亲子慢性疼痛背景下的父母焦虑、抑郁、保护性反应和养育压力:父母变异性的每日日记研究》(Parent Anxiety, Depression, Protective Responses, and Parenting Stress in the Context of Parent and Child Chronic Pain: A Daily Diary Study of Parent Variability)。

IF 4 2区 医学 Q1 CLINICAL NEUROLOGY
{"title":"亲子慢性疼痛背景下的父母焦虑、抑郁、保护性反应和养育压力:父母变异性的每日日记研究》(Parent Anxiety, Depression, Protective Responses, and Parenting Stress in the Context of Parent and Child Chronic Pain: A Daily Diary Study of Parent Variability)。","authors":"","doi":"10.1016/j.jpain.2024.03.008","DOIUrl":null,"url":null,"abstract":"<div><p>Parents with (vs without) chronic pain report poorer psychosocial functioning (eg, worse mental health, parenting difficulties), which has been linked to poorer child outcomes (eg, child pain). However, emerging research suggests that individuals vary in their functioning from day-to-day, particularly those with chronic pain. This study used daily diaries to compare parents with (versus without) chronic pain on variability in their anxiety, mood, protective responses, and parenting stress. We also examined parent chronic pain status as a moderator of the associations between parent variability and youth daily pain and interference. Participants were 76 youth with chronic pain (<em>M</em><sub>age</sub> = 14.26; 71.1% female) and one of their parents (89.5% mothers; n = 38 or 50.0% endorsing chronic pain). Parents and youth completed self-report questionnaires and 7 days of diaries. Parent variability was calculated to reflect the frequency and size of day-to-day changes. Multilevel models revealed that parents with (vs without) chronic pain were significantly more variable in their parenting stress, but not in their anxiety, mood, or protective responses. Contrary to hypotheses, parent variability was <em>not</em> significantly related to youth daily pain intensity or interference and parent chronic pain did <em>not</em> moderate any associations. Instead, mean levels of parent anxiety, protective responses, and parenting stress across the week significantly predicted youth daily pain interference. Findings suggest that while variability was observed among parents (with and without chronic pain) of youth with chronic pain, it did not significantly predict youth’s daily pain-related functioning. Further research is needed to confirm these initial findings.</p></div><div><h3>Perspective</h3><p>Parents with chronic pain have expressed concerns that the variable nature of their pain negatively impacts their children. Our results found that parents (with and without chronic pain) were variable in their anxiety, mood, protective responses, and parenting stress, but this variability did <em>not</em> significantly predict youth’s chronic pain-related functioning.</p></div>","PeriodicalId":51095,"journal":{"name":"Journal of Pain","volume":"25 8","pages":"Article 104512"},"PeriodicalIF":4.0000,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1526590024004292/pdfft?md5=545f5c55d5cc8fbe165d1b544a936de4&pid=1-s2.0-S1526590024004292-main.pdf","citationCount":"0","resultStr":"{\"title\":\"Parent Anxiety, Depression, Protective Responses, and Parenting Stress in the Context of Parent and Child Chronic Pain: A Daily Diary Study of Parent Variability\",\"authors\":\"\",\"doi\":\"10.1016/j.jpain.2024.03.008\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><p>Parents with (vs without) chronic pain report poorer psychosocial functioning (eg, worse mental health, parenting difficulties), which has been linked to poorer child outcomes (eg, child pain). However, emerging research suggests that individuals vary in their functioning from day-to-day, particularly those with chronic pain. This study used daily diaries to compare parents with (versus without) chronic pain on variability in their anxiety, mood, protective responses, and parenting stress. We also examined parent chronic pain status as a moderator of the associations between parent variability and youth daily pain and interference. Participants were 76 youth with chronic pain (<em>M</em><sub>age</sub> = 14.26; 71.1% female) and one of their parents (89.5% mothers; n = 38 or 50.0% endorsing chronic pain). Parents and youth completed self-report questionnaires and 7 days of diaries. Parent variability was calculated to reflect the frequency and size of day-to-day changes. Multilevel models revealed that parents with (vs without) chronic pain were significantly more variable in their parenting stress, but not in their anxiety, mood, or protective responses. Contrary to hypotheses, parent variability was <em>not</em> significantly related to youth daily pain intensity or interference and parent chronic pain did <em>not</em> moderate any associations. Instead, mean levels of parent anxiety, protective responses, and parenting stress across the week significantly predicted youth daily pain interference. Findings suggest that while variability was observed among parents (with and without chronic pain) of youth with chronic pain, it did not significantly predict youth’s daily pain-related functioning. Further research is needed to confirm these initial findings.</p></div><div><h3>Perspective</h3><p>Parents with chronic pain have expressed concerns that the variable nature of their pain negatively impacts their children. Our results found that parents (with and without chronic pain) were variable in their anxiety, mood, protective responses, and parenting stress, but this variability did <em>not</em> significantly predict youth’s chronic pain-related functioning.</p></div>\",\"PeriodicalId\":51095,\"journal\":{\"name\":\"Journal of Pain\",\"volume\":\"25 8\",\"pages\":\"Article 104512\"},\"PeriodicalIF\":4.0000,\"publicationDate\":\"2024-08-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.sciencedirect.com/science/article/pii/S1526590024004292/pdfft?md5=545f5c55d5cc8fbe165d1b544a936de4&pid=1-s2.0-S1526590024004292-main.pdf\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Pain\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1526590024004292\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"CLINICAL NEUROLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Pain","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1526590024004292","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}
引用次数: 0

