Child catastrophizing about parent chronic pain: A potential child vulnerability factor

Kristen S. Higgins; Christine T. Chambers; Natalie O. Rosen; Simon Sherry; Somayyeh Mohammadi; Mary E. Lynch; Marsha Campbell-Yeo; Alexander J. Clark

doi:10.1111/bjhp.12410

Child catastrophizing about parent chronic pain: A potential child vulnerability factor

Kristen S. Higgins, Christine T. Chambers, Natalie O. Rosen, Simon Sherry, Somayyeh Mohammadi, Mary E. Lynch, Marsha Campbell-Yeo, Alexander J. Clark

Medicine

Medicine

Résultat de recherche: Article › examen par les pairs

2 Citations (Scopus)

Résumé

Objective Robust evidence suggests children’s catastrophizing about their own pain is a risk factor for poor child pain-related outcomes. In children of parents with chronic pain, child catastrophizing about their parents’ pain might be a unique predictor of child pain-related outcomes given their increased exposure to parental chronic pain and disability. The objective of this study was to examine associations between child and parent catastrophizing about their own and each other’s pain and child and parent pain-related outcomes. Methods Seventy-two parents with chronic pain and their children (ages 8–15) completed questionnaires assessing their trait catastrophizing about their own and each other’s pain, their own pain, and the child’s internalizing symptoms. Children completed the cold pressor task (CPT) in the presence of their parent. Parents and children rated children’s worst pain intensity and their own anxiety during the task. Analyses were guided by the Actor-Partner Interdependence Model. Results Greater child catastrophizing about parent pain was associated with children’s and parents’ increased catastrophizing about their own pain. Child catastrophizing about parent pain was associated with greater child- and parent-reported child internalizing symptoms and greater CPT pain intensity for the child, but not parent/child usual pain or CPT anxiety, over and above the influence of parent and child catastrophizing about their own pain. Conclusions Child catastrophizing about parent pain is a potential vulnerability factor associated with poor pain-related outcomes in children of parents with chronic pain that should be considered in future research and clinical settings. Statement of contribution What is already known on this subject? Higher rates of pain and internalizing symptoms are observed in offspring of parents with vs. without chronic pain. Greater child and parent pain catastrophizing are associated with poorer pain-related outcomes in children. Child catastrophizing about parent chronic pain and its association with child outcomes has not been examined. What does this study add? Greater child catastrophizing about parent chronic pain is associated with greater child internalizing and CPT pain. These effects were seen beyond the association of child and parent catastrophizing about their own pain.

Langue d'origine	English
Pages (de-à)	339-357
Nombre de pages	19
Journal	British Journal of Health Psychology
Volume	25
Numéro de publication	2
DOI	https://doi.org/10.1111/bjhp.12410
Statut de publication	Published - mai 1 2020

Note bibliographique

Funding Information:
This study was funded by a CIHR Doctoral Research Award to K.S. Higgins (GSD‐140344), a Canadian Pain Society Trainee Research Award (Clinical) to K.S. Higgins, and a Nova Scotia Health Authority Research Fund Category 3 (Trainee) Award. The infrastructure for this study was provided by a Canada Foundation for Innovation grant to C.T. Chambers. Open access funds for this paper were provided by CIHR through an operating grant awarded to C.T. Chambers (FRN 167902). K. S. Higgins was supported by a Canadian Institutes of Health Research (CIHR) Doctoral Research Award and a Maritime Strategy for Patient Oriented Research (SPOR) Support Unit Student Award, as well as a Nova Scotia Health Research Foundation Scotia Support grant to C.T. Chambers, while conducting this research. C.T. Chambers is supported by a Tier 1 Canada Research Chair and CIHR. N. O. Rosen and M. Campbell‐Yeo were both supported by CIHR New Investigator Awards. S. Mohammadi was supported by a IASP John J. Bonica Post‐Doctoral Fellowship during the completion of this research. The authors would like to acknowledge the contributions of Jaimie Beveridge, Chelsea Howie, Kaitlyn MacPhee, Caitlin Murphy, Dawood Almatar, Alyssa Dickinson, Sean MacKinnon, the staff of the QEII Health Sciences Centre Pain Management Unit, and all of the families who generously contributed their time to participate in this study.

