Liossi, Christina, White, Paul, Franck, Linda and Hatira, Popi
Parental pain expectancy as a mediator between child expected and experienced procedure-related pain intensity during painful medical procedures
Clinical Journal of Pain, 23, (5), . (doi:10.1097/AJP.0b013e31804ac00c).
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Objectives: the aim of this prospective investigation was to
evaluate child and parental expectancies as a predictor of pain
perception in pediatric oncology patients undergoing painful
Methods: forty-five children with leukemia or non-Hodgkin
lymphoma and their parents rated expected and experienced
pain during lumbar punctures at baseline, during intervention
(ie, cognitive-behavior therapy) administered by a therapist and
when children were using cognitive-behavior therapy skills
Results: parental and child expectancies were significantly
correlated. Parents consistently expected their children to
experience more pain than children were expecting themselves.
Parental expectancy was found to mediate the relationship
between child expected and experienced pain during every phase
of the study.
Discussion: it is concluded that parental expectancies are reliable
predictors of pediatric procedure-related pain and possible
useful targets for psychologic interventions to manage such
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