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Parental emotion and pain control behaviour when faced with child's pain: the emotion regulatory role of parental pain-related attention-set shifting and heart rate variability.
Pain. 2019 Feb; 160(2):322-333.PAIN

Abstract

This study investigated the moderating role of parental pain-related attention-set shifting and heart rate variability (HRV) for parental distress and pain control behaviour when faced with their child's pain. Participants were 54 schoolchildren and one of their parents. Parental HRV was assessed at study commencement followed by a cued-switching task indexing parental ability to flexibly shift attention between pain-related and neutral attentional sets. In a subsequent phase, parents observed their child perform a cold-pressor task [CPT], allowing for assessment of parental pain control behavior (indexed by latency to stop their child's CPT performance) and parental distress-assessed through self-report following observation of child CPT performance. Findings indicated that parental facilitated attentional shifting (ie, engage) towards a pain-related attentional set contributed to higher levels of pain control behaviour when faced with increasing levels of child facial display of pain. Pain control behaviour among parents who demonstrated impeded attentional shifting to a pain-related attentional set was equally pronounced regardless of low or high levels of child pain expression. Parental ability to shift attention away (ie, disengage) from a pain-related set to a neutral set did not impact findings. Results further indicated that although high levels of parental HRV buffer the impact of child facial pain display on parental emotional distress and pain control behaviour, low levels of HRV constitute a risk factor for higher levels of parental distress and pain control behaviour when faced with increased child facial pain display. Theoretical/clinical implications and further research directions are discussed.

Authors+Show Affiliations

Department of Experimental-Clinical and Health Psychology, Ghent University, Ghent, Belgium.Research Group Health Psychology, KU Leuven, Leuven, Belgium.Department of Psychology, Washington and Lee University, Lexington, VA, United States.Faculty of Health and Welfare Sciences, Østfold University College, Halden, Norway. CHTD Research Group, Division of Clinical Neuroscience, Oslo University Hospital, Oslo, Norway.Institute for Health and Behaviour, INSIDE, University of Luxembourg, Esch-sur-Alzette, Luxembourg. Department of Experimental-Clinical and Health Psychology, Ghent University, Ghent, Belgium.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

30247182

Citation

Vervoort, Tine, et al. "Parental Emotion and Pain Control Behaviour when Faced With Child's Pain: the Emotion Regulatory Role of Parental Pain-related Attention-set Shifting and Heart Rate Variability." Pain, vol. 160, no. 2, 2019, pp. 322-333.
Vervoort T, Karos K, Johnson D, et al. Parental emotion and pain control behaviour when faced with child's pain: the emotion regulatory role of parental pain-related attention-set shifting and heart rate variability. Pain. 2019;160(2):322-333.
Vervoort, T., Karos, K., Johnson, D., Sütterlin, S., & Van Ryckeghem, D. (2019). Parental emotion and pain control behaviour when faced with child's pain: the emotion regulatory role of parental pain-related attention-set shifting and heart rate variability. Pain, 160(2), 322-333. https://doi.org/10.1097/j.pain.0000000000001402
Vervoort T, et al. Parental Emotion and Pain Control Behaviour when Faced With Child's Pain: the Emotion Regulatory Role of Parental Pain-related Attention-set Shifting and Heart Rate Variability. Pain. 2019;160(2):322-333. PubMed PMID: 30247182.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Parental emotion and pain control behaviour when faced with child's pain: the emotion regulatory role of parental pain-related attention-set shifting and heart rate variability. AU - Vervoort,Tine, AU - Karos,Kai, AU - Johnson,Dan, AU - Sütterlin,Stefan, AU - Van Ryckeghem,Dimitri, PY - 2018/9/25/pubmed PY - 2019/6/27/medline PY - 2018/9/25/entrez SP - 322 EP - 333 JF - Pain JO - Pain VL - 160 IS - 2 N2 - This study investigated the moderating role of parental pain-related attention-set shifting and heart rate variability (HRV) for parental distress and pain control behaviour when faced with their child's pain. Participants were 54 schoolchildren and one of their parents. Parental HRV was assessed at study commencement followed by a cued-switching task indexing parental ability to flexibly shift attention between pain-related and neutral attentional sets. In a subsequent phase, parents observed their child perform a cold-pressor task [CPT], allowing for assessment of parental pain control behavior (indexed by latency to stop their child's CPT performance) and parental distress-assessed through self-report following observation of child CPT performance. Findings indicated that parental facilitated attentional shifting (ie, engage) towards a pain-related attentional set contributed to higher levels of pain control behaviour when faced with increasing levels of child facial display of pain. Pain control behaviour among parents who demonstrated impeded attentional shifting to a pain-related attentional set was equally pronounced regardless of low or high levels of child pain expression. Parental ability to shift attention away (ie, disengage) from a pain-related set to a neutral set did not impact findings. Results further indicated that although high levels of parental HRV buffer the impact of child facial pain display on parental emotional distress and pain control behaviour, low levels of HRV constitute a risk factor for higher levels of parental distress and pain control behaviour when faced with increased child facial pain display. Theoretical/clinical implications and further research directions are discussed. SN - 1872-6623 UR - https://www.unboundmedicine.com/medline/citation/30247182/Parental_emotion_and_pain_control_behaviour_when_faced_with_child's_pain:_the_emotion_regulatory_role_of_parental_pain_related_attention_set_shifting_and_heart_rate_variability_ L2 - https://doi.org/10.1097/j.pain.0000000000001402 DB - PRIME DP - Unbound Medicine ER -