Parental Response to Children's Chronic Pain.

Journal: Cureus

Volume: 15

Issue: 5

Year of Publication: 

Affiliated Institutions:  Epidemiology and Public Health/Cancer, Casablanca Cancer Registry, Ibn Rochd University Hospital, Casablanca, MAR. Laboratory of Medical Informatics, Hassan II University, Casablanca, MAR. Clinical Neuroscience and Mental Health Laboratory, Faculty of Dentistry, Hassan II University, Casablanca, MAR. Pediatrics, Ibn Rochd University Hospital, Casablanca, MAR. Medical School, Hassan II University, Casablanca, MAR. Clinical Neuroscience and Mental Health Laboratory, Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, MAR.

Abstract summary 

The aim of this study was to describe the behavior of Moroccan parents toward their children's chronic pain.A cross-sectional study was conducted in different hospital wards. Parents of hospitalized children with chronic pain aged six or over participated in the study. The parents' behavior toward their children's pain was assessed using an Arabic version of the Adult Responses to Children's Symptoms (ARCS) scale. The scores for each dimension were calculated by summing the responses of the items related to that dimension, and then they were normalized to obtain scores ranging from 0 to 100. The comparison of scores was performed using Student's t-test or ANOVA. The association between quantitative variables was assessed using a correlation coefficient.A total of 100 parents of children with chronic pain participated in the study. The children's average age was 10.0 ± 2.7 years. The majority of children (62%) experienced pain for more than six months. The joints were the most common location of pain (43%), followed by the abdomen (35%). The "Protect" and "Monitor" dimensions had good reliability with Cronbach's alpha coefficients of 0.80 and 0.69, respectively. The highest mean normalized scores were noted for the "Monitor" and "Protect" dimensions, with means of 82.1 and 70.8, respectively. The "Minimize" dimension had the lowest mean score of 41.4. Parental behavior was not linked to child- or pain-related characteristics. There was no difference in how mothers and fathers behaved towards their children's pain.Parents of children with chronic pain in Morocco scored higher on all dimensions of the ARCS, with the highest scores in the "protect" and "monitor" dimensions. These behaviors can negatively affect children's somatic symptoms, functional disability, and anxiety. Our study revealed the importance of providing support to both children and parents of children with chronic pain to manage the pain and related behaviors.

Authors & Co-authors:  Bendahhou Karima K Serhier Zineb Z Diouny Samir S Simou Mehdi M Mouzoun Fatima Zahra FZ Niyonsaba Adelin A Chemaou Atimad A Bennani Othmani Mohamed M

Study Outcome 

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Citations :  The revised International Association for the Study of Pain definition of pain: concepts, challenges, and compromises. Raja SN, Carr DB, Cohen M, et al. Pain. 2020;161:1976–1982.
Authors :  8
Identifiers
Doi : e39149
SSN : 2168-8184
Study Population
Fathers,Mothers
Mesh Terms
Other Terms
arcs scale;children;chronic pain;parental behaviors;pediatric pain
Study Design
Cross Sectional Study
Study Approach
,Quantitative
Country of Study
Mali
Publication Country
United States