Family-Related Factors in Children and Adolescents With Chronic Pain: A Systematic Review

IF 3.5 2区医学 Q1 ANESTHESIOLOGY

European Journal of Pain Pub Date : 2025-05-23 DOI:10.1002/ejp.70038

Lorena Martí, Helena Garriga-Cazorla, Josep Roman-Juan, Jordi Miró

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引用次数: 0

Abstract

Background

The aim of this systematic review is to synthesise the findings about the role of family-related factors in chronic pain in children and adolescents.

Methods

We conducted a search of the following electronic databases: PubMed/MedLine, CINHAL, PsychINFO, PubPsych, Scopus and Web of Science from inception to July 2024. We only included studies involving children and adolescents (up to 19 years old) with chronic pain and studies that involved the parents or families of these children.

Results

A total of 24,049 articles were retrieved, of which 20,921 were screened for evaluation and 119 were included in the review.

Conclusions

Most of the studies were cross-sectional with a moderate or high risk of bias, reporting on the parenting individual-, dyadic-, and contextual-related factors. In the included studies, significant associations emerged between a number of family-related factors and chronic pain and related disability in 16 of the 119 studies that had been judged to be of good methodological quality.

Significance

The data from these studies showed significant associations between parental individual variables (e.g., parent's mental health), dyadic variables (e.g., parental responses towards their children's pain), and context-related variables (e.g., family functioning), and some key pain-related outcomes, including pain chronification, pain intensity, pain frequency, pain extent, pain-related interference, the ability to cope with chronic pain, and pain-related disability in children and adolescents. Therefore, these factors may be important targets for the prevention and management of chronic pain in children and adolescents.

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儿童和青少年慢性疼痛的家庭相关因素：系统综述

本系统综述的目的是综合有关家庭相关因素在儿童和青少年慢性疼痛中的作用的研究结果。方法检索自成立至2024年7月的PubMed/MedLine、CINHAL、PsychINFO、PubPsych、Scopus和Web of Science等电子数据库。我们只纳入患有慢性疼痛的儿童和青少年（19岁以下）以及涉及这些儿童的父母或家庭的研究。结果共检索到24,049篇文献，其中筛选评价20,921篇，纳入综述119篇。结论：大多数研究是横断面的，有中等或高偏倚风险，报告了养育子女的个体、二元和环境相关因素。在纳入的研究中，119项研究中有16项被认为具有良好的方法学质量，其中一些家庭相关因素与慢性疼痛和相关残疾之间存在显著关联。这些研究的数据显示，父母个体变量（如父母的心理健康）、二元变量（如父母对孩子疼痛的反应）和情境相关变量（如家庭功能）与一些关键的疼痛相关结果（包括疼痛慢性化、疼痛强度、疼痛频率、疼痛程度、疼痛相关干扰、应对慢性疼痛的能力）之间存在显著关联。以及儿童和青少年中与疼痛相关的残疾。因此，这些因素可能是预防和管理儿童和青少年慢性疼痛的重要目标。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

European Journal of Pain 医学-临床神经学

CiteScore

7.50

自引率

5.60%

发文量

163

审稿时长

4-8 weeks

期刊介绍： European Journal of Pain (EJP) publishes clinical and basic science research papers relevant to all aspects of pain and its management, including specialties such as anaesthesia, dentistry, neurology and neurosurgery, orthopaedics, palliative care, pharmacology, physiology, psychiatry, psychology and rehabilitation; socio-economic aspects of pain are also covered. Regular sections in the journal are as follows: • Editorials and Commentaries • Position Papers and Guidelines • Reviews • Original Articles • Letters • Bookshelf The journal particularly welcomes clinical trials, which are published on an occasional basis. Research articles are published under the following subject headings: • Neurobiology • Neurology • Experimental Pharmacology • Clinical Pharmacology • Psychology • Behavioural Therapy • Epidemiology • Cancer Pain • Acute Pain • Clinical Trials.