It takes two: Parent functioning within the pediatric chronic pain experience and interdisciplinary rehabilitation
Ethan Benore1, Alexandra Brenner2, Gerard A Banez1
1Pediatric Institute, Cleveland Clinic Children's.
Objectives:
The present study aims to examine relationships between parental behavior and cognition and treatment outcomes in children enrolled in an intensive interdisciplinary pain rehabilitation program.
Research Method:
670 consecutive referrals of children with chronic pain were enrolled in a clinical database registry from 2009 to 2014. Participants and their parents completed measures of physical and psychosocial functioning, and pain-related severity ratings. Data were taken at three time points: admission (N = 670), discharge (N = 504), and 6-month posttreatment (N = 110), although only complete data from 82 participants was used for final analyses.
Results:
Both children and parents alike reported significant improvement in functioning, both at discharge and 6 months posttreatment. Parent functioning showed weak to moderate associations with child functioning, with stronger correlations at 6 months posttreatment. Regression analyses demonstrated that changes in parent functioning predicted child functioning and report of pain at 6 months.
Conclusions:
Parents are an integral part of a child's pain experience and associated disability. An improvement in parent functioning in the course of chronic pain rehabilitation is linked with functional gains in the child. Future research and clinical programming should target the role of parents in pediatric chronic pain interventions in order to optimize both child and family functioning. (PsycINFO Database Record
Related Concept Videos
00:55Parental Care
01:27Parenting Styles
Authoritarian Parenting
This style is strict and controlling, with little room for open dialogue. Authoritarian parents demand obedience and often enforce rules with minimal warmth. Children raised this way may lack social skills and initiative, usually comparing themselves to others unfavorably.
Authoritative...
01:28Relationship with Parents: Attachment
01:21Interdisciplinary Care: The Health Care Team-I
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution...
01:18Interdisciplinary Care: The Health Care Team-II
Physical Therapist
A physical therapist (PT) aims to restore function or prevent additional impairment in a patient following an injury or disease. Massage, heat, cold, water, sonar waves, exercises, and electrical stimulation are some treatments used by PTs to treat...
01:23Influence of Parents and Peers on Identity
Parental Influence on Identity Development
Parents serve as primary guides and managers in an adolescent's life, offering support instrumental in decision-making and personal growth....