Parenting style during childhood is associated with the development of chronic pain and a patient's need for psychosomatic treatment in adulthood

Shibata, Mao; Ninomiya, Toshiharu; Anno, Kozo; Kawata, Hiroshi; Iwaki, Rie; Sawamoto, Ryoko; Kubo, Chiharu; Kiyohara, Yutaka; Sudo, Nobuyuki; Hosoi, Masako

doi:10.1097/md.0000000000021230

Cited by 13 publications

(17 citation statements)

References 43 publications

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“…We previously reported that patients with chronic pain admitted to the Department of Psychosomatic Medicine had perceived lower care, higher overprotection, and affectionless control-type care from their parents at an early age than did a painless control group [ 24 ]. It has also been suggested that relationships with significant others are strongly associated with pathology [ 25 ].…”

Section: Discussionmentioning

confidence: 99%

“…In the first stage of inpatient treatment, a life review is done to assess the patient’s condition, including the patient’s pain status and environmental background. A study examining factors that aggravate the pain of patients with chronic pain has pointed to problems with their relationships with parents in early childhood [ 24 ]. In our inpatient treatment we do our interviews with a supportive and empathic attitude and endeavor to build a highly reliable patient-therapist relationship.…”

Section: Methodsmentioning

confidence: 99%

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The effectiveness of Pictorial Representation of Illness and Self Measure (PRISM) for the assessment of the suffering and quality of interpersonal relationships of patients with chronic pain

Tomioka

Hosoi

Okuzawa³

et al. 2021

BioPsychoSocial Med

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Background Pictorial Representation of Illness and Self Measure (PRISM) is a tool that can be used to visualize and evaluate the burden of suffering caused by an illness. The aim of this study was to identify which aspects of the burden of chronic pain patients are associated with Self/illness separation (SIS), an indicator of the magnitude of suffering. We also examined the effectiveness of PRISM for evaluating changes in the relationships between patients and their medical care and significant others due to our inpatient treatment. Methods Seventy-two patients with chronic pain who were outpatients or admitted to the Department of Psychosomatic Medicine completed PRISM, depression and anxiety scales, and three types of pain-related self-assessment questionnaires (Brief Pain Inventory, Short-form McGill Pain Questionnaire, and Pain Catastrophizing Scale). Outpatients were queried at the time of outpatient visits and inpatients at the time of admission. In addition to PRISM disks related to illness, we asked each patient to place disks related to things important to them and their medical care. Of the inpatients, 31 did PRISM at the time of discharge. Among the reported important factors, which significant other was placed at the time of admission and discharge was evaluated. The distances of self/medical care separation (SMcS) and self/significant others separation (SSoS) were measured. Results Of the 21 scales measured, 10 showed a significant correlation with SIS. Factor analysis of these 10 scales extracted three factors, Life interferences, Negative affects, and Pain intensity. The SMcS and SSoS distances were shorter at discharge than at admission. Conclusions PRISM for patients with chronic pain is an integrated evaluation method that reflects three aspects of pain. By adding medical care and significant others to the usual method of placing only illness on the sheet it became possible to assess changes in the quality of interpersonal relationships.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

The effectiveness of Pictorial Representation of Illness and Self Measure (PRISM) for the assessment of the suffering and quality of interpersonal relationships of patients with chronic pain

Tomioka

Hosoi

Okuzawa³

et al. 2021

BioPsychoSocial Med

Self Cite

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“…Moreover, considerable empirical research supports that exposure to a dysfunctional parenting style during childhood increases the future risk of various forms of psychosomatic disorders [ 12 – 14 ]. However, there have been still few studies addressing the relationship between parenting style and chronic pain [ 5 , 15 ]. Parenting style is defined as a set of parental behaviors that influences the development of their children [ 16 ].…”

Section: Introductionmentioning

confidence: 99%

Understanding the relationship between parenting style and chronic pain in adolescents: a structural equation modelling approach

