Parental Psychosocial Distress in Pediatric Sickle Cell Disease and Chronic Pain.
chronic and recurrent pain
parent psychosocial functioning
parenting stress sickle cell disease
Journal
Journal of pediatric psychology
ISSN: 1465-735X
Titre abrégé: J Pediatr Psychol
Pays: United States
ID NLM: 7801773
Informations de publication
Date de publication:
03 06 2021
03 06 2021
Historique:
received:
13
08
2020
revised:
20
11
2020
accepted:
19
12
2020
pubmed:
24
1
2021
medline:
15
10
2021
entrez:
23
1
2021
Statut:
ppublish
Résumé
Pediatric sickle cell disease (SCD) management can result in considerable caregiver distress. Parents of youth with chronic SCD pain may face the additional challenge of managing children's chronic pain and chronic illness. This study examined associations between parent psychological distress and child functioning and the moderating role of chronic pain among youth with SCD. Youth presenting to pediatric outpatient comprehensive SCD clinics and their primary caregivers completed a battery of questionnaires. Parents reported on parenting stress, parent mental and physical health, and family functioning. Children completed measures of pain characteristics, depressive symptoms, catastrophic thinking, functional disability, and quality of life. Patients (N = 73, Mage = 14.2 years, 57% female) and their caregivers (Mage = 41.1 years, 88% mothers, 88% Black) participated. Worse parent functioning was associated with worse child pain, functioning, quality of life, and depressive symptoms. Beyond the effects of SCD, chronic SCD pain magnified the negative associations between parenting stress frequency and child quality of life, parent physical health and child quality of life, and parent depressive symptoms and child depressive symptoms. Chronic pain may exacerbate the relations between parent and child functioning beyond the effects of SCD alone. The management of both SCD and chronic pain may present additional challenges for parents that limit their psychosocial functioning. Family-focused interventions to support parents and youth with chronic SCD pain are warranted to optimize health outcomes.
Sections du résumé
BACKGROUND
Pediatric sickle cell disease (SCD) management can result in considerable caregiver distress. Parents of youth with chronic SCD pain may face the additional challenge of managing children's chronic pain and chronic illness. This study examined associations between parent psychological distress and child functioning and the moderating role of chronic pain among youth with SCD.
METHODS
Youth presenting to pediatric outpatient comprehensive SCD clinics and their primary caregivers completed a battery of questionnaires. Parents reported on parenting stress, parent mental and physical health, and family functioning. Children completed measures of pain characteristics, depressive symptoms, catastrophic thinking, functional disability, and quality of life.
RESULTS
Patients (N = 73, Mage = 14.2 years, 57% female) and their caregivers (Mage = 41.1 years, 88% mothers, 88% Black) participated. Worse parent functioning was associated with worse child pain, functioning, quality of life, and depressive symptoms. Beyond the effects of SCD, chronic SCD pain magnified the negative associations between parenting stress frequency and child quality of life, parent physical health and child quality of life, and parent depressive symptoms and child depressive symptoms.
CONCLUSIONS
Chronic pain may exacerbate the relations between parent and child functioning beyond the effects of SCD alone. The management of both SCD and chronic pain may present additional challenges for parents that limit their psychosocial functioning. Family-focused interventions to support parents and youth with chronic SCD pain are warranted to optimize health outcomes.
Identifiants
pubmed: 33484135
pii: 6114718
doi: 10.1093/jpepsy/jsaa130
pmc: PMC8502425
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
557-569Subventions
Organisme : NHLBI NIH HHS
ID : K23 HL133457
Pays : United States
Organisme : NCATS NIH HHS
ID : UL1 TR000454
Pays : United States
Organisme : National Center for Advancing Translational Sciences (NCATS) of the NIH
ID : UL1TR000454
Informations de copyright
© The Author(s) 2021. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.
