Parental risk factors for the development of pediatric acute and chronic postsurgical pain: a longitudinal study
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BACKGROUND: The goal of this longitudinal study was to examine the associations among psychological factors and pain reports of children and their parents over the 12 month period after pediatric surgery. MATERIALS AND METHODS: Included in the study were 83 children aged 8-18 years undergoing major surgery. In each case, the child and one of their parents completed measures of pain intensity and unpleasantness, psychological function, and functional disability at 48-72 hours, 2 weeks (child only), 6 months, and 12 months after surgery. RESULTS: The strength of the correlation coefficients between the psychological measures of the parent and their child increased significantly over time. There was a fair level of agreement between parent ratings of child acute and chronic pain (6 months after surgery) and the child's actual ratings. Parent and child pain anxiety scores 48-72 hours after surgery interacted significantly to predict pain intensity, pain unpleasantness, and functional disability levels 2 weeks after discharge from hospital. Parent pain catastrophizing scores 48-72 hours after surgery predicted child pain intensity reports 12 months later. CONCLUSION: These results raise the possibility that as time from surgery increases, parents exert greater and greater influence over the pain response of their children, so that by 12 months postsurgery mark, parent pain catastrophizing (measured in the days after surgery) is the main risk factor for the development of postsurgical pain chronicity.
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Reinterpreting pain sensations shows weak correlations with functional variables such as pain interference and physical disability.
“it shows weak correlations with functional variables such as pain interference and physical disability 281, 284–287.”
From Evaluating psychosocial contributions to chronic pain outcomes (2018) · cites this paper as [284]
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Postoperative Nausea and Vomiting in Children
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Congenital Diaphragmatic Hernia
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Hepatic Portoenterostomy; Kasai Procedure
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This won’t hurt a bit: Reflections on a career in chronic pain.
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- Authors
- Pagé, G., Campbell, F., Isaac, L., Stinson, J., & Katz, J.
- Affiliations
- University of Toronto (CA)
- York University (CA)
- Corresponding author
- Katz, Joel
- Venue
- Journal of Pain Research
- Publisher
- Informa UK Limited
- Published
- 2013-09
- Volume
- 6
- Pages
- 727
- ISSN
- 1178-7090 (ISSN-L)
- PMC
- PMC3792832
- OpenAlex
- W2116883610
- Cited by
- 165
- References
- 75
- Citations by year
- 2026: 5 · 2025: 7 · 2024: 4 · 2023: 4 · 2022: 6 · 2021: 8 · 2020: 13 · 2019: 83 · 2018: 7 · 2017: 11 · 2016: 3 · 2015: 11 · 2014: 3
- FWCI
- 5.29
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Journal of Pain Research (publishedVersion, cc-by-nc)
- Europe PMC (PubMed Central) (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Dove Medical Press (Taylor and Francis Group) (submittedVersion, cc-by-nc)
- York University Digital Library (York University) (submittedVersion)
- Funders
- York University
- Ontario Ministry of Health and Long-Term Care
- Canadian Institutes of Health Research
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
- Health Sciences › Medicine › Surgery › Anesthesia and Pain Management
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Treatment
- Keywords
- chronic postoperative pain, parental risk factors, pain catastrophizing, pain-related anxiety, pain intensity, pain unpleasantness, functional disability, parent-child agreement, psychological factors in pain
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