Parental concern and distress about infant pain

Franck, Linda S.; Cox, Susanne; Allen, Alison; Winter, Ira

doi:10.1136/fn.89.1.f71

Cited by 132 publications

(85 citation statements)

References 13 publications

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“…[15,16] Despite satisfaction with overall care, many parents were anxious and felt helpless and unable to protect their baby from pain, and this underlying perception about pain is consistent with other pain literature. [17,18] All families who said they were able to cope attached great importance to a timely meeting with the clinical team at the start of treatment. It has been suggested that greater emphasis on continuity with communication might improve parents' ability to cope.…”

Section: Discussionmentioning

confidence: 99%

“…Parents' reluctance to touch their baby due to the cooling jacket and monitoring equipment can negatively influence the parent-infant relationship [4,21,22] Parental concerns of infant pain on NICU independently contributes to parental stress. [18] Recognizing distressed parents during HT by the healthcare team is vital to organise support and achieve an optimum outcome. Our survey highlighted different preferences for support and individual coping strategies adopted by families including support from family, friends, neonatal staff and religious support.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Parental perceptions of hypothermia treatment for neonatal hypoxic-ischaemic encephalopathy

Thyagarajan

Baral

Gunda

et al. 2017

The Journal of Maternal-Fetal & Neonatal Medicine

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Parental perceptions of hypothermia treatment for neonatal hypoxic-ischaemic encephalopathy

Thyagarajan

Baral

Gunda

et al. 2017

The Journal of Maternal-Fetal & Neonatal Medicine

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“…Self-report and physiological data suggest that anticipating or observing another person's pain elicits emotional distress [8,20,32,41,86] and prioritizes behaviour to control the sufferer's pain [36,41]. This dynamic is evident in parent-child dyads, where parental distress when anticipating/observing their child's pain motivates behaviors to restrict the child's pain exposure [18,19].…”

Section: Introductionmentioning

confidence: 99%

Emotion regulatory function of parent attention to child pain and associated implications for parental pain control behaviour

Vervoort

Trost

Sütterlin

et al. 2014

Pain

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We investigated the function of parental attention to child pain in regulating parental distress and pain control behaviour when observing their child performing a painful (cold pressor) task (CPT); we also studied the moderating role of parental state anxiety. Participants were 62 schoolchildren and one of their parents. Parental attention towards or away from child pain (ie, attend to pain vs avoid pain) was experimentally manipulated during a viewing task pairing unfamiliar children's neutral and pain faces. Before and after the viewing task, parental distress regulation was assessed by heart rate (HR) and heart rate variability (HRV). In a subsequent phase, parents observed their own child perform a CPT task, allowing assessment of parental pain control behaviour (indexed by latency to stop their child's CPT performance) and parental distress, which was assessed via self-report before and after observation of child CPT performance. Eye tracking during the viewing task and self-reported attention to own child's pain confirmed successful attention manipulation. Further, findings indicated that the effect of attentional strategy on parental emotion regulation (indexed by HR, self-report) and pain control behaviour depended on parents' state anxiety. Specifically, whereas low anxious parents reported more distress and demonstrated more pain control behaviour in the Attend to Pain condition, high anxious parents reported more distress and showed more pain control behaviour in the Avoid Pain condition. This inverse pattern was likewise apparent in physiological distress indices (HR) in response to the initial viewing task. Theoretical/clinical implications and further research directions are discussed

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“…1 However, there are major gaps in our knowledge regarding the most effective way to accomplish this. Although it may not be possible to completely eliminate pain in neonates, much can be done to reduce the amount and intensity of pain.…”

Section: Introductionmentioning

confidence: 99%

Prevention and Management of Pain in the Neonate: An Update

2006

Pediatrics

414

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The prevention of pain in neonates should be the goal of all caregivers, because repeated painful exposures have the potential for deleterious consequences. Neonates at greatest risk of neurodevelopmental impairment as a result of preterm birth (ie, the smallest and sickest) are also those most likely to be exposed to the greatest number of painful stimuli in the NICU. Although there are major gaps in our knowledge regarding the most effective way to prevent and relieve pain in neonates, proven and safe therapies are currently underused for routine minor yet painful procedures. Every health care facility caring for neonates should implement an effective pain-prevention program, which includes strategies for routinely assessing pain, minimizing the number of painful procedures performed, effectively using pharmacologic and nonpharmacologic therapies for the prevention of pain associated with routine minor procedures, and eliminating pain associated with surgery and other major procedures. INTRODUCTION ObjectivesThis updated statement is intended for health care professionals who care for neonates (preterm to 1 month of age). The objectives are to:1. emphasize that despite increased awareness of the importance of pain prevention, neonates in the NICU continue to be exposed to numerous painful minor procedures daily as part of their routine care;2. present objective means of assessing neonatal pain by health care professionals;3. describe effective strategies to prevent and treat pain associated with routine minor procedures; and 4. review appropriate methods to prevent and treat pain associated with surgery and other major procedures. BackgroundThe prevention of pain in neonates is an expectation of parents. 1 However, there are major gaps in our knowledge regarding the most effective way to accomplish this. Although it may not be possible to completely eliminate pain in neonates, much can be done to reduce the amount and intensity of pain. The prevention of www.pediatrics.org/cgi

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Parental concern and distress about infant pain

Cited by 132 publications

References 13 publications

Parental perceptions of hypothermia treatment for neonatal hypoxic-ischaemic encephalopathy

Parental perceptions of hypothermia treatment for neonatal hypoxic-ischaemic encephalopathy

Emotion regulatory function of parent attention to child pain and associated implications for parental pain control behaviour

Prevention and Management of Pain in the Neonate: An Update

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