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Parental catastrophizing about their child's chronic pain: are mothers and fathers different?

机译:父母对孩子的慢性疼痛造成了灾难性的影响:父母是否不同?

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摘要

Preliminary evidence suggests that parental catastrophizing about their child's pain may be important in understanding both parental responses to their child's pain and the child's pain experience. However, little is known about potential differences between mothers and fathers. There were three aims of the present study addressing this lack of knowledge: (i) to investigate the three-factor structure of the German version of the Parental Pain Catastrophizing Scale (PCS-P) (Goubert et al., 2006) in mothers and fathers of children with chronic pain, (ii) to explore differences between mothers and fathers in parental catastrophizing, (iii) to investigate the contribution of parental catastrophizing on the child's chronic pain problem and pain-related parent behavior. In a sample of 128 mothers and fathers of paediatric chronic pain patients, the invariance of the PCS-P was evaluated. Results replicated the previously established three-factor structure (i.e. rumination, magnification and helplessness) in both groups. Mothers reported higher levels of catastrophizing as compared to fathers. Specifically, mothers and fathers differed on levels of rumination; the two groups did not differ in magnification and helplessness. Maternal but not paternal catastrophizing contributed significantly in explaining the child's pain intensity whereas neither mothers' nor fathers' catastrophizing were significantly related to the child's disability. Both maternal and paternal catastrophizing contributed significantly to heightened parental solicitous responses. Fathers' but not mothers' catastrophizing also contributed to heightened distracting responses. The present findings attest to the importance of maternal and paternal catastrophizing for the child's pain characteristics and pain-related parent behavior, which are both relevant for treatment conceptualization.
机译:初步证据表明,父母对孩子痛苦的灾难可能对于理解父母对孩子痛苦的反应以及孩子的痛苦经历都很重要。然而,关于父母之间潜在差异的了解甚少。本研究的三个目标是解决这一知识不足的问题:(i)研究母亲的德语版父母痛苦灾难性量表(PCS-P)的三因素结构(Goubert等,2006)。患有慢性疼痛的孩子的父亲,(ii)探索父母在父母灾难性方面的差异,(iii)研究父母灾难性对孩子的慢性疼痛问题和与疼痛相关的父母行为的贡献。在128名儿科慢性疼痛患者的父母中,评估了PCS-P的不变性。结果在两组中重复了先前建立的三因素结构(即反刍,放大和无助)。与父亲相比,母亲报告的灾难性程度更高。具体来说,父亲和母亲在反省水平上有所不同。两组的放大率和无助感没有差异。孕产妇而不是父亲的灾难性因素在解释孩子的疼痛强度方面起了很大作用,而母亲和父亲的灾难性疾病都与孩子的残疾没有显着关系。孕产妇和父亲的灾难性事件都极大地加剧了父母的恳求反应。父亲(而不是母亲)的灾难性事件也加剧了人们分心的反应。本研究结果证明了母婴灾难对孩子的疼痛特征和与疼痛相关的父母行为的重要性,这两者都与治疗概念化有关。

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