Parental response to children's pain: the moderating impact of children's emotional distress on symptoms and disability

Claar, Robyn Lewis; Simons, Laura E.; Logan, Deirdre E.

doi:10.1016/j.pain.2007.12.005

Cited by 173Pediatric Pain Management TechniquesChild and Adolescent Psychosocial and Emotional DevelopmentMusculoskeletal pain and rehabilitation

Parental response to children's pain: the moderating impact of children's emotional distress on symptoms and disability

Claar, Robyn Lewis, Simons, Laura E., Logan, Deirdre E.·2008·Pain

DOI 10.1016/j.pain.2007.12.005

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Abstract

Parental responses play a central role in the development and maintenance of children's pain behavior. Previous studies examining the impact of parental responses on children's pain have focused mainly on protective or solicitous responses. This study examined the impact of parental responses, including protectiveness, minimization of pain, and encouraging and monitoring responses, on children's functional disability and somatic symptoms. Participants included 327 patients with chronic pain, ages 8-17, who completed measures of pain, disability, somatic symptoms, depression, and anxiety. Patients' parents completed a measure assessing parental responses to their children's pain. Results show that for children with higher levels of emotional distress, maladaptive parental responses to pain (e.g., criticism, discounting of pain, increased attention to pain, and granting of special privileges) were associated with increased disability and somatic symptoms. Results of this study demonstrate the important ways in which parents can influence how their children cope with and manage chronic pain. Children whose parents are overly protective or critical of their pain may experience more impairment or somatic symptoms, particularly those children who are already at risk for difficulties due to higher levels of emotional distress.

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In another chronic pain study, patients assigned to tailored positive activities reported greater improvements in pain intensity and pain control than an active control group.
“In another study of patients with chronic pain, individuals assigned to tailored positive activities reported greater improvements in pain intensity and pain control compared to those in an active control condition 65.”
From Evaluating psychosocial contributions to chronic pain outcomes (2018) · cites this paper as [65]

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Self-citation

Do parent protective responses mediate the relation between parent distress and child functional disability among children with chronic pain?
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Does Parental Response to Children’s Pain Moderate the Association Between Pain Severity and Functional Disability? An Examination of Noncardiac Chest Pain
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Parental Reinforcement of Recurrent Pain: The Moderating Impact of Child Depression and Anxiety on Functional Disability
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Mothers’ and fathers’ responses to their child’s pain moderate the relationship between the child’s pain catastrophizing and disability☆
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Seeing your child in pain: Parent empathy in the context of their child’s chronic pain
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Self-citation

Authors: Claar, R. L., Simons, L. E., & Logan, D. E.
Affiliations: Boston Children's Hospital (US)
Corresponding author: Claar, Robyn Lewis
ORCID: Simons, Laura E.
Logan, Deirdre E.
Venue: Pain
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2008-08-15
Volume: 138
Issue: 1
Pages: 172-179
ISSN: 0304-3959 (ISSN-L)
DOI: 10.1016/j.pain.2007.12.005
OpenAlex: W2092956935
Cited by: 173
References: 39
Citations by year: 2026: 3 · 2025: 4 · 2024: 1 · 2023: 9 · 2022: 5 · 2021: 10 · 2020: 20 · 2019: 13 · 2018: 13 · 2017: 9 · 2016: 19 · 2015: 7 · 2014: 7 · 2013: 10 · 2012: 14
FWCI: 8.62
Type: journal article
Language: en
Open access: closed
Locations: Pain (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
Keywords: emotional distress, functional disability, somatic symptoms, protective parenting, parental criticism, maladaptive parenting, depression, anxiety, pain coping
MeSH terms: Activities of Daily Living, Adolescent, Child, Emotions, Female, Humans, Male, Pain, Parents, Stress, Physiological

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Parental response to children's pain: the moderating impact of children's emotional distress on symptoms and disability

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