Do Parents Maintain or Exacerbate Pediatric Functional Abdominal Pain? A Systematic Review and Meta-analysis

Veek, Shelley M. C. van der; Derkx, H. H. F.; Haan, Erik de; Benninga, Marc A.; Plak, Rachel D.; Boer, Frits

doi:10.1177/1359105311410513

Cited by 23 publications

(18 citation statements)

References 66 publications

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“…55 Although parent responses to child pain are often emphasized in family-based interventions and considered a key factor in the development and maintenance of pediatric chronic pain, 27 a systematic review of parent behavioral responses to pediatric abdominal pain found little evidence to support these assertions. 51 Two studies have evaluated the longitudinal trajectory of parent responses to child pain in the context of randomized, controlled trials of cognitive-behavioral therapy for pediatric chronic pain. 26,27 Although both studies found decreases in parents, maladaptive behavioral responses to child pain in response to cognitive-behavioral therapy, these decreases did not correspond with significant decreases in children’s self-reported pain 27 or disability.…”

Section: Discussionmentioning

confidence: 99%

The (Parental) Whole Is Greater Than the Sum of Its Parts: A Multifactorial Model of Parent Factors in Pediatric Chronic Pain

Cordts

Stone

Beveridge

et al. 2019

The Journal of Pain

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Parents play a critical role in children,s experience of, and recovery from, chronic pain. Although several parental factors have been linked to child pain and functioning, these factors are typically examined in isolation or as moderators or mediators. Structural equation modeling affords the opportunity to examine the extent to which parental factors are interrelated, and if there are differential associations among parental factors and child outcomes. Based on extant literature, a unified model of parental factors, including chronic pain status, physical functioning, responses to child pain, and psychological factors, and their effect on child pain and functioning, was conceptualized. This model was evaluated using structural equation modeling based on data from 146 dyads recruited from a multidisciplinary pain clinic. Modifications to model iterations were made based on theoretical and statistical justification. The final model revealed associations among all parental factors, with significant loadings on child pain and functioning. Findings indicated the conceptual model was supported, with the exception of parent responses to child pain. Findings support the inclusion of parent chronic pain status and physical and psychological functioning as part of a comprehensive assessment of youth with chronic pain and may inform new parental intervention targets to improve child outcomes. Perspective: A unified structural equation model indicated parents, own chronic pain characteristics and physical and psychological functioning represent important factors associated with child pain and functioning. Current family-based interventions that often primarily focus on parent responses to child pain may need to be adapted to more comprehensively address parental factors.

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Section: Discussionmentioning

confidence: 99%

The (Parental) Whole Is Greater Than the Sum of Its Parts: A Multifactorial Model of Parent Factors in Pediatric Chronic Pain

Cordts

Stone

Beveridge

et al. 2019

The Journal of Pain

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“…Interestingly, chronic pain in both parents was associated with significantly poorer health in children than having one or neither parent with chronic pain 35 . Extensive literature suggests that using the social learning theory 34,36,37 and the social communication model of pain 38 parents can influence their children's perception of pain by modelling their pain behaviour and reinforcing their children's pain complaints with solicitous responses 39 -children express their pain in the same way as their parents behave with pain.…”

Section: Risk Factorsmentioning

confidence: 99%

Paediatric functional abdominal pain disorders

Thapar

Benninga

Crowell

et al. 2020

Nat Rev Dis Primers

Self Cite

119

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“…The lack of empirical research in this area is particularly concerning, as chronic pain conditions are highly prevalent (approximately 20–25% of youth) and can be disabling 15,16 . Although an abundance of research has examined the role of various psychosocial factors in youth with chronic pain that may be proxies for ACEs, including psychological comorbidities 17–19 , parenting factors 20,21 , and social functioning 22 , targeted research on the relationship between chronic pain and ACEs in children remains limited, since exposure to ACEs is rarely assessed in a systematic way in the context of clinical care or research. However, preliminary evidence is compelling with recent research indicating that youth with a history of ACEs such as abuse are 21% more likely to hold the diagnosis of a chronic medical condition including a chronic pain condition (e.g., migraines, rheumatic disease) than their same-aged peers with no ACE history 2 .…”

Section: Aces In Chronic Painmentioning

confidence: 99%

A Conceptual Framework for Understanding the Role of Adverse Childhood Experiences in Pediatric Chronic Pain

Nelson

Cunningham

Kashikar‐Zuck

2017

The Clinical Journal of Pain

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Objectives This review outlines a conceptual framework adapted from the biopsychosocial model of pain to examine the relationship between adverse childhood events (ACEs) and chronic pain in youth in order to highlight the state of current research and guide future efforts. Methods A review of the literature was performed in the areas of ACEs and health outcomes with general adult and pediatric populations in addition to studies within the pain literature. Potential relationships between ACEs, chronic pain, and its impact in youth are outlined and discussed. Results The literature suggests an association between adverse outcomes of ACEs and chronic pain in children and adolescents although causal links have not been confirmed. However, ACEs are associated with multiple risk factors identified in the biopsychosocial model of pain, and may serve to exacerbate or confer heightened risk for pain and poor outcomes. Discussion Adverse experiences in childhood may be associated with greater risk for the development/maintenance of chronic pain in youth. More research is needed on ACEs and how they uniquely affect the biopsychosocial mechanisms underlying chronic pain in children throughout the lifespan.

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Do Parents Maintain or Exacerbate Pediatric Functional Abdominal Pain? A Systematic Review and Meta-analysis

Cited by 23 publications

References 66 publications

The (Parental) Whole Is Greater Than the Sum of Its Parts: A Multifactorial Model of Parent Factors in Pediatric Chronic Pain

The (Parental) Whole Is Greater Than the Sum of Its Parts: A Multifactorial Model of Parent Factors in Pediatric Chronic Pain

Paediatric functional abdominal pain disorders

A Conceptual Framework for Understanding the Role of Adverse Childhood Experiences in Pediatric Chronic Pain

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