Migren tanılı ebeveynler ve çocuklarında ağrıyla başa çıkma stratejileri arasındaki ilişki: Ergenlik dönemi odaklı bir inceleme
Year 2023,
Volume: 48 Issue: 4, 1228 - 1237, 29.12.2023
Ozan Kayar
,
Gülen Güler Aksu
,
Fevziye Toros
,
Aynur Ozge
Abstract
Amaç: Bu araştırma migren tanısı olan ebeveynlerin ve ergenlerin ağrıyla başa çıkma stratejileri arasındaki ilişki durumlarını hem nicel veriler arasındaki ilişkilerin analizi hem de destekleyici bazı nitel verilerin karşılaştırılması yoluyla incelemeyi amaçlamaktadır.
Gereç ve Yöntem: Çalışmamıza yapılan nörolojik değerlendirme sonrası migren tanısı konulan 70 ebeveyn ve ergen çocukları dahil edildi. Katılımcıların sosyodemografik verilerinin yanı sıra yaygın olarak kullandıkları ağrıyla başa çıkma yöntemleri Baş Ağrısı Anketi ile incelendi. Grupların ağrıyla başa çıkma stratejileri ise Ağrıyla Başa Çıkma Ölçeği'nin alt boyutları yoluyla ölçüldü.
Bulgular: Ebeveynler ve ergenler arasında işlevsel nitelikteki davranışsal (r=.29, p=.015) ve bilişsel başa çıkma (r=.29, p=.015) stratejilerinin kullanımı açısından olumlu yönde ve anlamlı ilişkilerin olduğu bulundu. Her iki grubun etkin olmayan atak tedavisini ve uygun olmayan analjezik kullanımını tercih etme sıklıklarına yönelik sonuçlar birbirine oldukça yakındı. Ebeveynlerin ve ergenlerin etkin olmayan tıbbi çareler arayarak başa çıkma puanları arasında rastlanan anlamlı ilişkiler, mevcut nitel verileri destekler nitelikteydi (r=.35, p=.003Sonuç: Ebeveynlerin ağrı yönetimine ilişkin bilgi ve uygulamalarının kendileriyle benzer baş ağrısı yakınmaları olan çocukları üzerinde oynadığı olası rollerin, ergenlik dönemi söz konusu olduğunda gelişimsel ve bireysel bazı hususlara bağlı olarak kendi içinde değişken nitelikte olabileceğini düşündürmektedir.
References
- Yeh WZ, Blizzard L, Taylor BV. What is the actual prevalence of migraine? Brain Behav. 2018;8:e00950..
- Wöber-Bingöl C. Epidemiology of migraine and headache in children and adolescents. Curr Pain Headache Rep. 2013;17:341.
- Burch RC, Buse DC, Lipton RB. Migraine: epidemiology, burden, and comorbidity. Neurol Clin. 2019;37:631-49.
- Lazarus RS. Coping theory and research: past, present, and future. Psychosom Med. 1993;55:234-47.
- Skinner EA, Zimmer‐Gembeck MJ. The development of coping. Annu Rev Psychol. 2007;58:119-44.
- Eccleston C, Malleson P. Managing chronic pain in children and adolescents. We need to address the embarrassing lack of data for this common problem. BMJ. 2003;326:1408-9.
- Bond DS, Buse DC, Lipton RB, Thomas JG, Rathier L, Roth J et al. Clinical pain catastrophizing in women with migraine and obesity. Headache. 2015;55:923-33.
- Seng EK, Mauser ED, Marzouk M, Patel ZS, Rosen N, Buse DC. When mom has migraine?: an observational study of the impact of parental migraine on adolescent children. Headache. 2019;59:224-34.
- Genizi J, Khourieh Matar A, Zelnik N, Schertz M, Srug I. Frequency of pediatric migraine with aura in a clinic-based sample. Headache. 2016;56:113-7.
- Hatchette JE, McGrath PJ, Murray M, Finley G. Maternal influences in adolescents' pain self‐management: a qualitative investigation. Vulnerable Child Youth Stud. 2006;1:159-69.
- Simons LE, Claar RL, Logan DL. Chronic pain in adolescence: parental responses, adolescent coping, and their impact on adolescent’s pain behaviors. J Pediatr Psychol. 2008;33:894-904.
