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Abstract(s)
Este estudo teve como objetivo principal analisar se os pais são bons informadores acerca da dor dos filhos adolescentes e sobre as suas estratégias de coping, assim como explorar as crenças de catastrofização parental sobre a dor dos filhos e a associação entre estas crenças e a dor e crença de catatrofização experienciadas pelos filhos com dor crónica.
A amostra total abrangeu 36 jovens, com diagnóstico de dor crónica e com idades compreendidas entre os 12 e os 19 anos (M=15,56; DP=2,02), e os seus pais (30 mães, 4 pais, e 2 familiares identificados como principais cuidadores). A recolha de dados teve lugar na consulta de reumatologia do Hospital de Santa Maria. Os jovens e os pais avaliaram a intensidade da dor através da Escala Visual Analógica de Dor (VAS), preencheram o Questionário de Coping na Dor (PCQ), a versão para os jovens e a versão para os pais, e a Escala de Catastrofização da Dor (PCS), a versão para os jovens e a versão para os pais.
As autoavaliações dos jovens e as avaliações dos pais acerca da dor demonstraram-se consistentes. Os relatos dos jovens e os relatos parentais acerca das estratégias de coping revelaram-se consistentes na maioria das escalas, à exceção do Evitamento Focado na Emoção e subescala Internalização, com os pais a sobrestimar o uso destas estratégias relativamente à autoavaliação dos jovens. Quanto à catastrofização da dor, a catastrofização parental acerca da dor dos filhos demonstrou-se significativamente mais elevada do que a catastrofização da dor reportada pelos jovens, sendo ainda observadas associações positivas entre a catatrofização parental e a Magnificação dos filhos.
Os resultados sustentam a importância de uma abordagem multi-informantes na avaliação da dor adolescente, integrando a perspetiva dos pais sobre a dor e as crenças parentais de catastrofização relativas à dor dos filhos.
The main goal of this study was to analyze whether the parents are good informants of their chidren’s pain and their coping strategies, as well exploring the beliefs of parental catastrophizing about the children’s pain and the association between these beliefs with the pain and catastrophizing experienced by children with chronic pain. The total sample included 36 adolescents, diagnosed with chronic pain and aged between 12 and 19 years (M=15,56; DP=2,02), and their parents (30 mothers, 4 fathers, 2 family members identified as principal caregivers). Data was collected in the rheumatology consultation of the Hospital Santa Maria. The adolescents and their parents evaluated the intensity of the pain by the Visual Analogue Scale (VAS), filled in the Pain Coping Questionnaire (PCQ), the adolescent’s version and the parent’s version, and Pain Catastrophizing Scale (PCS), the adolescent’s version and the parent’s version. The evaluation of adolescents were consistent with the evaluation of parents about the intensity of adolescent’s pain. The reports of the adolescents and the parents about the coping strategies were also mostly consistent, with the exception of the emotion-focused avoidance and the internalizing subscale, with parents overestimating the use of these strategies when compared with the adolescents self-report. About the pain catastrophizing, parental catastrophizing about the children’s pain demonstrated to be significantly higher than catastrophizing pain reported by adolescents. Positive associations between parental catastrophizing and adolescent’s Magnification are still observed. The results support the importance of a multi-informant approach in the evaluation of adolescent pain, integrating parent’s perspective about their child’s pain and their catastrophizing beliefs about pain.
The main goal of this study was to analyze whether the parents are good informants of their chidren’s pain and their coping strategies, as well exploring the beliefs of parental catastrophizing about the children’s pain and the association between these beliefs with the pain and catastrophizing experienced by children with chronic pain. The total sample included 36 adolescents, diagnosed with chronic pain and aged between 12 and 19 years (M=15,56; DP=2,02), and their parents (30 mothers, 4 fathers, 2 family members identified as principal caregivers). Data was collected in the rheumatology consultation of the Hospital Santa Maria. The adolescents and their parents evaluated the intensity of the pain by the Visual Analogue Scale (VAS), filled in the Pain Coping Questionnaire (PCQ), the adolescent’s version and the parent’s version, and Pain Catastrophizing Scale (PCS), the adolescent’s version and the parent’s version. The evaluation of adolescents were consistent with the evaluation of parents about the intensity of adolescent’s pain. The reports of the adolescents and the parents about the coping strategies were also mostly consistent, with the exception of the emotion-focused avoidance and the internalizing subscale, with parents overestimating the use of these strategies when compared with the adolescents self-report. About the pain catastrophizing, parental catastrophizing about the children’s pain demonstrated to be significantly higher than catastrophizing pain reported by adolescents. Positive associations between parental catastrophizing and adolescent’s Magnification are still observed. The results support the importance of a multi-informant approach in the evaluation of adolescent pain, integrating parent’s perspective about their child’s pain and their catastrophizing beliefs about pain.
Description
Tese de mestrado, Psicologia (Secção de Psicologia Clínica e da Saúde, Núcleo de Psicologia Clínica da Saúde e da Doença), Universidade de Lisboa, Faculdade de Psicologia, 2015
Keywords
Dor crónica Coping Adolescentes Pais Teses de mestrado - 2015