The Forgotten Ones: Challenges and Needs of Children Living with Disabling Parental Chronic Pain

Umberger, Wendy J.; Risko, Judy; Covington, Edward C.

doi:10.1016/j.pedn.2014.12.003

Cited by 13 publications

(11 citation statements)

References 17 publications

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“…143 Parents with chronic pain and pain-related disability may have difficulties completing household chores and everyday tasks that parents often complete to care for their families. Children of parents with chronic pain may feel pressure to help take care of their family and assume adult roles at an early age or try to assume responsibility for their parent’s pain.…”

Section: Potential Mechanisms For the Transmission Of Riskmentioning

confidence: 99%

“…Children of parents with chronic pain may feel pressure to help take care of their family and assume adult roles at an early age or try to assume responsibility for their parent’s pain. 144 In addition, the financial burden of chronic pain due to health care utilization and lost productivity for adults could create additional stress for the family. 66 Thus, the unique challenges of children with parents with chronic pain represent significant chronic stressors.…”

Section: Potential Mechanisms For the Transmission Of Riskmentioning

confidence: 99%

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

Stone

Wilson

2016

Pain

127

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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Section: Potential Mechanisms For the Transmission Of Riskmentioning

confidence: 99%

Section: Potential Mechanisms For the Transmission Of Riskmentioning

confidence: 99%

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

Stone

Wilson

2016

Pain

127

135

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“…Different relationships may exist between parent catastrophizing about child pain and child pain outcomes in children of parents with chronic pain compared to other samples. Children have reported hiding their distress to avoid upsetting parents with chronic pain (Evans & de Souza, 2008; Umberger, Risko, & Covington, 2015) and may similarly hide their pain, particularly when their parents have higher trait catastrophizing about the child’s pain. Alternatively, with higher parent catastrophizing about child pain, children may feel confident that their pain will be recognized and managed, leading to decreased pain expression.…”

Section: Discussionmentioning

confidence: 99%

Child catastrophizing about parent chronic pain: A potential child vulnerability factor

Higgins

Chambers

Rosen

et al. 2020

British J Health Psychol

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Objective. Robust evidence suggests children's catastrophizing about their own pain is a risk factor for poor child pain-related outcomes. In children of parents with chronic pain, child catastrophizing about their parents' pain might be a unique predictor of child painrelated outcomes given their increased exposure to parental chronic pain and disability. The objective of this study was to examine associations between child and parent catastrophizing about their own and each other's pain and child and parent pain-related outcomes.Methods. Seventy-two parents with chronic pain and their children (ages 8-15) completed questionnaires assessing their trait catastrophizing about their own and each other's pain, their own pain, and the child's internalizing symptoms. Children completed the cold pressor task (CPT) in the presence of their parent. Parents and children rated children's worst pain intensity and their own anxiety during the task. Analyses were guided by the Actor-Partner Interdependence Model.Results. Greater child catastrophizing about parent pain was associated with children's and parents' increased catastrophizing about their own pain. Child catastrophizing about parent pain was associated with greater child-and parent-reported child internalizing symptoms and greater CPT pain intensity for the child, but not parent/child usual pain or CPT anxiety, over and above the influence of parent and child catastrophizing about their own pain.Conclusions. Child catastrophizing about parent pain is a potential vulnerability factor associated with poor pain-related outcomes in children of parents with chronic pain that should be considered in future research and clinical settings.The following supporting information may be found in the online edition of the article:Appendix S1. Exploratory factor analysis.Child catastrophizing about parent pain 357

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“…Araştırmacılar, ebeveynlerin gerçekçi ihtiyaçları karşısında, çocukların bakım verme ya da aile sorumluluklarına yardım etme durumunda kalabileceklerini ileri sürmüşlerdir. Ebeveyninde kanser (Thastum, Johansen, Gubba, Olesen ve Romer, 2008), migren (Fagan, 2003), romatizmal eklem iltihabı ve fibromiyalji (Duryea, 2007), kronik ağrı (Umberger, Risko ve Covington, 2015), multiple skleroz (Pakenham ve Cox, 2012), huntington hastalığı (Røthing, Malterud ve Frich, 2014) veya AIDS (Edwards, Irving, Amutah ve Sydnor, 2012;Keigher ve ark., 2005;Moffett, 2008;Tomkins, 2007) gibi kronik bir fiziksel hastalık bulunan çocuk ve ergenlerin yaşantılarını ele alan çalışmaların hemen hemen tümünde, hem araçsal hem de duygusal ebeveynleşmeye işaret eden kanıtlar elde edilmiştir. Bu ailelerde en sık görülen ebeveynleşme türünün, araçsal ebeveynleşme olduğu dikkati çekmektedir.…”