Publisher Copyright:
© 2020 The Authors. British Journal of Health Psychology published by John Wiley & Sons Ltd on behalf of British Psychological Society

ASJC Scopus Subject Areas

Applied Psychology

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10.1111/bjhp.12410

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title = "Child catastrophizing about parent chronic pain: A potential child vulnerability factor",

abstract = "Objective Robust evidence suggests children{\textquoteright}s catastrophizing about their own pain is a risk factor for poor child pain-related outcomes. In children of parents with chronic pain, child catastrophizing about their parents{\textquoteright} pain might be a unique predictor of child pain-related outcomes given their increased exposure to parental chronic pain and disability. The objective of this study was to examine associations between child and parent catastrophizing about their own and each other{\textquoteright}s pain and child and parent pain-related outcomes. Methods Seventy-two parents with chronic pain and their children (ages 8–15) completed questionnaires assessing their trait catastrophizing about their own and each other{\textquoteright}s pain, their own pain, and the child{\textquoteright}s internalizing symptoms. Children completed the cold pressor task (CPT) in the presence of their parent. Parents and children rated children{\textquoteright}s worst pain intensity and their own anxiety during the task. Analyses were guided by the Actor-Partner Interdependence Model. Results Greater child catastrophizing about parent pain was associated with children{\textquoteright}s and parents{\textquoteright} increased catastrophizing about their own pain. Child catastrophizing about parent pain was associated with greater child- and parent-reported child internalizing symptoms and greater CPT pain intensity for the child, but not parent/child usual pain or CPT anxiety, over and above the influence of parent and child catastrophizing about their own pain. Conclusions Child catastrophizing about parent pain is a potential vulnerability factor associated with poor pain-related outcomes in children of parents with chronic pain that should be considered in future research and clinical settings. Statement of contribution What is already known on this subject? Higher rates of pain and internalizing symptoms are observed in offspring of parents with vs. without chronic pain. Greater child and parent pain catastrophizing are associated with poorer pain-related outcomes in children. Child catastrophizing about parent chronic pain and its association with child outcomes has not been examined. What does this study add? Greater child catastrophizing about parent chronic pain is associated with greater child internalizing and CPT pain. These effects were seen beyond the association of child and parent catastrophizing about their own pain.",

author = "Higgins, {Kristen S.} and Chambers, {Christine T.} and Rosen, {Natalie O.} and Simon Sherry and Somayyeh Mohammadi and Lynch, {Mary E.} and Marsha Campbell-Yeo and Clark, {Alexander J.}",

note = "Funding Information: This study was funded by a CIHR Doctoral Research Award to K.S. Higgins (GSD‐140344), a Canadian Pain Society Trainee Research Award (Clinical) to K.S. Higgins, and a Nova Scotia Health Authority Research Fund Category 3 (Trainee) Award. The infrastructure for this study was provided by a Canada Foundation for Innovation grant to C.T. Chambers. Open access funds for this paper were provided by CIHR through an operating grant awarded to C.T. Chambers (FRN 167902). K. S. Higgins was supported by a Canadian Institutes of Health Research (CIHR) Doctoral Research Award and a Maritime Strategy for Patient Oriented Research (SPOR) Support Unit Student Award, as well as a Nova Scotia Health Research Foundation Scotia Support grant to C.T. Chambers, while conducting this research. C.T. Chambers is supported by a Tier 1 Canada Research Chair and CIHR. N. O. Rosen and M. Campbell‐Yeo were both supported by CIHR New Investigator Awards. S. Mohammadi was supported by a IASP John J. Bonica Post‐Doctoral Fellowship during the completion of this research. The authors would like to acknowledge the contributions of Jaimie Beveridge, Chelsea Howie, Kaitlyn MacPhee, Caitlin Murphy, Dawood Almatar, Alyssa Dickinson, Sean MacKinnon, the staff of the QEII Health Sciences Centre Pain Management Unit, and all of the families who generously contributed their time to participate in this study. Publisher Copyright: {\textcopyright} 2020 The Authors. British Journal of Health Psychology published by John Wiley & Sons Ltd on behalf of British Psychological Society",

year = "2020",

month = may,

day = "1",

doi = "10.1111/bjhp.12410",

language = "English",

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pages = "339--357",

journal = "British Journal of Health Psychology",

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T1 - Child catastrophizing about parent chronic pain

T2 - A potential child vulnerability factor

AU - Higgins, Kristen S.

AU - Chambers, Christine T.

AU - Rosen, Natalie O.

AU - Sherry, Simon

AU - Mohammadi, Somayyeh

AU - Lynch, Mary E.

AU - Campbell-Yeo, Marsha

AU - Clark, Alexander J.

