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Emotion regulatory function of parent attention to child pain and associated implications for parental pain control behaviour.
Pain. 2014 Aug; 155(8):1453-1463.PAIN

Abstract

We investigated the function of parental attention to child pain in regulating parental distress and pain control behaviour when observing their child performing a painful (cold pressor) task (CPT); we also studied the moderating role of parental state anxiety. Participants were 62 schoolchildren and one of their parents. Parental attention towards or away from child pain (ie, attend to pain vs avoid pain) was experimentally manipulated during a viewing task pairing unfamiliar children's neutral and pain faces. Before and after the viewing task, parental distress regulation was assessed by heart rate (HR) and heart rate variability (HRV). In a subsequent phase, parents observed their own child perform a CPT task, allowing assessment of parental pain control behaviour (indexed by latency to stop their child's CPT performance) and parental distress, which was assessed via self-report before and after observation of child CPT performance. Eye tracking during the viewing task and self-reported attention to own child's pain confirmed successful attention manipulation. Further, findings indicated that the effect of attentional strategy on parental emotion regulation (indexed by HR, self-report) and pain control behaviour depended on parents' state anxiety. Specifically, whereas low anxious parents reported more distress and demonstrated more pain control behaviour in the Attend to Pain condition, high anxious parents reported more distress and showed more pain control behaviour in the Avoid Pain condition. This inverse pattern was likewise apparent in physiological distress indices (HR) in response to the initial viewing task. Theoretical/clinical implications and further research directions are discussed.

Authors+Show Affiliations

Department of Experimental-Clinical and Health Psychology, Ghent University, Belgium Department of Clinical Health Psychology, University of North Texas, Denton, TX, USA Department of Psychology, Lillehammer University College, Lillehammer, Norway Research Group Health Psychology, University of Leuven, Belgium Centre for Pediatric Pain Research, IWK Health Centre, Halifax, Nova Scotia, Canada Swiss Center for Affective Sciences, Geneva University, Switzerland.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

24769189

Citation

Vervoort, Tine, et al. "Emotion Regulatory Function of Parent Attention to Child Pain and Associated Implications for Parental Pain Control Behaviour." Pain, vol. 155, no. 8, 2014, pp. 1453-1463.
Vervoort T, Trost Z, Sütterlin S, et al. Emotion regulatory function of parent attention to child pain and associated implications for parental pain control behaviour. Pain. 2014;155(8):1453-1463.
Vervoort, T., Trost, Z., Sütterlin, S., Caes, L., & Moors, A. (2014). Emotion regulatory function of parent attention to child pain and associated implications for parental pain control behaviour. Pain, 155(8), 1453-1463. https://doi.org/10.1016/j.pain.2014.04.015
Vervoort T, et al. Emotion Regulatory Function of Parent Attention to Child Pain and Associated Implications for Parental Pain Control Behaviour. Pain. 2014;155(8):1453-1463. PubMed PMID: 24769189.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Emotion regulatory function of parent attention to child pain and associated implications for parental pain control behaviour. AU - Vervoort,Tine, AU - Trost,Zina, AU - Sütterlin,Stefan, AU - Caes,Line, AU - Moors,Agnes, Y1 - 2014/04/21/ PY - 2014/01/13/received PY - 2014/04/01/revised PY - 2014/04/14/accepted PY - 2014/4/29/entrez PY - 2014/4/29/pubmed PY - 2015/10/8/medline KW - Attention KW - Children KW - Emotion regulation KW - Eye movement KW - Facial pain expression KW - Parental protective behaviour KW - Parents SP - 1453 EP - 1463 JF - Pain JO - Pain VL - 155 IS - 8 N2 - We investigated the function of parental attention to child pain in regulating parental distress and pain control behaviour when observing their child performing a painful (cold pressor) task (CPT); we also studied the moderating role of parental state anxiety. Participants were 62 schoolchildren and one of their parents. Parental attention towards or away from child pain (ie, attend to pain vs avoid pain) was experimentally manipulated during a viewing task pairing unfamiliar children's neutral and pain faces. Before and after the viewing task, parental distress regulation was assessed by heart rate (HR) and heart rate variability (HRV). In a subsequent phase, parents observed their own child perform a CPT task, allowing assessment of parental pain control behaviour (indexed by latency to stop their child's CPT performance) and parental distress, which was assessed via self-report before and after observation of child CPT performance. Eye tracking during the viewing task and self-reported attention to own child's pain confirmed successful attention manipulation. Further, findings indicated that the effect of attentional strategy on parental emotion regulation (indexed by HR, self-report) and pain control behaviour depended on parents' state anxiety. Specifically, whereas low anxious parents reported more distress and demonstrated more pain control behaviour in the Attend to Pain condition, high anxious parents reported more distress and showed more pain control behaviour in the Avoid Pain condition. This inverse pattern was likewise apparent in physiological distress indices (HR) in response to the initial viewing task. Theoretical/clinical implications and further research directions are discussed. SN - 1872-6623 UR - https://www.unboundmedicine.com/medline/citation/24769189/Emotion_regulatory_function_of_parent_attention_to_child_pain_and_associated_implications_for_parental_pain_control_behaviour_ L2 - https://linkinghub.elsevier.com/retrieve/pii/00006396-201408000-00009 DB - PRIME DP - Unbound Medicine ER -