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

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

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