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Parental response to children's pain: the moderating impact of children's emotional distress on symptoms and disability
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 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
Metadata
- Authors
- Claar, R. L., Simons, L. E., & Logan, D. E.
- Affiliations
- Boston Children's Hospital (US)
- Corresponding author
- Claar, Robyn Lewis
- Venue
- Pain
- Published
- 2008-08-15
- Volume
- 138
- Issue
- 1
- Pages
- 172-179
- ISSN
- 0304-3959 (ISSN-L)
- 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 › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › 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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