Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/32145
Appears in Collections:Psychology Journal Articles
Peer Review Status: Refereed
Title: The Impact of Parental Pain-attending and Non-pain-attending Responses on Child Pain Behavior in the Context of Cancer-related Painful Procedures: The Moderating Role of Parental Self-oriented Distress
Author(s): Rheel, Emma
Ickmans, Kelly
Caes, Line
Vervoort, Tine
Contact Email: line.caes@stir.ac.uk
Keywords: invasive medical procedures
childhood leukemia
parental distress
parental responses
child pain behavior
Issue Date: Mar-2021
Date Deposited: 11-Jan-2021
Citation: Rheel E, Ickmans K, Caes L & Vervoort T (2021) The Impact of Parental Pain-attending and Non-pain-attending Responses on Child Pain Behavior in the Context of Cancer-related Painful Procedures: The Moderating Role of Parental Self-oriented Distress. Clinical Journal of Pain, 37 (3), pp. 177-185. https://doi.org/10.1097/ajp.0000000000000902
Abstract: Objectives: Literature has demonstrated inconsistent findings regarding the impact of parental responses upon child pain-related outcomes. Yet, research into factors that may underlie inconsistent findings regarding the variable impact of parental responses is lacking. The current study investigated the moderating role of parental distress in understanding the impact of parental pain-attending (e.g., reassuring the child) and non-pain-attending (e.g., distracting the child with humor) responses upon child pain behavior (e.g., crying). Methods: Children (≤18▒y) suffering from leukemia, undergoing a lumbar puncture (LP) and/or bone marrow aspiration (BMA) procedure, and one of their parents, were recruited from the Pediatric Ghent University Hospital. Parent-child interactions were videotaped after the procedure allowing coding of parental responses and child pain behavior. Parents self-reported on experienced personal distress. Results: Participants consisted of 42 children (24 boys, 18 girls) with leukemia and one of their parents. Children were 0.6-15 (7.08±4.39) years old. Findings indicated a positive association between parental pain-attending and child pain behavior, but only when parents reported high levels of distress (β=0.56, P=0.001). No association was observed for parents reporting low levels of distress (β=-0.09, ns). Parental non-pain-attending responses contributed to lower child pain behavior (β=-0.24, P=0.045), independently from parental distress (β=-0.07, ns). Discussion: The current findings point to the moderating role of parental distress in understanding the impact of parental responses upon child pain behavior and highlight the importance of interventions targeting parental emotion regulation to promote more optimal child pain outcomes.
DOI Link: 10.1097/ajp.0000000000000902
Rights: This item has been embargoed for a period. During the embargo please use the Request a Copy feature at the foot of the Repository record to request a copy directly from the author. You can only request a copy if you wish to use this work for your own research or private study. This is a non‐final version of an article published in final form in Rheel, Emma; Ickmans, Kelly; Caes, Line; Vervoort, Tine The Impact of Parental Pain-attending and Non–pain-attending Responses on Child Pain Behavior in the Context of Cancer-related Painful Procedures, The Clinical Journal of Pain: March 2021 - Volume 37 - Issue 3 - p 177-185 doi: 10.1097/AJP.0000000000000902
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