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Elterliche Reaktionen auf kindlichen Schmerz

Analyse der elterlichen Reaktionen auf die Schmerzen ihres Kindes in der deutschen Allgemeinbevölkerung

Parental responses to children’s pain

Analysis of the parental responses to their child’s pain in the German general population

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Zusammenfassung

Hintergrund

Wenn Kinder Schmerzen haben, reagieren Eltern kognitiv-affektiv und verhaltensbezogen. Dysfunktionale Reaktionen wie elterliches Katastrophisieren können zur Chronifizierung kindlicher Schmerzen beitragen.

Ziel der Arbeit

Ziele der Online-Studie sind (1) die erstmalige psychometrische Überprüfung existierender Fragebögen zu kognitiv-affektiven (Pain Catastrophizing Scale for Parents; PCS-P) und verhaltensbezogenen Reaktionen (Inventar zum schmerzbezogenen Elternverhalten; ISEV-E) an 105 schmerzfreien Eltern, (2) der Vergleich der Reaktionen mit existierenden (inter-)nationalen klinischen und schmerzfreien Samples sowie mit 80 Eltern mit selbstberichteten chronischen Schmerzen.

Methode

Die teilnehmenden Eltern machten per Online-Fragebogen Angaben zu ihren elterlichen Reaktionen auf kindlichen Schmerz.

Ergebnisse

Die Faktoren des ISEV-E konnten nicht bestätigt werden; die Faktorenstruktur des PCS-P war replizierbar. Das elterliche Katastrophisieren der schmerzfreien Eltern war geringer als in klinischen Samples. Unterschiede zwischen schmerzfreien Eltern und Eltern mit selbstberichteten chronischen Schmerzen aus der Allgemeinbevölkerung zeigten sich nicht.

Diskussion

Die Ergebnisse bieten eine Basis zur Einordnung des elterlichen Katastrophisierens, um Risikogruppen mit starker Katastrophisierungsneigung frühzeitig zu identifizieren.

Abstract

Background

Parental reactions to their child’s pain can comprise cognitive-affective and behavioral responses. Dysfunctional responses like parental catastrophizing may lead to an aggravation of the child’s pain.

Objectives

Aims of the online-based study were (1) to psychometrically evaluate existing questionnaires into cognitive-affective (Pain Catastrophizing Scale for Parents; PCS-P) and behavioral responses (Inventar zum schmerzbezogenen Elternverhalten; ISEV-E) within a sample of 105 healthy parents, and (2) to compare their responses to existing (inter)national clinical samples and to the reactions of 80 parents with self-reported chronic pain from the general population.

Methods

The assessment of parental pain-related reactions was online-based.

Results

While the factor structure of the ISEV-E could not be replicated, the three factors of the PCS-P could be replicated. Parental catastrophizing of the healthy parents was lower compared to clinical samples. Healthy parents did not differ from parents with chronic pain from the general population.

Conclusion

The results offer a basis to grade parental catastrophizing, so that risk-groups can be identified.

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Authors and Affiliations

  1. Abteilung für Klinische Psychologie und Psychotherapie des Kindes- und Jugendalters, Universität Trier, Universitätsring 15, 54286, Trier, Deutschland

    M. K. Frerker &  T. Hechler

  2. Fakultät Wirtschafts- und Sozialwissenschaften, Hochschule Osnabrück, Osnabrück, Deutschland

    G. Hirschfeld

  3. Institut für Psychologie, Westfälische Wilhelms-Universität Münster, Münster, Deutschland

    M. T. Thielsch

Authors
  1. M. K. Frerker
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  2. G. Hirschfeld
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  3. M. T. Thielsch
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  4. T. Hechler
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Corresponding author

Correspondence to T. Hechler.

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Interessenkonflikt

M.K. Frerker, G. Hirschfeld, M.T. Thielsch und T. Hechler geben an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine von den Autoren durchgeführten Studien an Menschen oder Tieren.

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Frerker, M.K., Hirschfeld, G., Thielsch, M.T. et al. Elterliche Reaktionen auf kindlichen Schmerz. Schmerz 32, 434–441 (2018). https://doi.org/10.1007/s00482-018-0325-3

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  • DOI: https://doi.org/10.1007/s00482-018-0325-3

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