Stress and Perception of Procedural Pain Management in Chinese Parents of Children with Cancer
Open accessAbstract
Objectives Children with cancer are exposed to repeated painful and invasive procedures. This study examines Chinese parents' stress and perception toward their children's procedural pain control.Methods We recruited 265 parents of children (aged <18 years) diagnosed with hematological cancer (74.7%) and solid tumors (25.3%) from two major public hospitals. Parents used a scale (0-10) to rate perceived pain experienced by their child when undergoing lumbar puncture (LP), bone marrow aspirate, or/and biopsy. They reported their stress level and attitudes toward analgesics using the adapted Pain Flexibility Scale for Parents and Parental Medication Attitude Questionnaire. General linear modeling was used to identify factors associated with perception outcomes.Results Parents (72.8% mothers, age 36.5 [6.8] years) expressed that they were worried (31.7%) and had difficulty with concentration (57.7%) when the child was in pain. Among parents whose children had undergone LP (n = 207), 39.1% perceived that their child still experienced severe pain (pain score >7) even with existing pain control measures. Parents reported concerns over side effects of analgesics (69.4%) and addiction (35.1%). Half of the parents (47.2%) perceived that analgesics should only be reserved for severe pain. Parents who were older (estimate = 2.07, SE = 0.87; P = 0.0054) and had lower education attainment (estimate = -3.38, SE = 1.09; P = 0.0021) had a more negative attitude toward analgesics use. Higher parental distress was associated with avoidance of analgesics use (r s = 0.17, P = 0.0052).Conclusion Our findings suggested that subgroups of Chinese parents demonstrated distress with their child's pain and harbored misconceptions over analgesics use. Future work includes devising targeted psychoeducation interventions for these parents.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Genetic predispositions, such as carrying a short allele in the 5-HTTLPR, are linked to an increased risk of depression in stressful environments.
“For example, genetic predispositions, such as carrying a short allele in the 5-HTTLPR, are linked to an increased risk of depression in stressful environments.”
From Comprehensive review of chronic stress pathways and the efficacy of behavioral stress reduction programs (BSRPs) in managing diseases. (2024) · cites this paper as [150]
In a study of 205 children aged 9-15, those who were genetically predisposed to higher stress levels exhibited more depressive symptoms.
“In a study of 205 children aged 9–15, those who were genetically predisposed to higher stress levels exhibited more depressive symptoms.”
From Comprehensive review of chronic stress pathways and the efficacy of behavioral stress reduction programs (BSRPs) in managing diseases. (2024) · cites this paper as [150]
The capacity to regulate emotions effectively can mitigate the risk of depression associated with genetic predisposition to stress.
“However, the capacity to regulate emotions effectively can mitigate this risk.”
From Comprehensive review of chronic stress pathways and the efficacy of behavioral stress reduction programs (BSRPs) in managing diseases. (2024) · cites this paper as [150]
At-risk children who practiced effective emotion regulation did not show heightened depressive symptoms.
“Crucially, at-risk children who practiced effective emotion regulation did not show heightened depressive symptoms, demonstrating that emotion regulation is a powerful tool for resilience.”
From Comprehensive review of chronic stress pathways and the efficacy of behavioral stress reduction programs (BSRPs) in managing diseases. (2024) · cites this paper as [150]
Parents with a lower educational attainment reported higher stress and more negative views on pain management, due to misconceptions about analgesic use.
“Parents with a lower educational attainment reported higher stress and more negative views on pain management, due to misconceptions about analgesic use.”
From Comprehensive review of chronic stress pathways and the efficacy of behavioral stress reduction programs (BSRPs) in managing diseases. (2024) · cites this paper as [150]
A study involving 265 parents of children with hematological cancer or solid tumors revealed that parents' perceptions of their child's pain and their own stress levels were influenced by their attitudes towards analgesics.
“For instance, a study involving 265 parents of children with hematological cancer or solid tumors revealed that parents’ perceptions of their child’s pain and their own stress levels were influenced by their attitudes towards analgesics.”
From Comprehensive review of chronic stress pathways and the efficacy of behavioral stress reduction programs (BSRPs) in managing diseases. (2024) · cites this paper as [150]
The citation lists haven’t been fetched yet
References 49 · Cited by 12
- Authors
- Yan, C., Cheung, R. S.-Y., Wong, C. L., Cheng, H. Y., Liu, F., Huang, H., Ewig, C. L.-Y., Li, C.-K., Zhang, H., & Cheung, Y. T.
- Affiliations
- Guangzhou Women and Children Medical Center (CN)
- Chinese University of Hong Kong (HK)
- First Affiliated Hospital of Guangzhou Medical University (CN)
- Corresponding author
- Cheung, Yin Ting
- ORCID
- Venue
- Journal of Pain and Symptom Management
- Publisher
- Elsevier BV
- Published
- 2021-01
- Volume
- 61
- Issue
- 1
- Pages
- 90-102.e5
- ISSN
- 0885-3924 (ISSN-L)
- OpenAlex
- W3039266974
- Cited by
- 12
- References
- 49
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 2 · 2023: 3 · 2022: 1 · 2020: 1
- FWCI
- 1.20
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Journal of Pain and Symptom Management (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Opioid Use
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Childhood Cancer Survivors' Quality of Life
- Keywords
- parental stress, procedural pain, childhood cancer, pain perception, hematologic malignancies, solid tumors, lumbar puncture, bone marrow biopsy, bone marrow aspiration, Chinese parents, psychoeducation
- MeSH terms
- Procedural Pain, Adult, Child, China, Humans, Neoplasms, Parents, Perception, Surveys and Questionnaires, Pain Management
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
