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Published on: July 4, 2018
Pain Control and Parent Mental Health Among Pediatric Inpatients
Andrew Barnes1, Ashley Tollefson2, Patricia Hickey3
1Department of Pediatrics and drbarnes@umn.edu.
Insights
Poor pain control in hospitalized children is linked to parental mental health. Higher parental anxiety and depression correlate with worse pain management for children, emphasizing the need for parental support.
Area of Science:
- Pediatric healthcare research
- Clinical psychology
- Pain management
Background:
- Inadequate pain management affects over half of hospitalized children, diminishing their quality of life.
- Understanding the interplay between child pain and parental psychological factors is crucial for improving care.
Purpose of the Study:
- To investigate the relationship between inpatient pain control and psychological factors in children and parents.
- To test hypotheses linking pain control to child executive function, parent mindfulness, and parent mental health symptoms.
Main Methods:
- Observational study involving 81 pediatric inpatients.
- Data collected on nurse-recorded pain scores, child executive function, and parental mindfulness and mental health.
- Linear mixed models used to analyze associations with pain scores over time.
Main Results:
- Pain control was significantly associated with time and baseline pain levels.
- Parental anxiety and depression were significantly related to poorer pain control in children.
- Child age, gender, and parent education were adjusted for in the analysis.
Conclusions:
- Worsening child pain control is associated with increased parental anxiety and depression.
- Highlights the critical need for mental health resources for parents of hospitalized children experiencing pain.
Objective:
Pain control remains a problem for hospitalized children, with more than half experiencing ongoing pain. Pain in turn negatively affects child quality of life. To clarify the relationship between inpatient pain control and parent and child psychological factors, we tested the hypotheses that pain control is worse in the context of higher child executive function problems, lower parent mindfulness, and higher parent mental health symptoms.
Methods:
We conducted an observational study of stable pediatric inpatients' (n = 81; mean age = 10.5 [SD 4.7]; 55% male) nurse-recorded pain scores; physical health and executive function; and parental cognitive-affective mindfulness and mental health. Linear mixed models examined associations between these variables and changes in pain scores over time, adjusting for covariates.
Results:
After adjusting for child age, child gender, and parent educational status, both time (β = -.23, P = .003) and baseline pain (β = .43, P < .001) were related to pain control. After adjusting for demographics, time, and baseline pain, both parental anxiety (β = .11, P < .001) and depression (β = .12, P < .001) were significantly related to pain control.
Conclusions:
Child pain control worsened with higher parent anxiety and depression. The results highlight the importance of offering mental health resources to distressed parents of hospitalized children in pain.
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