Parents who catastrophize about their child’s pain prioritize attempts to control pain

Caes, Line; Vervoort, Tine; Eccleston, Christopher; Goubert, Liesbet

doi:10.1016/j.pain.2012.04.028

Cited by 48 publications

(61 citation statements)

References 53 publications

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“…A complementary mechanism may be an observer's sensitivity to feedback cues provided by the person in pain [72,73]. For instance, selforiented emotion and avoidance motives may impede observer receptivity or attention to sufferer feedback, potentially contributing to rigid/inflexible caregiving behaviour (e.g., excessive focus on pain control at the expense of non-pain goals [2,8] or, vice versa, excessive focus on non-pain goals at the expense of pain control) and ultimately negative pain outcomes [78]. With notable exceptions [see e.g., 64,69,70], research on interpersonal pain dynamics has largely overlooked how subtle differences in caregiving behaviour such as non-verbal features of observer behaviour and feedback sensitivity may differentially impact outcomes.…”

Section: The Relationship Between Emotion and Motivation In Painmentioning

confidence: 99%

“…For instance, as children are more dependent upon others' care and may have a more limited coping repertoire than adults, the impact of observer (e.g., parental) responses may be much more pronounced. Individual differences characterizing observers or persons in pain are also likely to modulate interpersonal pain dynamics; such factors may include (but are not limited to) prior (inter)personal pain experience, coping resources, dispositional empathy, and specific pain beliefs [8,57]. [90], suggesting that observer characteristics (e.g., observer state anxiety) may have significant implications for the utility/effectiveness of specific emotion regulatory strategy (e.g., attending away vs. towards another's pain) in ways that can be explained by the proposed model.…”

Section: The Role Of Emotion Regulationmentioning

confidence: 99%

“…Finally, research has increasingly addressed the role of emotion -e.g., fear, anger, sadness -in understanding pain experience [38,82,91]. To date, the majority of pain research (with some notable exceptions; [see e.g., 7,8]) has addressed the emotional, motivational, and interpersonal dimensions of pain in relatively independent fashion.…”

Section: Introductionmentioning

confidence: 99%

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Examining Affective-Motivational Dynamics and Behavioral Implications Within The Interpersonal Context of Pain

Vervoort

Trost

2017

The Journal of Pain

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Section: The Relationship Between Emotion and Motivation In Painmentioning

confidence: 99%

Section: The Role Of Emotion Regulationmentioning

confidence: 99%

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Examining Affective-Motivational Dynamics and Behavioral Implications Within The Interpersonal Context of Pain

Vervoort

Trost

2017

The Journal of Pain

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Section: Introductionmentioning

confidence: 99%

“…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]. Research with healthy schoolchildren [18,19] and children with chronic pain [19] finds that parental distress contributes to increased restriction of experimentallyinduced child pain and painful physical activity. While control behaviours can protect the child from further pain or harm, in the context of long term or inescapable pain such efforts may become maladaptive by diminishing engagement in valued daily activities, thereby fostering disability and maintaining or exacerbating pain problems [53,62,69,82].…”

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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Mothers’ appraisals of injustice in the context of their child’s chronic pain: An interpretative phenomenological analysis

Baert

McParland

Miller

et al. 2020

European Journal of Pain

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Background: In line with research highlighting the role of observer appraisals in understanding individuals' pain experience, recent work has demonstrated the effects of parental child-and self-oriented injustice appraisals on child pain-related outcomes. However, research on parental injustice appraisals is in its infancy and lacks a valid and context-specific operationalization of what parental injustice appraisals of child pain precisely entail. The current study presents an in-depth qualitative analysis of parental child-and self-oriented appraisals of injustice in the context of their child's chronic pain. Methods: Twenty-one mothers of children living with chronic pain participated in one of five focus group interviews conducted in Ghent (Belgium), Glasgow (Scotland) and Indianapolis (USA). Results: The interviews were subjected to interpretative phenomenological analysis, which revealed three key justice-related themes, labelled 'You shouldn't be in this much pain', 'The problem's probably with the mother' and 'At least it's not cancer'. Maternal injustice appraisals focused mainly on the child rather than the self and reflected various perceived barriers to their efforts to provide quality of life for their child. A fourth theme labelled 'Not everybody gets a healthy child' reflected maternal strategies to effectively cope with the child's condition and the associated appraisals of injustice. Conclusions: The current findings attest to the relevance of (child-and self-oriented) injustice in the parental experience of caring for a child with chronic pain and provides insight into the specific content and scope of these appraisals. As such, this study provides valuable insights to further research in this area. Significance: The current study presents an in-depth qualitative analysis of parental appraisals of injustice in the context of their child's chronic pain condition. The findings provide valuable insights into the phenomenology of this construct and may inform future research and assessment methods. Furthermore, the themes reported in this study may contribute to clinical practice, as they may raise awareness of parental concerns regarding their child's pain management. | 1933 BAERT ET Al. 1 | INTRODUCTION The experience of pain is common in childhood and is usually temporary. However, a considerable proportion of children report chronic, long-term pain that has a significant impact on their everyday lives (e.g. impaired functioning, school absence and general distress) (

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Parents who catastrophize about their child’s pain prioritize attempts to control pain

Cited by 48 publications

References 53 publications

Examining Affective-Motivational Dynamics and Behavioral Implications Within The Interpersonal Context of Pain

Examining Affective-Motivational Dynamics and Behavioral Implications Within The Interpersonal Context of Pain

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

Mothers’ appraisals of injustice in the context of their child’s chronic pain: An interpretative phenomenological analysis

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