Fussner Lauren M, Schild Cathleen, Holley Amy Lewandowski, Wilson Anna C
Division of Behavioral Medicine & Clinical Psychology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
Psychology Department, Pacific University, Forest Grove, Oregon, USA.
Can J Pain. 2018;2(1):258-265. doi: 10.1080/24740527.2018.1518119. Epub 2018 Oct 8.
Chronic pain is a prevalent health condition associated with parenting difficulties. Pain-specific parenting, such as protectiveness and catastrophizing, may contribute to chronic pain in children. Additional work is needed to test predictors of pain-specific parenting. Aim: The current study tested parent mental health symptoms as predictors of protectiveness and catastrophizing about child pain and whether comorbid pain and mental health symptoms exacerbate risk for problematic responses to children's pain.
Parents with chronic pain ( = 62) and parents without chronic pain ( = 80) completed self-report questionnaires assessing pain characteristics, mental health symptoms, and pain-specific parenting responses.
Results indicated significantly higher rates of depression, anxiety, and somatization in parents with chronic pain. Depression predicted protectiveness and catastrophizing over and above chronic pain status. Chronic pain status moderated the association between increased anxiety and greater catastrophizing about child pain.
Findings highlight the potential impact of mental health symptoms on pain-specific parenting even when accounting for chronic pain status.
慢性疼痛是一种普遍的健康状况，与育儿困难相关。针对疼痛的育儿方式，如过度保护和灾难化思维，可能会导致儿童慢性疼痛。需要进一步研究来测试针对疼痛的育儿方式的预测因素。目的：本研究测试了父母的心理健康症状，作为对孩子疼痛过度保护和灾难化思维的预测因素，以及疼痛与心理健康症状共病是否会加剧对孩子疼痛问题反应的风险。
患有慢性疼痛的父母（n = 62）和没有慢性疼痛的父母（n = 80）完成了自我报告问卷，评估疼痛特征、心理健康症状和针对疼痛的育儿反应。
结果表明，患有慢性疼痛的父母中抑郁、焦虑和躯体化症状的发生率显著更高。抑郁在慢性疼痛状态之外还能预测过度保护和灾难化思维。慢性疼痛状态调节了焦虑增加与对孩子疼痛更严重的灾难化思维之间的关联。
研究结果突出了心理健康症状对针对疼痛的育儿方式的潜在影响，即使考虑了慢性疼痛状态。
