Illness behavior in children of chronic pain patients.
OBJECTIVE
Recent studies on pain behavior have pointed to a relationship between expression of illness in patients with chronic pain and reports of physical complaints in other family members. This article includes two related studies. The aim of the first study was to determine whether, among pain patient families, parents who exhibited higher levels of illness behavior and emotional distress were more likely to report that their children had frequent pain complaints. The aim of the second study was to assess whether children of patients with chronic pain were perceived by their parents to have more pain and illness behavior than children of non-pain parents.


METHODS
In the first study, forty-two primary caregivers in families with a parent with chronic pain completed questionnaires regarding their children's pain and illness behavior. In the second study, report of somatic complaints in children of chronic pain parents was compared to complaints in fifty-five children of parents without chronic pain.


RESULTS
Results of the first study showed that frequently reported pain in the child was associated with significantly higher levels of parent disability, pain behavior and emotional distress. Results of the second study showed that children of patients with chronic pain were reported to have more frequent abdominal pain and to use more medication than children of parents without pain.


CONCLUSIONS
The findings of these studies suggest that children of parents with chronic pain may be at risk for illness behavior, especially when the parents exhibit emotional reactions to their pain.
Jamison
R N
RN
Department of Anesthesia, Brigham & Women's Hospital, Boston, MA 02115.
Walker
L S
LS
D000328:Adult; D002652:Child Behavior; D002675:Child, Preschool; D005260:Female; D006801:Humans; D008016:Life Change Events; D008297:Male; D008875:Middle Aged; D010146:Pain / Q000209:etiology / Q000523:psychology*; D010287:Parent-Child Relations; D010290:Parents / Q000523:psychology; D013001:Somatoform Disorders / Q000209:etiology*; D013315:Stress, Psychological / Q000523:psychology