Langer Shelby L, Romano Joan M, Mancl Lloyd, Levy Rona L
School of Social Work, University of Washington, Box 354900, 4101 15th Avenue NE, Seattle, WA 98105, USA.
Psychiatry and Behavioral Sciences, School of Medicine, University of Washington, Box 356560, 1959 Pacific Street, Seattle, WA 98195, USA.
Pain Res Treat. 2014;2014:751097. doi: 10.1155/2014/751097. Epub 2014 Jan 20.
This study sought to model and test the role of parental catastrophizing in relationship to parent-reported child pain behavior and parental protective (solicitous) responses to child pain in a sample of children with Inflammatory Bowel Disease and their parents (n = 184 dyads). Parents completed measures designed to assess cognitions about and responses to their child's abdominal pain. They also rated their child's pain behavior. Mediation analyses were performed using regression-based techniques and bootstrapping. Results supported a model treating parent-reported child pain behavior as the predictor, parental catastrophizing as the mediator, and parental protective responses as the outcome. Parent-reported child pain behavior predicted parental protective responses and this association was mediated by parental catastrophizing about child pain: indirect effect (SE) = 2.08 (0.56); 95% CI = 1.09, 3.30. The proportion of the total effect mediated was 68%. Findings suggest that interventions designed to modify maladaptive parental responses to children's pain behaviors should assess, as well as target, parental catastrophizing cognitions about their child's pain.
本研究旨在对炎症性肠病患儿及其父母（n = 184对）样本中，父母灾难化思维与父母报告的儿童疼痛行为以及父母对儿童疼痛的保护性（关切）反应之间的关系进行建模和测试。父母完成了旨在评估对孩子腹痛的认知及反应的测量。他们还对孩子的疼痛行为进行了评分。使用基于回归的技术和自抽样法进行中介分析。结果支持了一个模型，该模型将父母报告的儿童疼痛行为作为预测因素，将父母灾难化思维作为中介因素，将父母的保护性反应作为结果。父母报告的儿童疼痛行为预测了父母的保护性反应，这种关联由父母对儿童疼痛的灾难化思维介导：间接效应（标准误）= 2.08（0.56）；95%置信区间= 1.09，3.30。中介效应占总效应的比例为68%。研究结果表明，旨在改变父母对儿童疼痛行为的适应不良反应的干预措施，应评估并针对父母对孩子疼痛的灾难化认知。
Zotero 插件