Role of Anxiety in Young Children’s Pain Memory Development after Surgery

Shanaya Fischer, Jillian Vinall, Maria Pavlova, Susan Graham, Abbie Jordan, Jill Chorney, Nivez Rasic, James Brookes, Monika Hoy, Warren Yunker, Melanie Noel

Research output: Contribution to journalArticle

Abstract

Pediatric pain is common, and memory for it may be distressing and have long-lasting effects. Children who develop more negatively-biased memories for pain (i.e., recalled pain is higher than initial pain report) are at risk for worse future pain outcomes. In adolescent samples, higher child and parent catastrophic thinking about pain was associated with negatively biased memories for post-surgical pain. This study examined the influence of child and parent anxiety on the development of younger children’s post-surgical pain memories. Seventy-eight children undergoing a tonsillectomy and one of their parents participated. Parents reported on their anxiety (state and trait) prior to surgery, and trained researchers observationally coded children’s anxiety at anaesthesia induction. Children reported on their post-surgical pain intensity and pain-related fear for 3 days following discharge. One month after surgery, children recalled their pain intensity and pain-related fear using the same scales previously administered. Results revealed that higher levels of post-surgical pain and higher parent trait anxiety predicted more negatively-biased memories for pain-related fear. Parent state anxiety and child preoperative anxiety were not associated with children’s recall. Children who developed negatively biased pain memories had worse post-surgical pain several days after surgery. These findings underscore the importance of reducing parental anxiety and effective post-surgical pain management to potentially buffer against the development of negatively biased pain memories in young children.
LanguageEnglish
Pages965-972
Number of pages8
JournalPain
Volume160
Issue number4
Early online date21 Dec 2018
DOIs
StatusPublished - 1 Apr 2019

Cite this

Fischer, S., Vinall, J., Pavlova, M., Graham, S., Jordan, A., Chorney, J., ... Noel, M. (2019). Role of Anxiety in Young Children’s Pain Memory Development after Surgery. Pain, 160(4), 965-972. https://doi.org/10.1097/j.pain.0000000000001473

Role of Anxiety in Young Children’s Pain Memory Development after Surgery. / Fischer, Shanaya; Vinall, Jillian; Pavlova, Maria; Graham, Susan; Jordan, Abbie; Chorney, Jill; Rasic, Nivez; Brookes, James; Hoy, Monika; Yunker, Warren; Noel, Melanie.

In: Pain, Vol. 160, No. 4, 01.04.2019, p. 965-972.

Research output: Contribution to journalArticle

Fischer, S, Vinall, J, Pavlova, M, Graham, S, Jordan, A, Chorney, J, Rasic, N, Brookes, J, Hoy, M, Yunker, W & Noel, M 2019, 'Role of Anxiety in Young Children’s Pain Memory Development after Surgery', Pain, vol. 160, no. 4, pp. 965-972. https://doi.org/10.1097/j.pain.0000000000001473
Fischer, Shanaya ; Vinall, Jillian ; Pavlova, Maria ; Graham, Susan ; Jordan, Abbie ; Chorney, Jill ; Rasic, Nivez ; Brookes, James ; Hoy, Monika ; Yunker, Warren ; Noel, Melanie. / Role of Anxiety in Young Children’s Pain Memory Development after Surgery. In: Pain. 2019 ; Vol. 160, No. 4. pp. 965-972.
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