Parental Responses to Pain in High Catastrophizing Children: The Moderating Effect of Child Attachment

Vervoort, Tine; Goubert, Liesbet; Crombez, Geert

doi:10.1016/j.jpain.2009.11.012

Cited by 20 publications

(15 citation statements)

References 52 publications

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“…The present findings are in line with previous research indicating that catastrophizing may not always elicit solicitous responses [4,5,6,19,47]. Specifically, previous studies suggest that catastrophizing may be associated with discouraging responses as well [4; 19; 47].…”

Section: Discussionsupporting

confidence: 92%

Mothers’ and fathers’ responses to their child’s pain moderate the relationship between the child’s pain catastrophizing and disability☆

Vervoort

Huguet

Verhoeven

et al. 2011

Pain

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Section: Discussionsupporting

confidence: 92%

Mothers’ and fathers’ responses to their child’s pain moderate the relationship between the child’s pain catastrophizing and disability☆

Vervoort

Huguet

Verhoeven

et al. 2011

Pain

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“…Research has shown that children showing greater distress tend to obtain stronger responses (both reinforcing and critical) from others in their environment. 41 Parents engaging in pain catastrophizing may elicit more pain behaviors from their adolescents, and their constant vigilance to the adolescent’s pain may inadvertently reinforce more pain expression and result in misinterpretation of even innocuous behaviors as pain and suffering. This is supported by recent community-based research that found mothers of children with chronic abdominal pain have a tendency to interpret ambiguous facial expressions of emotion as pain.…”

Section: Discussionmentioning

confidence: 99%

The Interplay of Parent and Adolescent Catastrophizing and Its Impact on Adolescents’ Pain, Functioning, and Pain Behavior

Lynch-Jordan

Kashikar‐Zuck

Szabova

et al. 2013

The Clinical Journal of Pain

113

108

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Objectives Catastrophizing is a coping style linked to poorer patient outcomes. Little attention has focused on the parent-adolescent dyad and catastrophizing as a shared coping style. The purpose of this study was to: (1) examine the effects of adolescent and parent pain catastrophizing on adolescent functioning and (2) explore concordance in catastrophizing in parent-adolescent dyads, with equal interest in outcomes of dyads with discordant coping styles. Methods Pain intensity, catastrophizing, depressive symptoms, quality of life, and pain behaviors were assessed in adolescents (ages 11 to 17) presenting to a pediatric chronic pain clinic (N = 240). Results Significant correlations between (1) parent and adolescent catastrophizing; (2) catastrophizing and pain behaviors; and (3) catastrophizing and adolescent outcomes were found. Parents and adolescents were classified into concordant or discordant dyads based on catastrophizing with a majority of dyads (> 70%) showing concordant coping styles. Among discordant dyads, functional disability and depressive symptoms were significantly higher in a dyad with a high catastrophizing adolescent and low catastrophizing parent. Discussion Results provide further support for catastrophizing being a maladaptive coping strategy for adolescents with pain and their parents. Greater adolescent catastrophizing was related to increased pain behaviors and poorer adolescent functioning. Parent catastrophizing also seems related to poorer adolescent outcomes, and most parent-adolescent dyads showed concordance in use of catastrophizing, which may suggest a shared tendency for adaptive or maladaptive styles of coping with pain. Future research should investigate pain coping at a dyadic or family level to explore how family coping styles magnify distress and disability or buffer adolescents from such problems.

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“…A burgeoning body of research has explored numerous facets of parental functioning and pain responses [16,18,34,44,49], including but not limited to parents’ beliefs and worries about the child’s pain [11,14], quality of the adolescent-parent relationship [31], and interactional patterns, e.g. the extent to which parents encourage their child’s adaptive or maladaptive pain responses [4,54].…”

Section: Introductionmentioning

confidence: 99%

Too sick for school? Parent influences on school functioning among children with chronic pain

Logan

Simons

Carpino

2012

Pain

153

137

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Parental responses to children with chronic pain have been shown to influence the extent of the child’s functional disability, but these associations have not been well-studied in relation to children’s pain-related school functioning. The current study tests the hypothesis that parental pain catastrophizing and parental protective responses to child pain influence the extent of school impairment in children with chronic pain. A mediational model was tested to determine whether parental protective behaviors serve a mediating role between parental pain catastrophizing and child school impairment. Study participants were a clinical sample of 350 children ages 8–17 with chronic pain and their parents. Measures of pain characteristics, demographic characteristics, child depressive symptoms, school attendance rates, overall school functioning, parental pain catastrophizing and parental protective responses to pain were collected. Results show that, controlling for the known influences of pain intensity and child depressive symptoms, parental pain catastrophizing and parental protective responses to child pain each independently predict child school attendance rates and reports of overall school impairment. Parental protectiveness was found to mediate the association between parental cognitions (i.e. parent pain catastrophizing) and child school functioning outcomes. These findings underscore the importance of intervening with parents to foster parental responses to child pain that help children engage and succeed in the school environment despite pain.

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Parental Responses to Pain in High Catastrophizing Children: The Moderating Effect of Child Attachment

Cited by 20 publications

References 52 publications

Mothers’ and fathers’ responses to their child’s pain moderate the relationship between the child’s pain catastrophizing and disability☆

Mothers’ and fathers’ responses to their child’s pain moderate the relationship between the child’s pain catastrophizing and disability☆

The Interplay of Parent and Adolescent Catastrophizing and Its Impact on Adolescents’ Pain, Functioning, and Pain Behavior

Too sick for school? Parent influences on school functioning among children with chronic pain

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