Pavlova Maria, Orr Serena L, Noel Melanie
Department of Psychology, University of Calgary, Calgary, AB T2N 1N4, Canada.
Department of Pediatrics, Alberta Children's Hospital, Calgary, AB T3B 6A8, Canada.
Children (Basel). 2020 Sep 7;7(9):130. doi: 10.3390/children7090130.
Pain permeates childhood and remains inadequately and/or inconsistently managed. Existing research and clinical practice guidelines have largely focused on factors influencing the immediate experience of pain. The need for and benefits of preparing children for future pain (e.g., painful procedures) has been well established. Despite being a robust predictor of future pain and distress, memories of past painful experiences remain overlooked in pediatric pain management. Just as autobiographical memories prepare us for the future, children's memories for past pain can be harnessed to prepare children for future painful experiences. Children's pain memories are malleable and can be reframed to be less distressing, thus reducing anticipatory distress and promoting self-efficacy. Parents are powerful agents of change in the context of pediatric pain and valuable historians of children's past painful experiences. They can alter children's pain memories to be less distressing simply by talking, or reminiscing, about past pain. This narrative review summarizes existing research on parent-child reminiscing in the context of acute and chronic pediatric pain and argues for incorporation of parent-child reminiscing elements into preparatory interventions for painful procedures.
疼痛贯穿整个童年,且在管理上仍存在不足和/或不一致的情况。现有的研究和临床实践指南主要关注影响疼痛即时体验的因素。让儿童为未来的疼痛(如痛苦的医疗程序)做好准备的必要性和益处已得到充分证实。尽管过去痛苦经历的记忆是未来疼痛和痛苦的有力预测指标,但在儿科疼痛管理中仍被忽视。正如自传式记忆能让我们为未来做好准备一样,儿童对过去疼痛的记忆也可以被利用起来,帮助他们为未来的痛苦经历做好准备。儿童的疼痛记忆具有可塑性,可以被重新构建,使其不那么痛苦,从而减少预期性痛苦并增强自我效能感。在儿科疼痛的背景下,父母是强大的变革推动者,也是儿童过去痛苦经历的重要记录者。他们只需通过谈论或回忆过去的疼痛,就能改变孩子的疼痛记忆,使其不那么痛苦。这篇叙述性综述总结了在急性和慢性儿科疼痛背景下关于亲子回忆的现有研究,并主张将亲子回忆元素纳入痛苦医疗程序的准备性干预措施中。