Parents and Childhood Functional Abdominal Pain

Tilburg, Miranda A.L. van; Miranda, Ana

doi:10.31820/pt.27.1.7

Cited by 3 publications

(5 citation statements)

References 40 publications

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“…Studies among adult patients undergoing surgical orthopedic intervention have revealed that factors such as depression, anxiety, catastrophic thinking, and self-efficacy can affect a patient’s functional outcomes as variation in experiencing the intensity of symptoms has been attributed to one’s mental and social health [ 3 , 5 , 6 , 13 ]. Similar correlations are yet to be investigated among the pediatric population where the interaction between parents and their children, and behaviors such as pain catastrophizing, caregiver protective response, and familiar environment, can affect a child’s experienced symptoms and outcomes of treatment [ 10 - 12 ]. This further highlights the need to understand the differences between caregiver predictions and the child’s actual postoperative outcomes to create opportunities for targeted education.…”

Section: Discussionmentioning

confidence: 99%

“…Parental factors have also been found to impact their child’s experienced pain, symptoms, and treatment outcomes, and can be linked to certain behaviors including caregiver pain catastrophizing and protective responses [ 11 ]. This has partially been attributed to the child’s social learning ability, where they may experience a similar response after observing parental reactions to emotional situations involving fear, anxiety, and sensitivity [ 12 ]. Considering orthopedic surgical intervention can be a source of significant stress for a child and their family, an emotional response to this event is to be expected and can be appropriately addressed during the preoperative visits.…”

Section: Introductionmentioning

confidence: 99%

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Can Caregivers Forecast Their Child’s Postoperative Disability After Elective Orthopedic Surgery?

Baskar,

Mehta,

Freiman

et al. 2023

Cureus

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Background While there has been a growing emphasis on evaluating the patient’s perspective of health outcomes, caregiver expectations of post-orthopedic procedure disability and pain in a pediatric population are yet to be investigated. This study evaluates whether caregivers’ preoperative expectations of pain and function differ from their child’s early outcomes after surgical orthopedic intervention. Methodology Patients eight to 18 years old undergoing elective orthopedic surgery were enrolled. The caregivers of consented patients completed a survey at the child’s preoperative appointment to predict their postoperative pain and disability. The child was given the same survey during their postoperative visit four to six weeks after surgery to assess actual levels of functioning following the procedure. Scores were analyzed to study correlations between patient and caregiver responses (n = 48). Results Caregivers underestimated their child’s postoperative psychosocial functioning, as evidenced by the Psychosocial Health Summary Score, and overestimated pain, as demonstrated by the Numeric Pain Rating Scale. The Pediatric Quality of Life Inventory scores showed caregivers had differing expectations of the impact surgery had across various aspects of the physical, emotional, social, and school functioning domains. Higher parental pain catastrophizing was associated with underestimated predictions of their child’s psychosocial functioning after surgery. No significant difference was found in the patient’s physical functioning, as shown by the Physical Health Summary Score. Conclusions Surgical intervention is a major event that can provoke anxiety for parents and caregivers. Understanding differences in caregiver perspectives and early postoperative patient outcomes provides physicians valuable insights. Explaining to caregivers that patient psychosocial factors and functional outcomes after surgery are commonly better than expected can alleviate anxiety and prevent catastrophizing. This knowledge can help guide caregiver expectations and plans for their child’s postoperative pain control and functional recovery.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Can Caregivers Forecast Their Child’s Postoperative Disability After Elective Orthopedic Surgery?

