Department of Psychology, Georgia State University, Atlanta, Georgia, USA.
Aflac Cancer and Blood Disorders Center, Children's Healthcare of Atlanta, Atlanta, Georgia, USA.
Pediatr Blood Cancer. 2023 Aug;70(8):e30372. doi: 10.1002/pbc.30372. Epub 2023 May 9.
Literature suggests that a child's appraisal of pain and parent responses to pain are critical in predicting health-related outcomes. In youth with sickle cell disease (SCD), few investigations have examined child pain catastrophizing, and even fewer have examined the role that parents play in responding to SCD pain within the family context. The purpose of the current study was to examine the relationship between pain catastrophizing, parent response to child SCD pain, and health-related quality of life (HRQoL).
The sample (N = 100) included youth with SCD (ages 8-18) and their parent. Parents completed a demographic questionnaire and the Adult Responses to Child Pain Symptoms; youth completed the Pain Catastrophizing Scale and Pediatric Quality of Life Inventory-SCD Module.
Findings indicated that pain catastrophizing, parent minimization, and parent encouragement/monitoring significantly predicted HRQoL. Minimizing and encouragement/monitoring parent responses moderated the relationship between pain catastrophizing and HRQoL, such that parent minimizing weakened the relationship and parent encouragement/monitoring strengthened the relationship.
Paralleling pediatric chronic pain literature, findings suggest that pain catastrophizing predicts HRQoL in youth with SCD. However, findings from moderation analyses diverge from the chronic pain literature; data suggest that encouragement/monitoring responses strengthen the negative relationship between child pain catastrophizing and HRQoL. Child pain catastrophizing and parent response to SCD pain may be appropriate targets for clinical intervention to improve HRQoL. Future studies should strive to better understand parent responses to SCD pain.
文献表明，儿童对疼痛的评估和父母对疼痛的反应在预测与健康相关的结果方面至关重要。在患有镰状细胞病（SCD）的儿童中，很少有研究调查儿童疼痛灾难化，甚至更少研究父母在家庭环境中对 SCD 疼痛的反应所起的作用。本研究的目的是探讨疼痛灾难化、父母对儿童 SCD 疼痛的反应与健康相关生活质量（HRQoL）之间的关系。
该样本（N=100）包括患有 SCD（8-18 岁）的儿童及其父母。父母完成了一份人口统计问卷和成人对儿童疼痛症状的反应问卷；儿童完成了疼痛灾难化量表和儿科生活质量问卷-SCD 模块。
研究结果表明，疼痛灾难化、父母最小化和父母鼓励/监测显著预测 HRQoL。最小化和鼓励/监测父母的反应调节了疼痛灾难化和 HRQoL 之间的关系，使得父母最小化减弱了这种关系，而父母鼓励/监测则增强了这种关系。
与儿科慢性疼痛文献平行，研究结果表明，疼痛灾难化预测了患有 SCD 的儿童的 HRQoL。然而，来自调节分析的结果与慢性疼痛文献不同；数据表明，鼓励/监测反应增强了儿童疼痛灾难化与 HRQoL 之间的负相关关系。儿童疼痛灾难化和父母对 SCD 疼痛的反应可能是改善 HRQoL 的临床干预的适当目标。未来的研究应努力更好地理解父母对 SCD 疼痛的反应。
