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儿童癌症治疗背景下，父母对孩子疼痛的灾难化认知与孩子对医疗程序的痛苦反应之间的关系：一项纵向分析。

The relationship between parental catastrophizing about child pain and distress in response to medical procedures in the context of childhood cancer treatment: a longitudinal analysis.

作者信息

Caes Line, Goubert Liesbet, Devos Patricia, Verlooy Joris, Benoit Yves, Vervoort Tine

机构信息

Centre for Pediatric Pain Research, IWK Health Centre, Department of Experimental-Clinical and Health Psychology, Ghent University, Department of Pediatric Oncology/Hematology and Stem Cell Transplantation, Ghent University Hospital, and Faculty of Medicine and Health Science, Ghent University

Centre for Pediatric Pain Research, IWK Health Centre, Department of Experimental-Clinical and Health Psychology, Ghent University, Department of Pediatric Oncology/Hematology and Stem Cell Transplantation, Ghent University Hospital, and Faculty of Medicine and Health Science, Ghent University.

出版信息

J Pediatr Psychol. 2014 Aug;39(7):677-86. doi: 10.1093/jpepsy/jsu034. Epub 2014 Jun 6.

DOI:10.1093/jpepsy/jsu034
PMID:24906963
Abstract

OBJECTIVE

Children with leukemia frequently undergo invasive medical procedures, such as lumbar punctures (LPs) and bone marrow aspirations (BMAs). To date, cross-sectional evidence indicates that LP/BMA procedures continue to elicit distress over the course of treatment in children and parents.

METHOD

The current study used prospective analyses investigating in 28 children diagnosed with leukemia, the course of parental and child distress when confronted with consecutive LP/BMA procedures and potential moderation by catastrophic thinking. Parents' level of catastrophic thoughts was assessed before the first treatment-related LP/BMA, while child and parent distress was reported on after each LP/BMA procedure.

RESULTS

Whereas parental distress decreased over time among low catastrophizing parents, LP/BMA procedures remained highly distressing for high catastrophizing parents. Child distress during LP/BMA procedures increased over time and was positively related with parental distress.

CONCLUSION

These findings stress the importance of targeting child and parent distress as early as possible in treatment.

摘要

目的

白血病患儿经常接受侵入性医疗程序，如腰椎穿刺（LP）和骨髓穿刺（BMA）。迄今为止，横断面证据表明，在治疗过程中，LP/BMA程序继续引发儿童及其父母的痛苦。

方法

本研究采用前瞻性分析，对28名诊断为白血病的儿童进行调查，了解他们在面对连续的LP/BMA程序时父母和儿童的痛苦过程，以及灾难性思维的潜在调节作用。在第一次与治疗相关的LP/BMA之前评估父母的灾难性思维水平，而在每次LP/BMA程序后报告儿童和父母的痛苦情况。

结果

低灾难性思维的父母的痛苦随着时间的推移而减少，而高灾难性思维的父母对LP/BMA程序仍然高度痛苦。LP/BMA程序期间儿童的痛苦随着时间的推移而增加，并且与父母的痛苦呈正相关。

结论

这些发现强调了在治疗中尽早关注儿童和父母痛苦的重要性。

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