Baskar,

Mehta,

Freiman

et al. 2023

Cureus

View full text Add to dashboard Cite

show abstract

“…The family environment plays an important role in a child’s pain experience, including their ability to engage in functional activities, follow medical recommendations, and cope with pain ( Logan et al., 2012 ). Through the process of social learning ( Bandura, 1977 ), children observe parent responses and learn to respond similarly when experiencing pain themselves ( van Tilburg, 2018 ). As such, substantial research has investigated the role of parental factors in children’s pain experience, particularly parental pain catastrophizing ( Caes et al., 2012 ; Goubert et al., 2006 ; Pielech et al., 2014 ; Wilson et al., 2014 ) and protective behavioral responses ( Achiam-Montal & Lipsitz, 2014 ; Caes et al., 2012 ; Claar et al., 2010 ; Guite et al., 2011 ; Simons et al., 2008 ; Van Slyke & Walker, 2006 ).…”

Section: Parental Influence On Child Painmentioning

confidence: 99%

OUP accepted manuscript

Dougherty

Zelikovsky

Miller

et al. 2020

Journal of Pediatric Psychology

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Objective Children with amplified musculoskeletal pain (AMPS) experience significant functional disability, with impairment in their ability to participate in age-appropriate activities of daily living. Parental factors play an important role in a child’s pain symptoms and treatment outcomes, with parental pain catastrophizing and protective behaviors linked to several maladaptive outcomes for children. Aims of the current study were to examine how parental pain catastrophizing, child pain catastrophizing, and parental protective behaviors longitudinally impacted functional disability for children with AMPS. Methods Archival data were examined from parent-child dyads presenting to a tertiary pain clinic for treatment of AMPS. Over 1 year, parents completed measures assessing the level of pain catastrophizing, common behavioral responses to child pain, and child functional disability. Children completed measures of pain catastrophizing and functional disability. Measures were collected at initial evaluation, 6-months, and 12-months. Latent growth models (LGM) were conducted to examine how to study variables longitudinally impacted the rate of change in child functional disability. Results Examining a comprehensive LGM of study variables, parental catastrophizing emerged as the sole contributing factor to slower improvement in functional disability. Conclusions The strong influence of parental pain catastrophizing on functional disability may relate to parents limiting behaviors that promote adaptive coping in children with pain. As such, parents who catastrophize may benefit from specific interventions to increase their use of adaptive behavioral responses, such as redirecting children to complete functional activities and encouraging the use of positive coping skills for pain-related distress.

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“…Child's pain can induce parental distress and lower parental quality of life. 94 Parents also teach children how to react to their symptoms and when it is appropriate to go to a doctor or stay home from school. Below we discuss the role of parental anxiety, depression, and somatization and how it affects their child's pain.…”

Section: Parent Psycholog Ic Al Fac Tor Smentioning

confidence: 99%

“…Child's pain can induce parental distress and lower parental quality of life . Parents also teach children how to react to their symptoms and when it is appropriate to go to a doctor or stay home from school.…”

Section: Parent Psychological Factorsmentioning

confidence: 99%

The role of psychological factors in pediatric functional abdominal pain disorders

Newton

Schosheim

Patel

et al. 2019

Neurogastroenterology Motil

Self Cite

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Background Pediatric functional abdominal pain disorders (FAPDs) are disorders of brain‐gut dysregulation. Psychological factors are known to be related to etiology, maintenance, and exacerbation of pediatric FAPDs. With the evolving literature in the past two decades, a better understanding has emerged of precisely which psychological factors are associated with childhood FAPDs. Purpose This narrative literature review summarizes the literature of both child and parent psychological factors in pediatric FAPD. Where anxiety and depression were major targets in the older literature, present‐day focus is increasingly on pain‐specific cognitions and coping strategies including disease threat and catastrophizing. In addition, parental reaction to a child's pain is increasingly recognized as an important moderator of a child's outcomes and has become an area for clinical intervention. Screening for these factors and integrative treatment approaches are recommended in childhood FAPD.

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Parents and Childhood Functional Abdominal Pain

Cited by 3 publications

References 40 publications

Can Caregivers Forecast Their Child’s Postoperative Disability After Elective Orthopedic Surgery?

Can Caregivers Forecast Their Child’s Postoperative Disability After Elective Orthopedic Surgery?

OUP accepted manuscript

The role of psychological factors in pediatric functional abdominal pain disorders

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