Pediatric Institute, Cleveland Clinic Children's.
PsychBC.
Rehabil Psychol. 2018 May;63(2):205-214. doi: 10.1037/rep0000177. Epub 2018 Apr 19.
The present study aims to examine relationships between parental behavior and cognition and treatment outcomes in children enrolled in an intensive interdisciplinary pain rehabilitation program.
670 consecutive referrals of children with chronic pain were enrolled in a clinical database registry from 2009 to 2014. Participants and their parents completed measures of physical and psychosocial functioning, and pain-related severity ratings. Data were taken at three time points: admission (N = 670), discharge (N = 504), and 6-month posttreatment (N = 110), although only complete data from 82 participants was used for final analyses.
Both children and parents alike reported significant improvement in functioning, both at discharge and 6 months posttreatment. Parent functioning showed weak to moderate associations with child functioning, with stronger correlations at 6 months posttreatment. Regression analyses demonstrated that changes in parent functioning predicted child functioning and report of pain at 6 months.
Parents are an integral part of a child's pain experience and associated disability. An improvement in parent functioning in the course of chronic pain rehabilitation is linked with functional gains in the child. Future research and clinical programming should target the role of parents in pediatric chronic pain interventions in order to optimize both child and family functioning. (PsycINFO Database Record
本研究旨在探讨父母行为与认知同接受强化多学科疼痛康复项目治疗的儿童的治疗效果之间的关系。
2009 年至 2014 年，连续入组 670 名患有慢性疼痛的儿童，将其纳入临床数据库登记。参与者及其父母完成了身体和社会心理功能以及疼痛严重程度相关评定。数据采集时间为三个时间点：入院（N=670）、出院（N=504）和治疗后 6 个月（N=110），但最终分析仅使用了 82 名参与者的完整数据。
儿童和父母均报告在出院时和治疗后 6 个月时功能显著改善。父母的功能与儿童的功能之间存在弱到中度的关联，在治疗后 6 个月时相关性更强。回归分析表明，父母功能的变化可预测儿童的功能和疼痛报告在 6 个月时的情况。
父母是儿童疼痛体验和相关残疾的一个组成部分。在慢性疼痛康复过程中，父母功能的改善与儿童的功能获益相关。未来的研究和临床方案应关注父母在儿科慢性疼痛干预中的作用，以优化儿童和家庭的功能。
