title: [Pain-related parental behavior : Maternal and paternal responses to chronic pain of their child and modifications following inpatient interdisciplinary pain treatment].
abstract: BACKGROUND
  There is a dearth of research studies regarding the pain-related behavior of parents with children suffering from chronic pain. This study examined the pain-related reactions of mothers and fathers, analyzed changes in these reactions following the child's inpatient interdisciplinary pain treatment and identified predictors for these changes.
  
  
  METHODS
  Using validated questionnaires 40 mothers and 40 fathers of children suffering from chronic pain reported their pain-related responses and cognitive distortions at treatment commencement, immediately following therapy as well as at follow-up after 6 and 12 months.
  
  
  RESULTS
  At treatment commencement there were neither differences between maternal and paternal behavior nor in their reactions towards the sons and daughters. Immediately after treatment both parents showed increased distracting behavior and decreased solicitous behavior. Only the change in solicitous behavior showed long-term stability. The study identified the extent of parental catastrophizing at treatment commencement as well as changes in this reaction during treatment as predictors for reduction in solicitous behavior. The more parents reported catastrophizing thoughts at treatment commencement, the less they changed their solicitous behavior and strong changes in catastrophizing during treatment correlated with strong changes in solicitous reactions.
  
  
  CONCLUSIONS
  Pain-related solicitous behavior can be modified by the interdisciplinary inpatient treatment of chronic pain in children and changes in solicitous behavior seem to be closely related to parental catastrophizing. This association should be considered when dealing with parents of children with chronic pain and also within the framework of future research projects.
authors: Deutsches Kinderschmerzzentrum, Vestische Kinder- und Jugendklinik Datteln, Universität Witten/Herdecke, Dr.-Friedrich-Steiner-Str. 5, 45711, Datteln, Deutschland.|Lehrstuhl für Kinderschmerztherapie und Pädiatrische Palliativmedizin, Universität Witten/Herdecke, Datteln, Deutschland.
authors: M
authors: M
authors: Frerker
authors: Universität Trier, Fachbereich Psychologie, Abteilung für Klinische Psychologie und Psychotherapie des Kindes- und Jugendalters, Trier, Deutschland.
authors: T
authors: T
authors: Hechler
authors: Deutsches Kinderschmerzzentrum, Vestische Kinder- und Jugendklinik Datteln, Universität Witten/Herdecke, Dr.-Friedrich-Steiner-Str. 5, 45711, Datteln, Deutschland.|Lehrstuhl für Kinderschmerztherapie und Pädiatrische Palliativmedizin, Universität Witten/Herdecke, Datteln, Deutschland.
authors: P
authors: P
authors: Schmidt
authors: Deutsches Kinderschmerzzentrum, Vestische Kinder- und Jugendklinik Datteln, Universität Witten/Herdecke, Dr.-Friedrich-Steiner-Str. 5, 45711, Datteln, Deutschland. B.Zernikow@deutsches-kinderschmerzzentrum.de.|Lehrstuhl für Kinderschmerztherapie und Pädiatrische Palliativmedizin, Universität Witten/Herdecke, Datteln, Deutschland. B.Zernikow@deutsches-kinderschmerzzentrum.de.
authors: B
authors: B
authors: Zernikow
mesh_terms: D000293:Adolescent; D000328:Adult; D001288:Attention; D001521:Behavior Therapy / Q000379:methods*; D058443:Catastrophization; D002648:Child; D059350:Chronic Pain / Q000523:psychology* / Q000628:therapy*; D004505:Education, Nonprofessional / Q000379:methods; D005219:Father-Child Relations; D005260:Female; D006801:Humans; D033183:Interdisciplinary Communication; D000070516:Intersectoral Collaboration; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D009034:Mother-Child Relations; D010043:Outcome and Process Assessment, Health Care; D016487:Parenting / Q000523:psychology*; D010343:Patient Admission; D011795:Surveys and Questionnaires
keywords: Adolescents; Attention; Catastrophizing; Distraction; Therapy