Community Based Psychiatric Care Research Center, Faculty of Nursing and Midwifery, Shiraz University of Medical Sciences, P.O. Box 713451359, Shiraz, Iran.
Student Research Committee, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.
BMC Psychol. 2021 Dec 24;9(1):201. doi: 10.1186/s40359-021-00704-5.
Although the context of parenting has been incorporated into psychosocial pain research, very little attention has been paid to how parenting styles influence chronic pain in adolescents. The present study aimed to investigate the mediating role of self-esteem, emotional intelligence, and psychological distress in the association between parenting styles and chronic pain.
Seven hundred and thirty nine adolescents and their parents participated in this study. To identify adolescents with chronic pain, screening questions based on the 11th revision of the International Classification of Diseases were used. Baumrind parenting style questionnaire was used to assess the parenting style (permissive, authoritarian, and authoritative parenting styles). The structural equation modelling (SEM) was carried out in M-Plus version 6 to evaluate the direct, indirect, and total effects of different parenting styles on chronic pain.
The results in the SEM models revealed that only the indirect paths from authoritative and authoritarian parenting styles to pain through emotional intelligence (β = - 0.003, 95% CI = - 0.008 to - 0.003; β = 0.001, 95% CI = 0.001 to 0.003) and psychological distress (β = - 0.010, 95% CI = - 0.021 to - 0.004; β = 0.008, 95% CI = 0.004 to 0.016) were significant. Indirect paths from permissive style to pain and the mediating role of self-esteem were not significant.
Emotional intelligence and psychological distress significantly mediated the effects of authoritative and authoritarian parenting styles on chronic pain. The current results support the notion that interventions targeting effective parent-adolescent communication may be an important part of chronic pain management in adolescents. Moreover, the results provide rationale for targeting emotional intelligence and psychological distress in adolescents by explicitly teaching effective communication skills, expressing opinions and minds, and emotion regulation strategies.
尽管育儿背景已被纳入心理社会疼痛研究，但很少关注育儿风格如何影响青少年的慢性疼痛。本研究旨在探讨自尊、情绪智力和心理困扰在育儿风格与慢性疼痛之间的关系中的中介作用。
739 名青少年及其父母参加了这项研究。为了确定患有慢性疼痛的青少年，使用了基于国际疾病分类第 11 次修订版的筛选问题。使用 Baumrind 育儿风格问卷评估育儿风格（放任、专制和权威育儿风格）。在 M-Plus 版本 6 中进行结构方程建模（SEM），以评估不同育儿风格对慢性疼痛的直接、间接和总影响。
SEM 模型中的结果表明，只有从权威和专制育儿风格到通过情绪智力（β=-0.003，95%CI=-0.008 至-0.003；β=0.001，95%CI=0.001 至 0.003）和心理困扰（β=-0.010，95%CI=-0.021 至-0.004；β=0.008，95%CI=0.004 至 0.016）的间接途径具有统计学意义。放任式风格与疼痛之间的间接途径以及自尊的中介作用不显著。
情绪智力和心理困扰显著中介了权威和专制育儿风格对慢性疼痛的影响。目前的结果支持这样一种观点，即针对有效父母-青少年沟通的干预措施可能是青少年慢性疼痛管理的重要组成部分。此外，通过明确教授有效沟通技巧、表达意见和思想以及情绪调节策略，为针对青少年的情绪智力和心理困扰提供了合理依据。
