多信息源多方法调查儿童急性疼痛期间的家庭功能和亲子应对。
A Multi-Informant Multi-Method Investigation of Family Functioning and Parent-Child Coping During Children's Acute Pain.
机构信息
Department of Psychology and Neuroscience, Dalhousie University, Halifax, NS, Canada.
Centre for Pediatric Pain Research, IWK Health Centre, Halifax, NS, Canada.
出版信息
J Pediatr Psychol. 2017 Jan 1;42(1):28-39. doi: 10.1093/jpepsy/jsw045.
OBJECTIVE
To explore relations between family functioning and child acute pain, including pain ratings, coping, and parent–child behaviors.
METHODS
Community sample of 171 dyads including one child aged 8–12 years (52% girls) and one parent (79% mothers). Family functioning was assessed via child and parent self-report, and observation during a conflict discussion task. Children and parents rated pain catastrophizing at baseline, and child pain and distress following a cold pressor task (CPT). Parent–child interactions during the CPT were coded for observed behaviors during child pain.
RESULTS
Self-report of poorer family functioning predicted greater child and parent pain catastrophizing, and parent distress. Less observed family negativity/conflict and cohesiveness, and greater family focus of problems and parent emotional support predicted more child symptom complaints. Family functioning was not associated with child pain or distress.
CONCLUSIONS
Family functioning influenced parent and child coping and child behavioral responses, but not the experience, of acute pain.
目的
探讨家庭功能与儿童急性疼痛之间的关系，包括疼痛评分、应对方式和亲子行为。
方法
对包括 171 对儿童（年龄 8-12 岁，52%为女孩）及其家长（79%为母亲）在内的社区样本进行研究。通过儿童和家长的自我报告以及在冲突讨论任务中的观察来评估家庭功能。儿童和家长在基线时对疼痛灾难化进行评分，在进行冷加压任务（CPT）后对儿童的疼痛和痛苦进行评分。在 CPT 期间对亲子互动进行编码，以观察儿童疼痛期间的观察行为。
结果
自我报告的家庭功能较差预示着儿童和家长的疼痛灾难化和家长的痛苦程度更高。较少观察到的家庭消极/冲突和凝聚力，以及更多的家庭问题焦点和父母情感支持预示着儿童症状抱怨更多。家庭功能与儿童疼痛或痛苦无关。
结论
家庭功能影响父母和儿童的应对方式以及儿童的行为反应，但不影响急性疼痛的体验。
Zotero 插件