• Jordi Miró, de la VegaRocíoRa Unit for the Study and Treatment of Pain - ALGOS, Pediatric Pain Division , Tarragona , Catalonia , Spain.d Department of Rehabilitation Medicine , University of Washington , Seattle , WA , USA., Kevin J Gertz, Mark P Jensen, and Joyce M Engel.
• a Unit for the Study and Treatment of Pain - ALGOS, Pediatric Pain Division , Tarragona , Catalonia , Spain.
• Disabil Rehabil. 2019 Mar 1; 41 (6): 641-648.

PurposeFamily social support and parental solicitous responses have been hypothesised to play an important role in paediatric pain. However, research testing the hypothesised associations between these social domains and measures of adjustment to pain in youths with disabilities and chronic pain is non-existent.MethodsAbout 111 youths with physical disabilities and bothersome pain were interviewed and asked to complete measures of average pain intensity, pain interference, family social support, parent solicitous responding, and catastrophising.ResultsChildren's perceptions of pain-related solicitous responses from their parent/guardian were associated both with more pain interference and greater pain-related catastrophising; perceived social support was negatively associated with pain interference.ConclusionsThe findings provide new information regarding the role that psychosocial factors have in predicting function and adjustment, and have important implications as to how youth with physical disabilities with pain might be most effectively treated. Implications for rehabilitation Little is known about the role of perceived family social support or parental solicitous responses in the adjustment to chronic pain in young people with physical disabilities. This study provides new and important findings that have significant theoretical and practical implications that could help to understand and manage function in these patients. Results show that it matters how parents respond to their children with disabilities who have pain, and raise the possibility that interventions which target these responses may result in significant benefits for the children.

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