Parental risk factors for the development of pediatric acute and chronic postsurgical pain: a longitudinal study

Article English OPEN
Pagé, Gabrielle ; Campbell,Fiona ; Isaac,Lisa ; Stinson,Jennifer ; Katz,Joel (2013)
  • Publisher: Dove Press
  • Journal: Journal of Pain Research, volume 6, pages 727-741 (issn: 1178-7090, eissn: 1178-7090)
  • Related identifiers: pmc: PMC3792832, doi: 10.2147/JPR.S51055
  • Subject: children | R5-920 | parental risk factors | Medicine (General) | pain anxiety | pain catastrophizing | Original Research | postsurgical pain | Journal of Pain Research

M Gabrielle Pagé,1 Fiona Campbell,2,3 Lisa Isaac,2,3 Jennifer Stinson,2,4 Joel Katz1,3,5 1Department of Psychology, Faculty of Health, York University, Toronto, ON, Canada; 2Department of Anesthesia and Pain Medicine, Hospital for Sick Children, Toronto, ON, Canada; 3Department of Anesthesia, Faculty of Medicine, University of Toronto, Toronto, ON, Canada; 4Lawrence S Bloomberg Faculty of Nursing, University of Toronto, Toronto, ON, Canada; 5Department of Psychology, Hospital for Sick Children, Toronto, ON, Canada Background: The goal of this longitudinal study was to examine the associations among psychological factors and pain reports of children and their parents over the 12 month period after pediatric surgery. Materials and methods: Included in the study were 83 children aged 8–18 years undergoing major surgery. In each case, the child and one of their parents completed measures of pain intensity and unpleasantness, psychological function, and functional disability at 48–72 hours, 2 weeks (child only), 6 months, and 12 months after surgery. Results: The strength of the correlation coefficients between the psychological measures of the parent and their child increased significantly over time. There was a fair level of agreement between parent ratings of child acute and chronic pain (6 months after surgery) and the child's actual ratings. Parent and child pain anxiety scores 48–72 hours after surgery interacted significantly to predict pain intensity, pain unpleasantness, and functional disability levels 2 weeks after discharge from hospital. Parent pain catastrophizing scores 48–72 hours after surgery predicted child pain intensity reports 12 months later. Conclusion: These results raise the possibility that as time from surgery increases, parents exert greater and greater influence over the pain response of their children, so that by 12 months postsurgery mark, parent pain catastrophizing (measured in the days after surgery) is the main risk factor for the development of postsurgical pain chronicity. Keywords: pain anxiety, pain catastrophizing, children, parental risk factors, postsurgical pain
  • References (67)
    67 references, page 1 of 7

    1. Melzack R, Wall PD. Pain mechanisms: a new theory. Science. 1965;150(3699):971-979.

    2. Gatchel RJ. Perspectives on pain: a historical overview. In: Gatchel RJ, Turk DC, editors. Psychosocial Factors in Pain: Critical Perspectives. New York, NY: Guilford Press; 1999:3-17.

    3. Gatchel RJ, PengYB, Peters ML, Fuchs PN, Turk DC. The biopsychosocial approach to chronic pain: scientific advances and future directions. Psychol Bull. 2007;133(4):581-624.

    4. Palermo TM, Chambers CT. Parent and family factors in pediatric chronic pain and disability: an integrative approach. Pain. 2005;119(1-3):1-4.

    5. Asmundson GJ, Noel M, Petter M, Parkerson HA. Pediatric fearavoidance model of chronic pain: foundation, application and future directions. Pain Res Manag. 2012;17(6):397-405.

    6. Wilson AC, Lewandowski AS, Palermo TM. Fear-avoidance beliefs and parental responses to pain in adolescents with chronic pain. Pain Res Manag. 2011;16(3):178-182.

    7. Goubert L, Craig KD, Vervoort T, et al. Facing others in pain: the effects of empathy. Pain. 2005;118(3):285-288.

    8. Jackson PL, Meltzoff AN, Decety J. How do we perceive the pain of others? A window into the neural processes involved in empathy. Neuroimage. 2005;24(3):771-779.

    9. Goubert L, Eccleston C, Vervoort T, Jordan A, Crombez G. Parental catastrophizing about their child's pain. The parent version of the Pain Catastrophizing Scale (PCS-P): a preliminary validation. Pain. 2006;123(3):254-263.

    10. Goubert L, Vervoort T, Sullivan MJ, Verhoeven K, Crombez G. Parental emotional responses to their child's pain: the role of dispositional empathy and catastrophizing about their child's pain. J Pain. 2008;9(3):272-279.

  • Similar Research Results (1)
  • Metrics
    No metrics available
Share - Bookmark