Section: Risk Faktörleri: Ebeveynleşmenin Sık Görüldüğü Aile öRüntüleriunclassified

“…Öyle ki, travmatik beyin zedelenmesi nedeniyle ağır işlev kaybı yaşayan ebeveynlerin ergen çocukları ile yürütülen bir araştırmada (Partovi, 2012), bu ergenlerin şiddetli travma geçiren ebeveynin yaşam desteğinin çekilip çekilmeyeceği gibi ebeveynin sağlık durumu ile ilgili önemli kararları dahi tek başlarına almaya mecbur kalabildikleri ortaya konmuştur. Ancak ebeveynlerle çocuk arasındaki yakın ilişki ya da sosyal destek gibi bazı faktörlerin, çocukların ebeveynleşme düzeylerini azalttığı da dikkati çeken bulgular arasındadır (Duryea, 2007;Umberger, Risko ve Covington, 2015).…”

Section: Risk Faktörleri: Ebeveynleşmenin Sık Görüldüğü Aile öRüntüleriunclassified

Characteristics of Childhood Parentification and Its Effects on the Individual

Akün¹

2017

Nesne

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ÖZEbeveynleşme, çocuğun gelişim düzeyine uygun olmayan rol ve sorumluluklar üstlenerek, ebeveyninin fiziksel ve/veya duygusal isteklerini ve ihtiyaçlarını gidermeye çalıştığı bir ebeveyn-çocuk etkileşimi örüntüsüdür. Bu gözden geçirme çalışmasında, ebeveynleşme yaşantılarının özelliklerinin ve birey üzerindeki etkilerinin, kuramsal yaklaşımlar ve araştırma bulguları çerçevesinde değerlendirilmesi amaçlanmıştır. Bu bağlamda, öncelikle ebeveynleşme kavramının tanımı, türleri ve kavramı açıklayan kuramsal yaklaşımlar aktarılmıştır. Ardından, ebeveynleşmenin sık görüldüğü aile örüntüleri ele alınarak, risk faktörleri tanımlanmıştır. Ebeveynleşme yaşantılarının çocuk, ergen ve yetişkin üzerindeki olumlu ve olumsuz etkileri ile bu etkilerin ortaya çıkmasında aracı ve düzenleyici rol oynayan değişkenler, araştırma bulguları çerçevesinde değerlendirilmiştir. Son olarak, ebeveynleşmiş çocuk, ergen ve yetişkinlerle çalışan ruh sağlığı uzmanlarına öneriler sunulmuştur.Anahtar Kelimeler: ebeveynleşme, ebeveyn-çocuk ilişkisi, uzun süreli etkiler Akün, E. (2017). Çocukluktaki ebeveynleşme yaşantılarının özellikleri ve birey üzerindeki etkileri. Nesne, 5(10), 219-246.1 Araştırma Görevlisi Dr., Ankara Üniversitesi, Psikoloji Bölümü, eakun(at)ankara.edu.tr www.nesnedergisi.com 220 Characteristics of Childhood Parentification and ItsEffects on the Individual ABSTRACTParentification is a parent-child interaction pattern in which the child tries to meet the physical and/or emotional needs of the parent by assuming roles and responsibilities that are inappropriate for the child's developmental level. In this review, it was aimed to evaluate the characteristics of parentification and its effects on the individual within the framework of theoretical approaches and research findings. Firstly, the theoretical approaches explaining the definition and types of parentification are introduced. Secondly, risk factors are defined by considering the family patterns which are frequently seen. Thirdly, the positive and negative effects of parentification on children, adolescents and adults, and the variables mediating and moderating these effects were evaluated within the framework of research findings. Lastly, Finally, recommendations to mental health professionals working with parentified children, adolescents and adults were evaluated.

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The Forgotten Ones: Challenges and Needs of Children Living with Disabling Parental Chronic Pain

Cited by 13 publications

References 17 publications

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

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

Child catastrophizing about parent chronic pain: A potential child vulnerability factor

Characteristics of Childhood Parentification and Its Effects on the Individual

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