Références
Am J Public Health. 2009 Jul;99(7):1254-62
pubmed: 19059861
Pain. 2015 Nov;156(11):2256-2266
pubmed: 26172553
Pain. 2016 Dec;157(12):2628-2639
pubmed: 27380502
Pediatr Blood Cancer. 2019 Sep;66(9):e27823
pubmed: 31131984
Pain. 2020 Jul;161(7):1401-1419
pubmed: 32132395
J Pediatr Psychol. 1991 Feb;16(1):39-58
pubmed: 1826329
J Dev Behav Pediatr. 2001 Jun;22(3):169-78
pubmed: 11437192
J Pediatr Psychol. 2002 Jul-Aug;27(5):475-84
pubmed: 12058011
Arch Intern Med. 2006 May 22;166(10):1092-7
pubmed: 16717171
J Pain. 2010 Nov;11(11):1027-38
pubmed: 21055709
Pediatr Blood Cancer. 2018 Jul;65(7):e27027
pubmed: 29512881
Ann Med. 2001 Jul;33(5):350-7
pubmed: 11491194
Pain. 2011 Jul;152(7):1600-1607
pubmed: 21458162
Pain. 2003 Aug;104(3):639-646
pubmed: 12927636
Annu Rev Psychol. 2007;58:175-99
pubmed: 16903807
Pain. 2006 Aug;123(3):254-263
pubmed: 16644128
J Pediatr Nurs. 2016 Jan-Feb;31(1):55-63
pubmed: 26534838
Soc Work Health Care. 2006;43(1):91-109
pubmed: 16723337
Clin J Pain. 2016 Jun;32(6):527-33
pubmed: 26379074
JMIR Ment Health. 2017 Aug 10;4(3):e32
pubmed: 28798012
J Pain. 2016 Sep;17(9):963-71
pubmed: 27263990
Pain. 2005 Dec 15;119(1-3):1-4
pubmed: 16298492
Cochrane Database Syst Rev. 2012 Aug 15;(8):CD009660
pubmed: 22895990
J Child Psychol Psychiatry. 1998 Jan;39(1):29-46
pubmed: 9534085
JAMA Pediatr. 2013 Jan;167(1):93-4
pubmed: 23403868
Clin Pediatr (Phila). 2007 May;46(4):311-9
pubmed: 17475988
J Natl Med Assoc. 2006 Mar;98(3):365-9
pubmed: 16573300
J Dev Behav Pediatr. 2000 Feb;21(1):58-69
pubmed: 10706352
J Pediatr Psychol. 2008 Oct;33(9):1046-61; discussion 1062-4
pubmed: 17905801
Am J Hematol. 2011 Feb;86(2):203-5
pubmed: 21264908
Am Psychol. 2014 Feb-Mar;69(2):142-52
pubmed: 24547800
J Pediatr Hematol Oncol. 2007 Nov;29(11):752-60
pubmed: 17984693
J Pediatr Psychol. 2010 Aug;35(7):748-57
pubmed: 19914956
Pediatr Blood Cancer. 2019 Mar;66(3):e27538
pubmed: 30393948
J Pediatr Psychol. 2001 Apr-May;26(3):155-62
pubmed: 11259517
J Clin Oncol. 2008 Dec 20;26(36):5884-9
pubmed: 19029424
Pain. 2014 Nov;155(11):2360-7
pubmed: 25180013
Medicine (Baltimore). 2016 Dec;95(49):e5495
pubmed: 27930535
Psychol Psychother. 2002 Sep;75(Pt 3):251-60
pubmed: 12396752
Child Care Health Dev. 2019 May;45(3):440-447
pubmed: 30866054
J Pain. 2017 May;18(5):490-498
pubmed: 28065813
J Health Psychol. 2020 Jun 26;:1359105320935986
pubmed: 32588661
J Dev Behav Pediatr. 2010 Jan;31(1):26-34
pubmed: 20081433
Pain. 2009 Nov;146(1-2):15-7
pubmed: 19482426
J Pediatr Psychol. 2003 Jan-Feb;28(1):59-65
pubmed: 12490632
J Pediatr Psychol. 1993 Oct;18(5):549-59
pubmed: 8295079
Pediatr Blood Cancer. 2007 Jan;48(1):64-71
pubmed: 16622841
Pediatr Blood Cancer. 2013 Aug;60(8):1338-44
pubmed: 23441057
Child Care Health Dev. 2006 Jan;32(1):19-31
pubmed: 16398788
J Natl Med Assoc. 2011 Feb;103(2):131-7
pubmed: 21443065
Pain. 2004 Apr;108(3):221-229
pubmed: 15030941
Health Qual Life Outcomes. 2008 Aug 09;6:60
pubmed: 18691422
J Pediatr Psychol. 1997 Apr;22(2):149-65
pubmed: 9114640
Arch Pediatr Adolesc Med. 2002 Jun;156(6):533-9
pubmed: 12038883
Transl Behav Med. 2020 Feb 3;10(1):58-67
pubmed: 30508141
J Pediatr Hematol Oncol. 2002 Nov;24(8):643-7
pubmed: 12439036