Parent Cardiac Response in the Context of Their Child’s Completion of the Cold Pressor Task: A Pilot Study

Constantin, Kaytlin; Moline, Rachel L.; McMurtry, C. Meghan; Bailey, Heidi N.

doi:10.3390/children4110100

Cited by 7 publications

(9 citation statements)

References 45 publications

(65 reference statements)

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“…Specifically, research has demonstrated that lower levels of resting HRV are associated with higher levels of pain unpleasantness [3] and reduced inhibition of fear responses [43,72]. Preliminary evidence suggests parental resting HRV relates to altered parental physiological responding when facing their child's pain [14], yet its precise role for parental self-reported distress and pain-control behaviour elicited by facing child's pain remains to be examined.…”

Section: Introductionmentioning

confidence: 99%

Parental emotion and pain control behaviour when faced with child's pain: the emotion regulatory role of parental pain-related attention-set shifting and heart rate variability

Vervoort

Karos

Johnson

et al. 2018

Pain

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This study investigated the moderating role of parental pain-related attention-set shifting and heart rate variability (HRV) for parental distress and pain control behaviour when faced with their child's pain. Participants were 54 schoolchildren and one of their parents. Parental HRV was assessed at study commencement followed by a cued-switching task indexing parental ability to flexibly shift attention between pain-related and neutral attentional sets. In a subsequent phase, parents observed their child perform a cold-pressor task [CPT], allowing for assessment of parental pain control behavior (indexed by latency to stop their child's CPT performance) and parental distress—assessed through self-report following observation of child CPT performance. Findings indicated that parental facilitated attentional shifting (ie, engage) towards a pain-related attentional set contributed to higher levels of pain control behaviour when faced with increasing levels of child facial display of pain. Pain control behaviour among parents who demonstrated impeded attentional shifting to a pain-related attentional set was equally pronounced regardless of low or high levels of child pain expression. Parental ability to shift attention away (ie, disengage) from a pain-related set to a neutral set did not impact findings. Results further indicated that although high levels of parental HRV buffer the impact of child facial pain display on parental emotional distress and pain control behaviour, low levels of HRV constitute a risk factor for higher levels of parental distress and pain control behaviour when faced with increased child facial pain display. Theoretical/clinical implications and further research directions are discussed.

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Section: Introductionmentioning

confidence: 99%

Parental emotion and pain control behaviour when faced with child's pain: the emotion regulatory role of parental pain-related attention-set shifting and heart rate variability

Vervoort

Karos

Johnson

et al. 2018

Pain

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“…Trait HRV has been implicated in the inhibition of fear responses (Wendt et al, 2015) and deemed an important factor in regulating emotions in both personal and interpersonal pain contexts (Constantin, McMurtry, et al, 2017; Koenig et al, 2016; Vervoort et al, 2014, 2019), whereas much less is known about how state HRV may relate to threat-oriented states and behaviors. Preliminary work on parent trait HRV demonstrates an association with past experiences with pain (Constantin, Moline, et al, 2017) and pain control behaviors (Vervoort et al, 2019). Initial work also demonstrates that parent state HRV decreases when viewing pictures of children displaying varying levels of facial expressions of pain (Vervoort et al, 2014) and immediately before their child’s completion of the cold pressor task (CPT; Constantin, Moline, et al, 2017).…”

mentioning

confidence: 99%

“…Preliminary work on parent trait HRV demonstrates an association with past experiences with pain (Constantin, Moline, et al, 2017) and pain control behaviors (Vervoort et al, 2019). Initial work also demonstrates that parent state HRV decreases when viewing pictures of children displaying varying levels of facial expressions of pain (Vervoort et al, 2014) and immediately before their child's completion of the cold pressor task (CPT; Constantin, Moline, et al, 2017). Missing from the literature is a foundational understanding of how parent HRV, as a correlate of emotion regulation, relates to parent verbal behaviors and responses that are commonly observed during child acute pain.…”

