title: The relationship between parental catastrophizing about child pain and distress in response to medical procedures in the context of childhood cancer treatment: a longitudinal analysis.
abstract: OBJECTIVE
  Children with leukemia frequently undergo invasive medical procedures, such as lumbar punctures (LPs) and bone marrow aspirations (BMAs). To date, cross-sectional evidence indicates that LP/BMA procedures continue to elicit distress over the course of treatment in children and parents.
  
  
  METHODS
  The current study used prospective analyses investigating in 28 children diagnosed with leukemia, the course of parental and child distress when confronted with consecutive LP/BMA procedures and potential moderation by catastrophic thinking. Parents' level of catastrophic thoughts was assessed before the first treatment-related LP/BMA, while child and parent distress was reported on after each LP/BMA procedure.
  
  
  RESULTS
  Whereas parental distress decreased over time among low catastrophizing parents, LP/BMA procedures remained highly distressing for high catastrophizing parents. Child distress during LP/BMA procedures increased over time and was positively related with parental distress.
  
  
  CONCLUSIONS
  These findings stress the importance of targeting child and parent distress as early as possible in treatment.
authors.affiliation: Centre for Pediatric Pain Research, IWK Health Centre, Department of Experimental-Clinical and Health Psychology, Ghent University, Department of Pediatric Oncology/Hematology and Stem Cell Transplantation, Ghent University Hospital, and Faculty of Medicine and Health Science, Ghent University line.caes@outlook.com.
authors.forename: Line
authors.initials: L
authors.lastname: Caes
authors.affiliation: Centre for Pediatric Pain Research, IWK Health Centre, Department of Experimental-Clinical and Health Psychology, Ghent University, Department of Pediatric Oncology/Hematology and Stem Cell Transplantation, Ghent University Hospital, and Faculty of Medicine and Health Science, Ghent University.
authors.forename: Liesbet
authors.initials: L
authors.lastname: Goubert
authors.affiliation: Centre for Pediatric Pain Research, IWK Health Centre, Department of Experimental-Clinical and Health Psychology, Ghent University, Department of Pediatric Oncology/Hematology and Stem Cell Transplantation, Ghent University Hospital, and Faculty of Medicine and Health Science, Ghent University.
authors.forename: Patricia
authors.initials: P
authors.lastname: Devos
authors.affiliation: Centre for Pediatric Pain Research, IWK Health Centre, Department of Experimental-Clinical and Health Psychology, Ghent University, Department of Pediatric Oncology/Hematology and Stem Cell Transplantation, Ghent University Hospital, and Faculty of Medicine and Health Science, Ghent University.
authors.forename: Joris
authors.initials: J
authors.lastname: Verlooy
authors.affiliation: Centre for Pediatric Pain Research, IWK Health Centre, Department of Experimental-Clinical and Health Psychology, Ghent University, Department of Pediatric Oncology/Hematology and Stem Cell Transplantation, Ghent University Hospital, and Faculty of Medicine and Health Science, Ghent UniversityCentre for Pediatric Pain Research, IWK Health Centre, Department of Experimental-Clinical and Health Psychology, Ghent University, Department of Pediatric Oncology/Hematology and Stem Cell Transplantation, Ghent University Hospital, and Faculty of Medicine and Health Science, Ghent University.
authors.forename: Yves
authors.initials: Y
authors.lastname: Benoit
authors.affiliation: Centre for Pediatric Pain Research, IWK Health Centre, Department of Experimental-Clinical and Health Psychology, Ghent University, Department of Pediatric Oncology/Hematology and Stem Cell Transplantation, Ghent University Hospital, and Faculty of Medicine and Health Science, Ghent University.
authors.forename: Tine
authors.initials: T
authors.lastname: Vervoort
mesh_terms: D000293:Adolescent; D000328:Adult; D058443:Catastrophization / Q000523:psychology*; D002648:Child; D002675:Child, Preschool; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D007223:Infant; D007938:Leukemia / Q000523:psychology*; D008297:Male; D008875:Middle Aged; D010146:Pain / Q000523:psychology*; D010287:Parent-Child Relations; D010290:Parents / Q000523:psychology*; D011446:Prospective Studies; D013129:Spinal Puncture / Q000523:psychology; D013315:Stress, Psychological / Q000523:psychology*; D055815:Young Adult
keywords: children; hematology; longitudinal research; pain; parent stress