et al. 2021

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Background Although the context of parenting has been incorporated into psychosocial pain research, very little attention has been paid to how parenting styles influence chronic pain in adolescents. The present study aimed to investigate the mediating role of self-esteem, emotional intelligence, and psychological distress in the association between parenting styles and chronic pain. Method Seven hundred and thirty nine adolescents and their parents participated in this study. To identify adolescents with chronic pain, screening questions based on the 11th revision of the International Classification of Diseases were used. Baumrind parenting style questionnaire was used to assess the parenting style (permissive, authoritarian, and authoritative parenting styles). The structural equation modelling (SEM) was carried out in M-Plus version 6 to evaluate the direct, indirect, and total effects of different parenting styles on chronic pain. Results The results in the SEM models revealed that only the indirect paths from authoritative and authoritarian parenting styles to pain through emotional intelligence (βauthoritative = − 0.003, 95% CI = − 0.008 to − 0.003; βauthoritarian = 0.001, 95% CI = 0.001 to 0.003) and psychological distress (βauthoritative = − 0.010, 95% CI = − 0.021 to − 0.004; βauthoritarian = 0.008, 95% CI = 0.004 to 0.016) were significant. Indirect paths from permissive style to pain and the mediating role of self-esteem were not significant. Discussion Emotional intelligence and psychological distress significantly mediated the effects of authoritative and authoritarian parenting styles on chronic pain. The current results support the notion that interventions targeting effective parent–adolescent communication may be an important part of chronic pain management in adolescents. Moreover, the results provide rationale for targeting emotional intelligence and psychological distress in adolescents by explicitly teaching effective communication skills, expressing opinions and minds, and emotion regulation strategies.

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“…These multiple factors influence the experience of pain, making the assessment of these condition extremely complex and heterogeneous 5 . Searching for a patient's previous pain experience and family history represents a significant part of the evaluation about this condition 6,7 ; indeed literature suggests that during childhood, the individual is subject to greater plasticity in brain development by external stimuli 8 . It has been observed that painful stimuli during the neonatal period can cause long-term neuroplastic changes in stress and pain neural network area 9 .…”

Section: Introductionmentioning

confidence: 99%

“…This means that adverse childhood events have both a biological and a psychological influence on the subject, encouraging the development of physical disorders but also behavioral disorders. There are already some studies that describe the risk factors in childhood that could develop chronic pain during adulthood 6,7,13,14 , but they are heterogeneous and analyze just a single risk factor at once. Knowing and clarifying risk factors in this topic may have direct impact on pain, on his treatment and on prevention of chronicity.…”

Section: Introductionmentioning

confidence: 99%

Risk factors at birth, in childhood and adolescence for the onset of musculoskeletal chronic pain in adulthood: a scoping review

Margelli¹,

Gianelli²,

Borghi³

et al. 2021

Preprint

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BackgroundLiterature already confirmed that chronic pain is not only correlated to functional deficits, structural problems or neural alterations, but it is also strongly influenced by the presence of psychological and social factors. It was also observed that those factors can have an impact on the subject even after many years: in fact, pain experiences and traumatic events during childhood can lead to changes in stress and pain neural network area and to maladaptive behaviors that concur to develop chronic pain. The main purpose of this review is to identify the bio-psycho-social risk factors in developmental age that could lead to musculoskeletal chronic pain in adulthood.Inclusion criteriaEvery study about risk factors in developmental age (0-18) for the onset of musculoskeletal chronic pain in adulthood will be included. This scoping review will consider studies conducted in any context.MethodsThe proposed scoping review will be conducted in accordance with the Joanna Briggs Institute methodology (JBI) for scoping reviews.The search will be carried out on 6 databases: MEDLINE, Cochrane Central, Scopus, CINHAL, Embase, and PEDro.Selection and data extraction will be conducted by two blind independent researchers and inconsistencies will be resolved by a third reviewer.The results will be presented in a schematic, tabular and descriptive format that will line up with the objectives and scope of the review.ConclusionsThis will be the first scoping review to provide a comprehensive overview of the topic. The results will add meaningful information for clinicians especially during the patient’s assessment. Furthermore, any knowledge gaps of the topic will be identified. The results of this research will be published in a peer-reviewed journal and will be presented at relevant (inter)national scientific events.

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Parenting style during childhood is associated with the development of chronic pain and a patient's need for psychosomatic treatment in adulthood

Abstract: Supplemental Digital Content is available in the text

Cited by 13 publications

References 43 publications

The effectiveness of Pictorial Representation of Illness and Self Measure (PRISM) for the assessment of the suffering and quality of interpersonal relationships of patients with chronic pain

The effectiveness of Pictorial Representation of Illness and Self Measure (PRISM) for the assessment of the suffering and quality of interpersonal relationships of patients with chronic pain

Understanding the relationship between parenting style and chronic pain in adolescents: a structural equation modelling approach

Risk factors at birth, in childhood and adolescence for the onset of musculoskeletal chronic pain in adulthood: a scoping review

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