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

Tine Vervoort, Kai Karos, Dan Johnson, Stefan Sütterlin, Dimitri Van Ryckeghem

Research output: Contribution to journalArticleAcademicpeer-review

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.

Original languageEnglish
Pages (from-to)322-333
Number of pages12
JournalPain
Volume160
Issue number2
DOIs
Publication statusPublished - Feb 2019

Keywords

  • ANXIETY
  • Attention-set shifting
  • COLD PRESSOR TASK
  • Children
  • ENGAGEMENT
  • EXPERIENCE
  • Emotion regulation
  • FACIAL EXPRESSION
  • FAMILY
  • Facial pain expression
  • GENUINE
  • Heart rate variability
  • MODEL
  • NERVOUS-SYSTEM
  • Parental protective behaviour
  • Parents
  • STRESS

Cite this

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title = "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",
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.",
keywords = "ANXIETY, Attention-set shifting, COLD PRESSOR TASK, Children, ENGAGEMENT, EXPERIENCE, Emotion regulation, FACIAL EXPRESSION, FAMILY, Facial pain expression, GENUINE, Heart rate variability, MODEL, NERVOUS-SYSTEM, Parental protective behaviour, Parents, STRESS",
author = "Tine Vervoort and Kai Karos and Dan Johnson and Stefan S{\"u}tterlin and {Van Ryckeghem}, Dimitri",
year = "2019",
month = "2",
doi = "10.1097/j.pain.0000000000001402",
language = "English",
volume = "160",
pages = "322--333",
journal = "Pain",
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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. / Vervoort, Tine; Karos, Kai; Johnson, Dan; Sütterlin, Stefan; Van Ryckeghem, Dimitri.

In: Pain, Vol. 160, No. 2, 02.2019, p. 322-333.

Research output: Contribution to journalArticleAcademicpeer-review

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T1 - Parental emotion and pain control behaviour when faced with child's pain

T2 - the emotion regulatory role of parental pain-related attention-set shifting and heart rate variability

AU - Vervoort, Tine

AU - Karos, Kai

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AU - Sütterlin, Stefan

AU - Van Ryckeghem, Dimitri

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AB - 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.

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KW - COLD PRESSOR TASK

KW - Children

KW - ENGAGEMENT

KW - EXPERIENCE

KW - Emotion regulation

KW - FACIAL EXPRESSION

KW - FAMILY

KW - Facial pain expression

KW - GENUINE

KW - Heart rate variability

KW - MODEL

KW - NERVOUS-SYSTEM

KW - Parental protective behaviour

KW - Parents

KW - STRESS

U2 - 10.1097/j.pain.0000000000001402

DO - 10.1097/j.pain.0000000000001402

M3 - Article

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VL - 160

SP - 322

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JO - Pain

JF - Pain

SN - 0304-3959

IS - 2

ER -