摘要

有(与没有)慢性疼痛的父母报告的心理社会功能较差(如更差的心理健康、养育困难),这与较差的儿童结果(如儿童疼痛)有关。然而,新的研究表明,个体的日常功能各不相同,尤其是慢性疼痛患者。本研究采用每日日记的方式,比较了患有(与不患有)慢性疼痛的父母在焦虑、情绪、保护性反应和养育压力方面的变化。我们还研究了父母的慢性疼痛状况对父母变异性与青少年日常疼痛和干扰之间关联的调节作用。参与者包括 76 名患有慢性疼痛的青少年(Mage = 14.26;71.1% 为女性)和他们的父母之一(89.5% 为母亲;n = 38 或 50.0% 认同慢性疼痛)。家长和青少年填写了自我报告问卷和七天日记。计算了家长的变异性,以反映日常变化的频率和规模。多层次模型显示,有慢性疼痛(与无慢性疼痛)的家长在养育压力方面的变化明显更大,但在焦虑、情绪或保护性反应方面的变化不大。与假设相反,父母的变化与青少年的日常疼痛强度或干扰没有明显关系,父母的慢性疼痛也没有缓和任何关联。相反,父母一周内的焦虑、保护性反应和养育压力的平均水平却能显著预测青少年的日常疼痛干扰。研究结果表明,虽然慢性疼痛青少年的父母(有慢性疼痛和无慢性疼痛)之间存在差异,但这些差异并不能明显预测青少年日常疼痛相关功能。还需要进一步的研究来证实这些初步发现。观点:患有慢性疼痛的父母曾表示,他们担心疼痛的多变性会对他们的孩子产生负面影响。我们的研究结果发现,父母(无论是否患有慢性疼痛)在焦虑、情绪、保护性反应和养育压力方面存在差异,但这种差异并不能显著预测青少年与慢性疼痛相关的功能。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Parent Anxiety, Depression, Protective Responses, and Parenting Stress in the Context of Parent and Child Chronic Pain: A Daily Diary Study of Parent Variability

Parents with (vs without) chronic pain report poorer psychosocial functioning (eg, worse mental health, parenting difficulties), which has been linked to poorer child outcomes (eg, child pain). However, emerging research suggests that individuals vary in their functioning from day-to-day, particularly those with chronic pain. This study used daily diaries to compare parents with (versus without) chronic pain on variability in their anxiety, mood, protective responses, and parenting stress. We also examined parent chronic pain status as a moderator of the associations between parent variability and youth daily pain and interference. Participants were 76 youth with chronic pain (Mage = 14.26; 71.1% female) and one of their parents (89.5% mothers; n = 38 or 50.0% endorsing chronic pain). Parents and youth completed self-report questionnaires and 7 days of diaries. Parent variability was calculated to reflect the frequency and size of day-to-day changes. Multilevel models revealed that parents with (vs without) chronic pain were significantly more variable in their parenting stress, but not in their anxiety, mood, or protective responses. Contrary to hypotheses, parent variability was not significantly related to youth daily pain intensity or interference and parent chronic pain did not moderate any associations. Instead, mean levels of parent anxiety, protective responses, and parenting stress across the week significantly predicted youth daily pain interference. Findings suggest that while variability was observed among parents (with and without chronic pain) of youth with chronic pain, it did not significantly predict youth’s daily pain-related functioning. Further research is needed to confirm these initial findings.

Perspective

Parents with chronic pain have expressed concerns that the variable nature of their pain negatively impacts their children. Our results found that parents (with and without chronic pain) were variable in their anxiety, mood, protective responses, and parenting stress, but this variability did not significantly predict youth’s chronic pain-related functioning.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
Journal of Pain
Journal of Pain 医学-临床神经学
CiteScore
6.30
自引率
7.50%
发文量
441
审稿时长
42 days
期刊介绍: The Journal of Pain publishes original articles related to all aspects of pain, including clinical and basic research, patient care, education, and health policy. Articles selected for publication in the Journal are most commonly reports of original clinical research or reports of original basic research. In addition, invited critical reviews, including meta analyses of drugs for pain management, invited commentaries on reviews, and exceptional case studies are published in the Journal. The mission of the Journal is to improve the care of patients in pain by providing a forum for clinical researchers, basic scientists, clinicians, and other health professionals to publish original research.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信