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Remembering pain after surgery: a longitudinal examination of the role of pain catastrophizing in children's and parents' recall
Open accessAbstract
Children's memories for pain play a powerful role in their pain experiences. Parents' memories may also influence children's pain experiences, by influencing parent-child interactions about pain and children's cognitions and behaviors. Pain catastrophizing of children and parents has been implicated as a factor underlying memory biases; however, this has not been empirically examined. The current longitudinal study is the first to examine the role of pain catastrophizing of children and parents in the development of their pain memories after surgery. Participants were 49 youth (32 girls) aged 10 to 18 years undergoing major surgery and their parents. One week before surgery, children and parents completed measures of pain catastrophizing. Two weeks after surgery (the acute recovery period), children and parents completed measures of child pain intensity and affect. Two to 4 months after surgery, children's and parents' memories of child pain intensity and affect were elicited. Hierarchical linear regression models revealed that over and above covariates, parent catastrophizing about their child's pain (magnification, rumination) accounted for a significant portion of variance in children's affective and parents' sensory pain memories. Although parent catastrophizing had a direct effect on pain memories, mediation analyses revealed that child catastrophizing (helplessness) indirectly influenced children's and parents' pain memories through the child's postoperative pain experience. Findings highlight that aspects of catastrophic thinking about child pain before surgery are linked to distressing pain memories several months later. Although both child and parent catastrophizing influence pain memory development, parent catastrophizing is most influential to both children's and parents' evolving cognitions about child pain.
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“There is also evidence suggesting that, compared to problem-focused coping, emotion- focused coping is associated with worse pain and functioning in individuals with chronic pain 267, 271–277.”
From Evaluating psychosocial contributions to chronic pain outcomes (2018) · cites this paper as [276]
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Metadata
- Authors
- Noel, M., Rabbitts, J. A., Tai, G. G., & Palermo, T. M.
- Affiliations
- University of Washington (US)
- Corresponding author
- Noel, Melanie
- Venue
- Pain
- Published
- 2015-05
- Volume
- 156
- Issue
- 5
- Pages
- 800-808
- ISSN
- 0304-3959 (ISSN-L)
- PMC
- PMC4402244
- OpenAlex
- W2017103180
- Cited by
- 129
- References
- 42
- Citations by year
- 2026: 5 · 2025: 6 · 2024: 8 · 2023: 8 · 2022: 19 · 2021: 7 · 2020: 15 · 2019: 14 · 2018: 11 · 2017: 16 · 2016: 12 · 2015: 8
- FWCI
- 15.61
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Pain (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Canadian Institutes of Health Research
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (K23HD078239, K24HD060068)
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Anesthesia and Pain Management
- Life Sciences › Neuroscience › Cognitive Neuroscience › Pain Management and Placebo Effect
- Keywords
- pain memory, pain catastrophizing, pediatric surgery, postoperative pain, parent-child interaction, pain intensity, pain affect, memory bias, helplessness, rumination, magnification
- MeSH terms
- Adolescent, Child, Female, Humans, Longitudinal Studies, Male, Memory, Pain, Pain Measurement, Postoperative Pain, Parent-Child Relations, Parents, Surveys and Questionnaires, Pain Threshold, Catastrophization
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