Pubertal Status Moderates the Association between Mother and Child Laboratory Pain Tolerance

Tsao, Jennie C.I.; Li, Ning; Parker, Delana M.; Seidman, Laura C; Zeltzer, Lonnie K.

doi:10.1155/2014/390368

Cited by 6 publications

(4 citation statements)

References 34 publications

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“…The study protocol and laboratory pain tasks have been described in previous reports relating to the larger study [ 21 , 22 , 23 ]. Briefly, children and their mothers were escorted to separate rooms to complete questionnaires using an online survey system; there was no contact between children and their mothers during the entire laboratory session.…”

Section: Methodsmentioning

confidence: 99%

Maternal Anxiety and Children’s Laboratory Pain: The Mediating Role of Solicitousness

et al. 2016

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There has been limited empirical examination of how parent variables such as anxiety and solicitousness collectively impact child pain response. We sought to examine the relationships among maternal anxiety, solicitous parenting, and children’s laboratory anxiety and pain intensity in children with chronic pain. Participants included 80 children and adolescents (ages 8–18) with chronic pain and their mothers. Children completed questionnaires and lab pain tasks measuring their parents’ solicitous parenting, pressure, cold and heat pain anticipatory anxiety and pain intensity. Using bootstrapping analysis, maternal anxiety predicted child anticipatory anxiety and pain intensity in girls with chronic pain, which was mediated by the child’s report of parental solicitousness. For boys with chronic pain, maternal anxiety predicted boys’ anticipatory anxiety and pain intensity, with no support for mediation. This study adds to the growing literature demonstrating the impact of maternal anxiety on children’s pain. The study highlights the importance of considering parents in treatment designed to reduce children’s pain.

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Section: Methodsmentioning

confidence: 99%

Maternal Anxiety and Children’s Laboratory Pain: The Mediating Role of Solicitousness

et al. 2016

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“…The current investigation is presented as a separate report due to its focus on the physiological data recorded before and after pain induction; prior analyses have focused on self-reported psychological26 and clinical data,29 and behavioral aspects of pain responsivity 27,30…”

Section: Methodsmentioning

confidence: 99%

Heart rate variability as a biomarker for autonomic nervous system response differences between children with chronic pain and healthy control children

Evans¹,

Seidman²,

Tsao³

et al. 2013

JPR

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Studies in adults have demonstrated a relationship between lowered heart rate variability (HRV) and poor health. However, less is known about the role of autonomic arousal in children’s well-being. The aim of the current study was to examine resting HRV in children with chronic pain compared to healthy control children and, further, to examine children’s HRV following a series of acute experimental pain tasks in both groups. Participants included 104 healthy control children and 48 children with chronic pain aged 8–17 years. The laboratory session involved a 5-minute baseline electrocardiogram followed by four pain induction tasks: evoked pressure, cold pressor, focal pressure, and a conditioned pain modulation task. After the tasks were complete, a 5-minute post-task electrocardiogram recording was taken. Spectral analysis was used to capture high-frequency normalized power and the ratio of low-to-high frequency band power, signifying cardiac vagal tone and sympathetic balance, respectively. Results revealed that children with chronic pain had significantly lower resting HRV (signified by low high-frequency normalized power and high ratio of low-to-high frequency band power) compared to healthy children; moreover, a significant interaction between groups and time revealed that children with chronic pain displayed a static HRV response to the pain session compared to healthy children, whose HRV was reduced concomitant with the pain session. These findings suggest that children with chronic pain may have a sustained stress response with minimal variability in response to new acute pain stressors.

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“…The relation between parent and child pain may be strongest for children in early puberty stages vs those in later puberty stages. 140 As children become adolescents, they strive to achieve more autonomy from their parents and thus may direct more attention to peers than parents. 94 Thus, parental chronic pain may have greater influence on the development of children’s pain than adolescents’ pain.…”

Section: Potential Moderators Of Riskmentioning

confidence: 99%

Transmission of risk from parents with chronic pain to offspring: an integrative conceptual model

Stone

Wilson

2016

Pain

125

135

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Offspring of parents with chronic pain are at increased risk for pain and adverse mental and physical health outcomes (Higgins et al, 2015). Although the association between chronic pain in parents and offspring has been established, few studies have addressed why or how this relation occurs. Identifying mechanisms for the transmission of risk that leads to the development of chronic pain in offspring is important for developing preventive interventions targeted to decrease risk for chronic pain and related outcomes (eg, disability and internalizing symptoms). This review presents a conceptual model for the intergenerational transmission of chronic pain from parents to offspring with the goal of setting an agenda for future research and the development of preventive interventions. Our proposed model highlights 5 potential mechanisms for the relation between parental chronic pain and pediatric chronic pain and related adverse outcomes: (1) genetics, (2) alterations in early neurobiological development, (3) pain-specific social learning, (4), general parenting and family health, and (5) exposure to stressful environment. In addition, the model presents 3 potential moderators for the relation between parent and child chronic pain: (1) the presence of chronic pain in a second parent, (2) timing, course, and location of parental chronic pain, and (3) offspring’s characteristics (ie, sex, developmental stage, race or ethnicity, and temperament). Such a framework highlights chronic pain as inherently familial and intergenerational, opening up avenues for new models of intervention and prevention that can be family centered and include at-risk children.

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Pubertal Status Moderates the Association between Mother and Child Laboratory Pain Tolerance

Cited by 6 publications

References 34 publications

Maternal Anxiety and Children’s Laboratory Pain: The Mediating Role of Solicitousness

Maternal Anxiety and Children’s Laboratory Pain: The Mediating Role of Solicitousness

Heart rate variability as a biomarker for autonomic nervous system response differences between children with chronic pain and healthy control children

Transmission of risk from parents with chronic pain to offspring: an integrative conceptual model

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