Reframe the Pain: A Randomized Controlled Trial of a Parent-Led Memory-Reframing Intervention

JOURNAL OF PAIN

卷:23

Article

Pavlova, Maria¹  Lund, Tatiana¹  Nania, Cara¹  Kennedy, Madison¹  Graham, Susan^2,3  Noel, Melanie⁴ 

[1] Univ Calgary, Dept Psychol, 2500 Univ Dr NW, Calgary, AB T2N 1N4, Canada

[2] Univ Calgary, Hotchkiss Brain Inst, Alberta Childrens Hosp, Owerko Ctr,Res Inst, Calgary, AB, Canada

[3] Univ Calgary, Hotchkiss Brain Inst, Alberta Childrens Hosp, Res Inst,Dept Psychol, Calgary, AB, Canada

[4] Univ Calgary, Mathison Ctr Mental Hlth Res & Educ, Alberta Childrens Hosp, Hotchkiss Brain Inst,Res Inst,Owerko Ctr,Dept Psy, Calgary, AB, Canada

关键词: Parent-child reminiscing;    memory-reframing intervention;    post-surgical pain;    pediatric pain;    memory for pain;   

DOI  :  10.1016/j.jpain.2021.08.002

来源: Elsevier

【 摘 要 】

Negatively-biased pain memories (ie, recalling more pain as compared to earlier reports) are a robust predictor of future pain experiences. This randomized controlled trial examined the efficacy of a memory-reframing intervention to reframe children's pain memories. Sixty-five children (54% girls, Mage=5.35 years) underwent a tonsillectomy and reported their levels of post-surgical pain intensity and pain-related fear. 2 weeks post-surgery, children and 1 of their parents were randomized to the memory-reframing intervention or control group. Following control/intervention instructions, parents and children reminisced about the past surgery as they normally would (control) or using the memory-reframing strategies (intervention). Children recalled their post-surgical pain intensity and pain-related fear one week later. Parents reported the intervention's acceptability. Recruitment statistics were used to assess feasibility. Controlling for initial pain intensity ratings and using the Faces Pain Scale Revised, children in the intervention group reported more accurate/positively-biased memories for day 1 post-surgery pain intensity (M = 2.60/10; 95% CI, 1.62 to 3.68), compared to children in the control group (M = 4.11/10; 95% CI, 3.12 to 5.03), hp2 = .07, p = .040. The intervention was acceptable and feasible. Optimal parent-child reminiscing about a past pain experience resulted in children remembering their pain more accurately/positively. Clinicaltrials.gov: NCT03538730. Perspective: This article presents results of the first randomized controlled trial examining the efficacy of parent-led memory-reframing intervention to change children's memories for pain. Children of parents who were taught and engaged in optimal reminiscing about a past surgery experience remembered their pain intensity more accurately/positively. (c) 2021 by United States Association for the Study of Pain, Inc.

【 授权许可】

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