mentioning

confidence: 99%

A Multi-Method Approach to Understand Parent Behaviors During Child Acute Pain

Constantin

Moline

Labonte

et al. 2022

Journal of Psychophysiology

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Abstract. Parent behaviors strongly predict child responses to acute pain; less studied are the factors shaping parent behaviors. Heart rate variability (HRV) is considered a physiological correlate of emotional responding. Resting or “trait” HRV is indicative of the capacity for emotion regulation, while momentary changes or “state” HRV is reflective of current emotion regulatory efforts. This study aimed to examine: (1) parent state HRV as a contributor to parent verbal behaviors before and during child pain and (2) parent trait HRV as a moderator between parent emotional states (anxiety, catastrophizing) and parent behaviors. Children 7–12 years of age completed the cold pressor task (CPT) in the presence of a primary caregiver. Parents rated their state anxiety and catastrophizing about child pain. Parent HRV was examined at 30-second epochs at rest (“trait HRV”), before (“state HRV-warm”), and during their child’s CPT (“state HRV-cold”). Parent behaviors were video recorded and coded as coping-promoting or distress-promoting. Thirty-one parents had complete cardiac, observational, and self-report data. A small to moderate negative correlation emerged between state HRV-cold and CP behaviors during CPT. Trait HRV moderated the association between parent state catastrophizing and distress-promoting behaviors. Parents experiencing state catastrophizing were more likely to engage in distress-promoting behavior if they had low trait HRV. This novel work suggests parents who generally have a low (vs. high) HRV, reflective of low capacity for emotion regulation, may be at risk of engaging in behaviors that increase child distress when catastrophizing about their child’s pain.

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“…The time‐domain measure of HRV, RMSSD, reported a mean of 4.08 ( SD , 0.52). These indices were calculated using the same methodology as Constantin et al (2017), whose study included 25 parents of children aged between 7 and 12 years and reported HF‐HRV with a mean of 6.02 ( SD , 0.84) and RMSSD with a mean of 6.72 ( SD , 0.86).…”

Section: Resultsmentioning

confidence: 99%

Do subjective and objective resilience measures assess unique aspects and what is their relationship to adolescent well‐being?

Sigley-Taylor

Chin

Vella-Brodrick

2021

Psychology in the Schools

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Measurement of resilience is important within schools to support student mental health and well‐being. Resilience is defined as the healthy integration, adaptation, and positive functioning over time in response to the experience of adversity and challenge. This study explored the relationship between a subjective and objective measure of resilience and the respective predictability of psychophysical well‐being measures. A sample of 282 Year 10 students completed a subjective resilience measure (Connor–Davidson Resilience Scale) and psychological measures of well‐being. A subset of 76 students completed an objective measure of resilience (heart rate variability [HRV]). Correlational analyses revealed no significant relationship between the two measures and do not support the use of one measure as a proxy for the other. Hierarchical regression analyses illustrated the significant predictive quality of the subjective measure to psychophysical well‐being measures. The strongest relationships were reported with EPOCH subscales Optimism (r = 0.68), Happiness (r = 0.64), and Perseverance (r = 0.59). No significant relationships were found between the objective resilience measure and well‐being measures. With objective resilience showing no relationship to subjective resilience and well‐being, it is possible that HRV instead measures the capacity for resilience, rather than resilience. This study highlights the importance of defining resilience and the implications for measurement in adolescent students.

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Parent Cardiac Response in the Context of Their Child’s Completion of the Cold Pressor Task: A Pilot Study

Cited by 7 publications

References 45 publications

Parental emotion and pain control behaviour when faced with child's pain: the emotion regulatory role of parental pain-related attention-set shifting and heart rate variability

Parental emotion and pain control behaviour when faced with child's pain: the emotion regulatory role of parental pain-related attention-set shifting and heart rate variability

A Multi-Method Approach to Understand Parent Behaviors During Child Acute Pain

Do subjective and objective resilience measures assess unique aspects and what is their relationship to adolescent well‐being?

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