焦虑和疼痛进行了评估。父母提供了自己术前焦虑的评分。
结果
Bootstrapping 分析显示，根据父母报告和护士报告，儿童的手术焦虑在父母术前焦虑与儿童手术疼痛之间起中介作用，但根据儿童对焦虑和疼痛的自我报告则不然。
结论
分析表明，儿童的手术焦虑在父母的预期焦虑与儿童的手术疼痛之间起中介作用。因此，针对父母的术前焦虑可能对经历痛苦医疗程序的父母和儿童都有益。
相似文献
1
The influence of parent preprocedural anxiety on child procedural pain: mediation by child procedural anxiety.父母术前焦虑对儿童操作疼痛的影响：儿童操作焦虑的中介作用。
J Pediatr Psychol. 2012 Jul;37(6):680-6. doi: 10.1093/jpepsy/jss041. Epub 2012 May 22.
2
Pediatric Immunization Distress: A Cluster Analyses of Children's, Parents', and Nurses' Behaviors During the Anticipatory Phase.儿童免疫接种困扰：预期阶段儿童、家长及护士行为的聚类分析
Clin J Pain. 2016 May;32(5):394-403. doi: 10.1097/AJP.0000000000000287.
3
Music Therapy as Procedural Support for Young Children Undergoing Immunizations: A Randomized Controlled Study.音乐疗法作为接受免疫接种幼儿的程序支持：一项随机对照研究。
J Music Ther. 2016 Winter;53(4):336-363. doi: 10.1093/jmt/thw010. Epub 2016 Aug 17.
4
Remembering pain after surgery: a longitudinal examination of the role of pain catastrophizing in children's and parents' recall.术后疼痛记忆：对疼痛灾难化在儿童及其父母记忆中作用的纵向研究
Pain. 2015 May;156(5):800-808. doi: 10.1097/j.pain.0000000000000102.
5
Does parental anxiety affect children's perception of pain during intravenous cannulation?父母的焦虑情绪会影响孩子在静脉穿刺过程中的疼痛感知吗？
Nurs Child Young People. 2020 May 6;32(3):21-24. doi: 10.7748/ncyp.2019.e1187. Epub 2019 Oct 28.
6
Multimethod assessment of children's distress during noninvasive outpatient medical procedures: child and parent attitudes and factors.多方法评估非侵入性门诊医疗程序中儿童的痛苦：儿童和家长的态度和因素。
J Pediatr Psychol. 2012 Jun;37(5):557-66. doi: 10.1093/jpepsy/jss005. Epub 2012 Mar 16.
7
Longitudinal study of parent caregiving self-efficacy and parent stress reactions with pediatric cancer treatment procedures.儿科癌症治疗过程中父母照料自我效能感和父母应激反应的纵向研究。
Psychooncology. 2013 Jul;22(7):1658-64. doi: 10.1002/pon.3199. Epub 2012 Oct 4.
8
Facial expression of children receiving immunizations: a principal components analysis of the child facial coding system.接受免疫接种儿童的面部表情：儿童面部编码系统的主成分分析
Clin J Pain. 2001 Jun;17(2):178-86. doi: 10.1097/00002508-200106000-00011.
9
Children's positive dispositional attributes, parents' empathic responses, and children's responses to painful pediatric oncology treatment procedures.儿童的积极性格特征、父母的共情反应与儿童对儿科肿瘤治疗过程中疼痛的反应。
J Psychosoc Oncol. 2012;30(5):593-613. doi: 10.1080/07347332.2012.703771.
10
Family pain history predicts child health status in children with chronic rheumatic disease.家族疼痛史可预测慢性风湿性疾病患儿的健康状况。
Pediatrics. 2001 Sep;108(3):E47. doi: 10.1542/peds.108.3.e47.
引用本文的文献
1
Quality of life trajectories in children aged 2-4 years with acute lymphoblastic leukemia.2至4岁急性淋巴细胞白血病患儿的生活质量轨迹
Eur J Pediatr. 2025 Feb 17;184(3):202. doi: 10.1007/s00431-025-06031-w.
2
A randomized double-blind trial of intranasal dexmedetomidine versus intranasal esketamine for procedural sedation and analgesia in young children.一项比较鼻内用右美托咪定与鼻内用依托咪酯用于小儿镇静镇痛的随机双盲试验。
Scand J Trauma Resusc Emerg Med. 2024 Mar 4;32(1):16. doi: 10.1186/s13049-024-01190-5.
3
Therapeutic communication improves patient comfort during venipuncture in children: a single-blinded intervention study.治疗性沟通可提高儿童静脉穿刺时的舒适度：一项单盲干预研究。
Eur J Pediatr. 2023 Sep;182(9):3871-3881. doi: 10.1007/s00431-023-05036-7. Epub 2023 Jun 17.
4
Adult judgments of children's pain and fear during venipuncture: The impact of adult and child sex.成人对儿童静脉穿刺时疼痛和恐惧的判断：成人与儿童性别的影响
Can J Pain. 2018 Nov 8;2(1):292-301. doi: 10.1080/24740527.2018.1537672. eCollection 2018.
