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. 2012 May;43(5):953-60.
doi: 10.1016/j.jpainsymman.2011.05.009. Epub 2012 Jan 27.

Parent perceptions of child vulnerability are associated with functioning and health care use in children with chronic pain

Mark Connelly  1 , Kelly K Anthony, Laura E Schanberg
Affiliations

Parent perceptions of child vulnerability are associated with functioning and health care use in children with chronic pain

Mark Connelly et al. J Pain Symptom Manage. 2012 May.

Abstract

Context: The extent to which parent variables are associated with the level of disability experienced by children with persistent pain has been an area of increasing research.

Objectives: To evaluate the extent to which parent perceptions of their child's vulnerability are associated with functioning and health care utilization among children with persistent pain. We also evaluated whether perceptions of child vulnerability contribute to an indirect relationship between parent distress and child functioning and/or child health care utilization.

Methods: The study sample comprised 87 patients aged 6-18 years and a parent attending a chronic pain clinic. Children completed questionnaires on functional limitations, and parents completed questionnaires on parent distress, perceptions of child vulnerability, and extent of the child's pain-related health care utilization. Hierarchical regression and bootstrapping mediation analyses were used to test study hypotheses.

Results: Perceptions of child vulnerability were found to be clinically elevated in nearly half (46%) of parents/caregivers, and average child functional ability for the sample was substantially lower than healthy norms. Parent perceptions of greater child vulnerability were significantly associated with poorer child functioning and more child pain-related health care utilization regardless of child age, sex, and duration of persistent pain. Parent distress was found to be indirectly related to child health care utilization through parent perceptions of child vulnerability but directly related to child functioning.

Conclusion: Parent perceptions of child vulnerability appear important for understanding levels of child functional limitations and health care utilization among children with chronic pain.

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References

    1. Schanberg L, Anthony K, Gil K, Maurin E. Daily pain and symptoms in children with polyarticular arthritis. Arthritis Rheum. 2003;48:1390–1397. - PubMed
    1. Gutiérrez-Suárez R, Pistorio A, Cespedes C, et al. Health-related quality of life of patients with juvenile idiopathic arthritis coming from 3 different geographic areas. The PRINTO multinational quality of life cohort study. Rheumatology. 2007;46:314–320. - PubMed
    1. Malleson P, Oen K, Cabral D, et al. Predictors of pain in children with established juvenile rheumatoid arthritis. Arthritis Rheum. 2004;51:222–227. - PubMed
    1. Rapoff M, Lindsley C. The pain puzzle: a visual and conceptual metaphor for understanding and treating pain in pediatric rheumatic disease. J Rheumatol. 2000;58:29–33. - PubMed
    1. Claar R, Simons L, Logan D. Parental response to children’s pain: the moderating impact of children’s emotional distress on symptoms and disability. Pain. 2008;138:172–179. - PubMed