Newton-John Toby
Discipline of Clinical Psychology, Graduate School of Health, University of Technology, Sydney, Australia.
Can J Pain. 2022 Apr 28;6(2):143-152. doi: 10.1080/24740527.2022.2038032. eCollection 2022.
A substantial number of children and adolescents undergoing surgical procedures, as many as 40% in some estimates, will go on to develop chronic postsurgical pain (CPSP). Because of the significant negative impact of CPSP on social and emotional milestones, as well as the child's quality of life, it is important to identify modifiable factors that are associated with the onset and maintenance of the condition. Research has demonstrated that parent factors can play a role in pediatric chronic pain; however, there has been little examination of parent and family influences on the transition to CPSP. Family systems theories, which consider the influence of the family unit overall on the behavior of individuals members, have been applied to the eating disorders literature for decades. This narrative review proposes a novel application of family systems theory to pediatric CPSP and, in particular, highlights the role that parental dyadic factors may play in the development and maintenance of persistent pain following surgery in children and adolescents.
相当数量接受外科手术的儿童和青少年，据一些估计多达40%，术后会发展为慢性术后疼痛（CPSP）。由于CPSP对社交和情感发展阶段以及儿童生活质量有重大负面影响，识别与该病症的发生和持续存在相关的可改变因素很重要。研究表明，父母因素在儿科慢性疼痛中可能起作用；然而，很少有人研究父母和家庭对向CPSP转变的影响。家庭系统理论考虑了家庭整体对个体成员行为的影响，几十年来一直应用于饮食失调文献。这篇叙述性综述提出了家庭系统理论在儿科CPSP中的一种新应用，尤其强调了父母二元因素在儿童和青少年手术后持续性疼痛的发展和持续存在中可能发挥的作用。