5
Exploring a Role for Parental Mental Health in Perception and Reports of Pain on Behalf of Children with Autism Spectrum Disorder.探索父母心理健康在代表自闭症谱系障碍儿童对疼痛的感知及报告中所起的作用。
Autism Res Treat. 2021 Nov 15;2021:2981383. doi: 10.1155/2021/2981383. eCollection 2021.
6
A Sorrow Shared Is a Sorrow Halved? Patient and Parental Anxiety Associated with Venipuncture in Children before and after Liver Transplantation.分担的悲伤会减半吗？肝移植前后儿童静脉穿刺相关的患者及家长焦虑情绪
Children (Basel). 2021 Aug 11;8(8):691. doi: 10.3390/children8080691.
7
Children's fear of needle injections: a qualitative study of training sessions for children with rheumatic diseases before home administration.儿童对针注射的恐惧：对接受家庭管理前风湿性疾病儿童进行培训课程的定性研究。
Pediatr Rheumatol Online J. 2020 Feb 7;18(1):13. doi: 10.1186/s12969-020-0406-6.
8
A qualitative study of health professionals' views on using iPads to facilitate distraction during paediatric burn dressing changes.一项关于医疗专业人员对使用iPad在儿科烧伤换药过程中减轻患儿注意力分散作用的观点的定性研究。
Scars Burn Heal. 2018 Mar 21;4:2059513118764878. doi: 10.1177/2059513118764878. eCollection 2018 Jan-Dec.
9
Impact of Parental Acute Psychological Distress on Young Child Pain-Related Behavior Through Differences in Parenting Behavior During Pediatric Burn Wound Care.在小儿烧伤伤口护理期间，父母急性心理困扰通过养育行为差异对幼儿疼痛相关行为的影响。
J Clin Psychol Med Settings. 2019 Dec;26(4):516-529. doi: 10.1007/s10880-018-9596-1.
10
Paediatric Pain Medicine: Pain Differences, Recognition and Coping Acute Procedural Pain in Paediatric Emergency Room.儿科疼痛医学：疼痛差异、识别与应对 儿科急诊室中的急性程序性疼痛
Medicina (Kaunas). 2018 Nov 27;54(6):94. doi: 10.3390/medicina54060094.
本文引用的文献
1
Addressing Moderated Mediation Hypotheses: Theory, Methods, and Prescriptions.调节中介假设的处理：理论、方法与建议。
Multivariate Behav Res. 2007 Jan-Mar;42(1):185-227. doi: 10.1080/00273170701341316.
2
Children's fear during procedural pain: preliminary investigation of the Children's Fear Scale.儿童程序性疼痛时的恐惧：儿童恐惧量表的初步研究。
Health Psychol. 2011 Nov;30(6):780-8. doi: 10.1037/a0024817. Epub 2011 Aug 1.
3
Development and preliminary testing of a scale to assess pain-related fear in children and adolescents.评估儿童和青少年疼痛相关恐惧的量表的编制及初步测试。
J Pain. 2011 Aug;12(8):840-8. doi: 10.1016/j.jpain.2011.01.005. Epub 2011 May 20.
4
The experience of hospital-related fears of 4- to 6-year-old children.4至6岁儿童对医院相关恐惧的体验。
Child Care Health Dev. 2011 Sep;37(5):719-26. doi: 10.1111/j.1365-2214.2010.01171.x. Epub 2010 Dec 9.
5
Child-reported hospital fears in 4 to 6-year-old children.4至6岁儿童自述的医院恐惧
Pediatr Nurs. 2009 Sep-Oct;35(5):269-76, 303.
6
The association of parent behaviors, chronic pain, and psychological problems with venipuncture distress in infants: the Generation R study.父母行为、慢性疼痛及心理问题与婴儿静脉穿刺痛苦之间的关联：Generation R研究
Health Psychol. 2009 Sep;28(5):605-13. doi: 10.1037/a0015202.
7
Sex, gender, and pain: a review of recent clinical and experimental findings.性别、社会性别与疼痛：近期临床及实验研究结果综述
J Pain. 2009 May;10(5):447-85. doi: 10.1016/j.jpain.2008.12.001.
8
Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models.用于评估和比较多重中介模型中间接效应的渐近和重抽样策略。
Behav Res Methods. 2008 Aug;40(3):879-91. doi: 10.3758/brm.40.3.879.
9
Interactions between mothers and infants: impact of maternal anxiety.母婴互动：母亲焦虑的影响
Infant Behav Dev. 2007 Feb;30(1):161-7. doi: 10.1016/j.infbeh.2006.08.005. Epub 2006 Sep 12.
10
Systematic review of the psychometric properties, interpretability and feasibility of self-report pain intensity measures for use in clinical trials in children and adolescents.对用于儿童和青少年临床试验的自我报告疼痛强度测量工具的心理测量特性、可解释性和可行性的系统评价。
Pain. 2006 Nov;125(1-2):143-57. doi: 10.1016/j.pain.2006.05.006. Epub 2006 Jun 13.
Zotero 插件