The relationship between parental attitudes and behaviours in the context of paediatric chronic pain

Jaaniste, Tiina; Jia, Ni; Lang, Tamara J.; Goodison-Farnsworth, Evelyn; McCormick, Marianne; Anderson, David L.

doi:10.1111/cch.12312

Cited by 16 publications

(10 citation statements)

References 19 publications

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“…Recent quantitative research has explored the ways parental psychological processes and behaviours may have an impact on pain functioning in children (Timmers, Simons, Hernandez, McCracken, & Wallace, 2019). For example, parents who report low confidence in their child's ability to cope with pain are more likely to engage in over‐protective and monitoring behaviour which are associated with poor child outcomes (Jaaniste et al., 2016). A substantial body of research also documents the role of maternal anxiety and associated solicitous responses, in children's heightened experiences of pain (Evans et al., 2016).…”

Section: Discussionmentioning

confidence: 99%

“Tomorrow, I’ll Be Fine”: Impacts and coping mechanisms in adolescents and young adults with primary dysmenorrhoea

Allyn

Evans

Seidman

et al. 2020

Journal of Advanced Nursing

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Aims: To understand the experiences of adolescents and young adults with primary dysmenorrhoea through the lens of structured frameworks extant in contemporary pain literature. Design: Descriptive qualitative study. Methods: Thirty-nine adolescents and young adults (ages 16-24 years) with primary dysmenorrhoea participated in semi-structured in-person interviews. Transcripts of the interviews were analysed using deductive thematic analysis from November 2018 to April 2019. Results: Two overarching themes, each with subthemes, were identified. The first theme, primary dysmenorrhoea impacts the whole person, contained the following subthemes: biological, social, and psychological. The second theme, coping mechanisms of women with primary dysmenorrhoea, contained the following subthemes: primary, secondary, and passive coping. Conclusion: Women experience several primary dysmenorrhoea-related impacts on their biological, social, and psychological functioning. Women employ a variety of coping mechanisms to manage their primary dysmenorrhoea pain. Impact: This study emphasizes the significant effects of primary dysmenorrhoea on nearly every aspect of women's lives and contributes to an understanding of the ways women cope with this pain. The findings of this study underscore the need for continued consideration of primary dysmenorrhoea as a debilitating pain process as well as the need for additional interventions to help women manage this condition.

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Section: Discussionmentioning

confidence: 99%

“Tomorrow, I’ll Be Fine”: Impacts and coping mechanisms in adolescents and young adults with primary dysmenorrhoea

Allyn

Evans

Seidman

et al. 2020

Journal of Advanced Nursing

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“…Although the correlation and regression analyses between parental distress and parental psychological flexibility in the current study had the primary objective of concurrent criteria validation, the results nevertheless provide further insight on the interrelation between these variables in parents of children with chronic pain. One possible explanation for the interrelationship seen in this study could be that lower psychological flexibility in a parent of a child with chronic pain potentially increases the risk for less adaptive and values incongruent parental behaviors, which may eventually lead to parental rumination and depression [17,43]. …”

Section: Discussionmentioning

confidence: 99%

“…There is also mounting evidence concerning the association between parental distress, such as anxiety, fear, catastrophizing, and depression, and functional disability in children with chronic pain [12,13,14], even at subclinical levels of parental distress [15]. For example, research shows that parental distress influences parent behavior toward more protecting and monitoring, which contributes to the child’s distress, fear, catastrophizing, and avoidance behaviors; factors with a direct impact on pain related functional disability in the child [16,17,18]. …”

Section: Introductionmentioning

confidence: 99%

The Parent Psychological Flexibility Questionnaire (PPFQ): Item Reduction and Validation in a Clinical Sample of Swedish Parents of Children with Chronic Pain

et al. 2016

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In pediatric chronic pain, research indicates a positive relation between parental psychological flexibility (i.e., the parent’s willingness to experience distress related to the child’s pain in the service of valued behavior) and level of functioning in the child. This points to the utility of targeting parental psychological flexibility in pediatric chronic pain. The Parent Psychological Flexibility Questionnaire (PPFQ) is currently the only instrument developed for this purpose, and two previous studies have indicated its reliability and validity. The current study sought to validate the Swedish version of the 17-item PPFQ (PPFQ-17) in a sample of parents (n = 263) of children with chronic pain. Factor structure and internal reliability were evaluated by means of principal component analysis (PCA) and Cronbach’s alpha. Concurrent criterion validity was examined by hierarchical multiple regression analyses with parental anxiety and depression as outcomes. The PCA supported a three-factor solution with 10 items explaining 69.5% of the total variance. Cronbach’s alpha (0.86) indicated good internal consistency. The 10-item PPFQ (PPFQ-10) further explained a significant amount of variance in anxiety (29%), and depression (35.6%), confirming concurrent validity. In conclusion, results support the reliability and validity of the PPFQ-10, and suggest its usefulness in assessing psychological flexibility in parents of children with chronic pain.

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“…Parents– despite their best intentions – often engage in unhelpful behaviors such as protective responding to pain or pain catastrophizing [ 62 ]. A study found that parents who expressed less confidence in their child’s ability to function despite their pain or who reported more pain-related catastrophizing also showed more protective and monitoring behaviors [ 63 ]. Moreover, how much or how little parents should be part of the pain education largely depends on the child’s age and developmental status.…”

Section: What Can Be Done To Establish a “Good” And Helpful Communmentioning

confidence: 99%

Talking to Children and Families about Chronic Pain: The Importance of Pain Education—An Introduction for Pediatricians and Other Health Care Providers

2020

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Chronic pain in children and adolescents is a common and debilitating health problem. This narrative review will give a brief overview on what pediatric chronic pain is and what treatment options there are for children and adolescents. The specific emphasis will be on pediatric chronic pain education and communication: this narrative review aims to show how important a good patient–health care provider relationship is—it builds the foundation for successful communication—and how this relationship can be established. In addition, we will present five steps that health care providers can perform to explain pediatric chronic pain to patients and their parents and what to keep in mind in their clinical routine. Our review is intended for pediatricians and other health care providers who treat pediatric patients with chronic pain but might feel uncertain on how to best communicate with them.

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The relationship between parental attitudes and behaviours in the context of paediatric chronic pain

Cited by 16 publications

References 19 publications

“Tomorrow, I’ll Be Fine”: Impacts and coping mechanisms in adolescents and young adults with primary dysmenorrhoea

“Tomorrow, I’ll Be Fine”: Impacts and coping mechanisms in adolescents and young adults with primary dysmenorrhoea

The Parent Psychological Flexibility Questionnaire (PPFQ): Item Reduction and Validation in a Clinical Sample of Swedish Parents of Children with Chronic Pain

Talking to Children and Families about Chronic Pain: The Importance of Pain Education—An Introduction for Pediatricians and Other Health Care Providers

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