title: Parents' perspective of their journey caring for a child with chronic neuropathic pain.
abstract: When a child has chronic pain, it affects the parents. Their response and how it is factored into their lives and family function was the phenomenon of interest that drove this study. The available literature was sparse, especially when the pain etiology was neuropathic. The purpose of this study was to describe the parents' perception of the pain journey from the initial occurrence of their child's pain through the labyrinth of treatment options to successful outcome, to gain a better understanding of parental beliefs about pain, and to learn how parental attitudes and behaviors relate to children's response to treatment for chronic pain. Qualitative descriptive design was used to better understand the phenomenon from those who were the experts because they had experienced it. Parents whose child was enrolled in a pain rehabilitation program participated in open-ended interviews. The children/adolescents were 8-18 years old and diagnosed with complex regional pain syndrome or a related chronic pain condition. During data immersion, the investigators uncovered the pervasive underlying themes of suffering and disempowerment. In addition, the multiple meaning elements were grouped into three categories and supportive subcategories labeled as follows: parent distress, with subcategories schism in parenting, searching, and disabled parenting; and lack of control, with the subcategories family/community, fear, and empowerment. The voices of parents were heard in their description of the exhausting and difficult journey in search of pain relief for their child. Their comments provided insight into how they defined the child's pain and their related parental role.
authors.affiliation: Division of Pain Medicine, Department of Anesthesiology, Perioperative and Pain Medicine, Boston Children's Hospital; Department of Nursing, Boston Children's Hospital, Boston, Massachusetts. Electronic address: veronica.gaughan@childrens.harvard.edu.
authors.forename: Veronica
authors.initials: V
authors.lastname: Gaughan
authors.affiliation: Division of Pain Medicine, Department of Anesthesiology, Perioperative and Pain Medicine, Boston Children's Hospital; Department of Psychiatry, Boston Children's Hospital; Harvard University Medical School.
authors.forename: Deirdre
authors.initials: D
authors.lastname: Logan
authors.affiliation: Division of Pain Medicine, Department of Anesthesiology, Perioperative and Pain Medicine, Boston Children's Hospital; Harvard University Medical School.
authors.forename: Navil
authors.initials: N
authors.lastname: Sethna
authors.affiliation: Department of Nursing, Boston Children's Hospital, Boston, Massachusetts.
authors.forename: Sandra
authors.initials: S
authors.lastname: Mott
mesh_terms: D000293:Adolescent; D000328:Adult; D000342:Affective Symptoms / Q000523:psychology; D002648:Child; D059350:Chronic Pain / Q000523:psychology* / Q000534:rehabilitation; D005239:Fear / Q000523:psychology; D005260:Female; D006801:Humans; D008297:Male; D008960:Models, Psychological; D009437:Neuralgia / Q000523:psychology* / Q000534:rehabilitation; D059408:Pain Management / Q000523:psychology*; D010287:Parent-Child Relations; D010290:Parents / Q000523:psychology*; D011209:Power, Psychological; D036301:Qualitative Research; D012944:Social Support