Parental risk factors for the development of pediatric acute and chronic postsurgical pain: a longitudinal study
| dc.contributor.author | Pagé, M. Gabrielle | |
| dc.contributor.author | Campbell, Fiona | |
| dc.contributor.author | Issac, Lisa | |
| dc.contributor.author | Stinson, Jennifer | |
| dc.contributor.author | Katz, Joel | |
| dc.date.accessioned | 2013-10-20T18:53:50Z | |
| dc.date.available | 2013-10-20T18:53:50Z | |
| dc.date.issued | 27/09/2013 | |
| dc.description.abstract | 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. | en_US |
| dc.description.sponsorship | MGP is supported by a Canada Graduate Scholarship – Doctoral Award from the Canadian Institutes of Health Research (CIHR). MGP is a trainee member of Pain in Child Health, a CIHR Strategic Training Fellow in Pain: Molecules to Community and a recipient of a Lillian-Wright Maternal-Child Health Scholarship from York University. JS is supported by a Ministry of Health and Long-term Care Career Scientist Award. JK is supported by a CIHR Canada Research Chair in Health Psychology at York University. Funds to conduct the study were provided by Dr Katz’s Canada Research Chair. | |
| dc.identifier.citation | Journal of Pain Research 2013:6 727–741 | |
| dc.identifier.issn | 1178-7090 | |
| dc.identifier.uri | http://hdl.handle.net/10315/26492 | |
| dc.language.iso | en | en_US |
| dc.publisher | Dove Medical Press Ltd. | en_US |
| dc.rights | Original publication in: Journal of Pain Research, Dove Medical Press, Ltd. | en_US |
| dc.rights.article | http://www.dovepress.com/parental-risk-factors-for-the-development-of-pediatric-acute-and-chron-peer-reviewed-article-JPR | |
| dc.rights.journal | http://www.dovepress.com/journal-of-pain-research-journal | en_US |
| dc.rights.publisher | http://www.dovepress.com/ | en_US |
| dc.subject | pain anxiety, pain catastrophizing, children, parental risk factors, postsurgical pain | en_US |
| dc.title | Parental risk factors for the development of pediatric acute and chronic postsurgical pain: a longitudinal study | |
| dc.type | Article | en_US |