N1 - Funding Information: This study was funded by a CIHR Doctoral Research Award to K.S. Higgins (GSD‐140344), a Canadian Pain Society Trainee Research Award (Clinical) to K.S. Higgins, and a Nova Scotia Health Authority Research Fund Category 3 (Trainee) Award. The infrastructure for this study was provided by a Canada Foundation for Innovation grant to C.T. Chambers. Open access funds for this paper were provided by CIHR through an operating grant awarded to C.T. Chambers (FRN 167902). K. S. Higgins was supported by a Canadian Institutes of Health Research (CIHR) Doctoral Research Award and a Maritime Strategy for Patient Oriented Research (SPOR) Support Unit Student Award, as well as a Nova Scotia Health Research Foundation Scotia Support grant to C.T. Chambers, while conducting this research. C.T. Chambers is supported by a Tier 1 Canada Research Chair and CIHR. N. O. Rosen and M. Campbell‐Yeo were both supported by CIHR New Investigator Awards. S. Mohammadi was supported by a IASP John J. Bonica Post‐Doctoral Fellowship during the completion of this research. The authors would like to acknowledge the contributions of Jaimie Beveridge, Chelsea Howie, Kaitlyn MacPhee, Caitlin Murphy, Dawood Almatar, Alyssa Dickinson, Sean MacKinnon, the staff of the QEII Health Sciences Centre Pain Management Unit, and all of the families who generously contributed their time to participate in this study. Publisher Copyright: © 2020 The Authors. British Journal of Health Psychology published by John Wiley & Sons Ltd on behalf of British Psychological Society

PY - 2020/5/1

Y1 - 2020/5/1

N2 - Objective Robust evidence suggests children’s catastrophizing about their own pain is a risk factor for poor child pain-related outcomes. In children of parents with chronic pain, child catastrophizing about their parents’ pain might be a unique predictor of child pain-related outcomes given their increased exposure to parental chronic pain and disability. The objective of this study was to examine associations between child and parent catastrophizing about their own and each other’s pain and child and parent pain-related outcomes. Methods Seventy-two parents with chronic pain and their children (ages 8–15) completed questionnaires assessing their trait catastrophizing about their own and each other’s pain, their own pain, and the child’s internalizing symptoms. Children completed the cold pressor task (CPT) in the presence of their parent. Parents and children rated children’s worst pain intensity and their own anxiety during the task. Analyses were guided by the Actor-Partner Interdependence Model. Results Greater child catastrophizing about parent pain was associated with children’s and parents’ increased catastrophizing about their own pain. Child catastrophizing about parent pain was associated with greater child- and parent-reported child internalizing symptoms and greater CPT pain intensity for the child, but not parent/child usual pain or CPT anxiety, over and above the influence of parent and child catastrophizing about their own pain. Conclusions Child catastrophizing about parent pain is a potential vulnerability factor associated with poor pain-related outcomes in children of parents with chronic pain that should be considered in future research and clinical settings. Statement of contribution What is already known on this subject? Higher rates of pain and internalizing symptoms are observed in offspring of parents with vs. without chronic pain. Greater child and parent pain catastrophizing are associated with poorer pain-related outcomes in children. Child catastrophizing about parent chronic pain and its association with child outcomes has not been examined. What does this study add? Greater child catastrophizing about parent chronic pain is associated with greater child internalizing and CPT pain. These effects were seen beyond the association of child and parent catastrophizing about their own pain.

AB - Objective Robust evidence suggests children’s catastrophizing about their own pain is a risk factor for poor child pain-related outcomes. In children of parents with chronic pain, child catastrophizing about their parents’ pain might be a unique predictor of child pain-related outcomes given their increased exposure to parental chronic pain and disability. The objective of this study was to examine associations between child and parent catastrophizing about their own and each other’s pain and child and parent pain-related outcomes. Methods Seventy-two parents with chronic pain and their children (ages 8–15) completed questionnaires assessing their trait catastrophizing about their own and each other’s pain, their own pain, and the child’s internalizing symptoms. Children completed the cold pressor task (CPT) in the presence of their parent. Parents and children rated children’s worst pain intensity and their own anxiety during the task. Analyses were guided by the Actor-Partner Interdependence Model. Results Greater child catastrophizing about parent pain was associated with children’s and parents’ increased catastrophizing about their own pain. Child catastrophizing about parent pain was associated with greater child- and parent-reported child internalizing symptoms and greater CPT pain intensity for the child, but not parent/child usual pain or CPT anxiety, over and above the influence of parent and child catastrophizing about their own pain. Conclusions Child catastrophizing about parent pain is a potential vulnerability factor associated with poor pain-related outcomes in children of parents with chronic pain that should be considered in future research and clinical settings. Statement of contribution What is already known on this subject? Higher rates of pain and internalizing symptoms are observed in offspring of parents with vs. without chronic pain. Greater child and parent pain catastrophizing are associated with poorer pain-related outcomes in children. Child catastrophizing about parent chronic pain and its association with child outcomes has not been examined. What does this study add? Greater child catastrophizing about parent chronic pain is associated with greater child internalizing and CPT pain. These effects were seen beyond the association of child and parent catastrophizing about their own pain.

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Child catastrophizing about parent chronic pain: A potential child vulnerability factor

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