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Sex differences in the relationship between maternal fear of pain and children's conditioned pain modulation

Evans, Subhadra, Seidman, Laura C., Lung, Kirsten C., Zeltzer, Lonnie K. and Tsao, Jennie C. 2013, Sex differences in the relationship between maternal fear of pain and children's conditioned pain modulation, Journal of pain research, vol. 6, pp. 231-238, doi: 10.2147/JPR.S43172.

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Title Sex differences in the relationship between maternal fear of pain and children's conditioned pain modulation
Author(s) Evans, Subhadra
Seidman, Laura C.
Lung, Kirsten C.
Zeltzer, Lonnie K.
Tsao, Jennie C.
Journal name Journal of pain research
Volume number 6
Start page 231
End page 238
Total pages 8
Publisher Dovepress
Place of publication Macclesfield, Eng.
Publication date 2013
ISSN 1178-7090
Keyword(s) cold pressor
diffuse noxious inhibitory controls
laboratory pain
mother-child relationship
pediatric pain
pressure pain
Summary BACKGROUND: Parental behaviors, emotions, and cognitions are known to influence children's response to pain. However, prior work has not tested the association between maternal psychological factors and children's responses to a conditioned pain modulation (CPM) task. CPM refers to the reduction in perceived pain intensity for a test stimulus following application of a conditioning stimulus to a remote area of the body, and is thought to reflect the descending inhibition of nociceptive signals.

METHODS: The present study examined sex differences in the association between maternal anxiety about pain and children's CPM responses in 133 healthy children aged 8-17 years. Maternal pain anxiety was assessed using the Pain Anxiety Symptoms Scale-20. In addition to the magnitude of CPM, children's anticipatory anxiety and pain-related fear of the CPM task were measured.

RESULTS: Sequential multiple linear regression revealed that even after controlling for child age and general maternal psychological distress, greater maternal pain anxiety was significantly related to greater CPM anticipatory anxiety and pain-related fear in girls, and to less CPM (ie, less pain inhibition) in boys.

CONCLUSION: The findings indicate sex-specific relationships between maternal pain anxiety and children's responses to a CPM task over and above that accounted for by the age of the child and the mother's general psychological distress.
Language eng
DOI 10.2147/JPR.S43172
Field of Research 111499 Paediatrics and Reproductive Medicine not elsewhere classified
1103 Clinical Sciences
1115 Pharmacology And Pharmaceutical Sciences
Socio Economic Objective 920501 Child Health
HERDC Research category C1.1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2013, Evans et al.
Free to Read? Yes
Use Rights Creative Commons Attribution non-commercial licence
Persistent URL http://hdl.handle.net/10536/DRO/DU:30086943

Document type: Journal Article
Collections: School of Psychology
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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.