- Wilson AC, Lewandowski AS, Palermo TM. Fear-avoidance beliefs and parental responses to pain in adolescents with chronic pain. Can J Pain. 2011;16:178-82.
- Lynch-Jordan AM, Kashikar-Zuck S, Szabova A, Goldschneider KR. The interplay of parent and adolescent catastrophizing and its impact on adolescents’ pain, functioning, and pain behavior. Clin J Pain. 2013;29:681-8.
- Skarstein S, Lagerløv P, Helseth S, Leegaard M. How do parents influence their adolescents’ use of over‐the‐counter analgesics?: a review of the current literature. J Clin Nurs. 2019;28:1451-64.
- Van Lierde, E. The social transmission of pain-related experiences: The role of observational learning (Doctorate dissertation). Ghent, Ghent University, 2019.
- Ozge A, Bugdaycı R, Saşmaz T, Kaleagasi H, Kurt Ö, Karakelle A et al. The sensitivity and specificity of the case definition criteria in diagnosis of headache: a school-based epidemiological study of 5562 children in Mersin. Cephalalgia. 2002;22:791-8.
- Kleinke CL. How chronic pain patients cope with pain?: relation to treatment outcome in a multidisciplinary pain clinic. Cogn Ther Res. 1992;16:669-85.
- Karaca S, Demir O, Aşkın R, Şimşek İ. Validity and reliability of the scale of coping with pain. 5th Turkish-German Physical Medicine and Rehabilitation Congress, 1996, Antalya.
- George D, Mallery M. IBM SPSS Statistics 26 Step by Step: A Simple Guide and Reference. New York, Routledge, 2019.
- Kayar O, Toros F, Güler Aksu G, Özge A. The role of internalizing problems on headache characteristics and pain coping strategies among adolescents diagnosed with episodic migraine. Agri. 2023;35:119-33.
- Holstein BE, Andersen A, Krølner R, Due P, Hansen EH. Young adolescents' use of medicine for headache: sources of supply, availability and accessibility at home. Pharmacoepidemiol Drug Saf. 2008;17:406-10.
- Skarstein S, Lagerløv P, Kvarme LG, Helseth S. Pain and development of identity in adolescents who frequently use over-the-counter analgesics: a qualitative study. J Clin Nurs. 2018;27:3583-91.
- Goubert L, Vlaeyen JWS, Crombez G, Craig KD. Learning about pain from others: an observational learning account. J Pain. 2011;12:167-74.
- Hermann C. Modeling, social learning in pain. In Encyclopedia of Pain (Eds GF Gebhart GF, RF Schmidt):1894-8. Berlin, Springer, 2013.
- Stone AL, Bruehl S, Smith CA, Garber J, Walker LS. Social learning pathways in the relation between parental chronic pain and daily pain severity and functional impairment in adolescents with functional abdominal pain. J Pain. 2018;159:298-305.
- Haaker J, Golkar A, Olsson A. Assessing social transmission of threats in humans using the observational fear conditioning procedure. Nat Protoc. 2017;127:1378-86.
- Akkoca Y, Yıldırım S, Inan LE. The use of the cognitive behavioral therapy for the treatment of migraine and tension type headaches. Journal of Cognitive Behavioral Psychotherapy and Research. 2015;4:10-7.
- Sullivan MJL, Martel MO, Tripp D, Savard A, Crombez G. The relation between catastrophizing and the communication of pain experience. J Pain. 2006;122:282-8.
- Sullivan MJL. The communal coping model of pain catastrophizing: clinical and research implications. Can Psychol. 2012;53:32-41.
- Huitt W, Hummel J. Piaget's theory of cognitive development. Educ Psychol. 2003;3:1-5.
- Kayar O. The role of parents and internalizing problems on pain coping strategies in adolescents diagnosed with episodic migraine (Doctorate dissertation). Mersin, Mersin University, 2020.
- Kayar O, Altinoğlu Dikmeer İ, Güler Aksu G, Toros F, Özge A. The mediating role of early maladaptive schemas on the relationship between illness perception and pain coping strategies among adolescents diagnosed with migraine. Front. Neurol. 2023;14:1128965.
Relationship between pain coping strategies in parents with migraine and their children: A study focusing on adolescence
Year 2023,
Volume: 48 Issue: 4, 1228 - 1237, 29.12.2023
Ozan Kayar
,
Gülen Güler Aksu
,
Fevziye Toros
,
Aynur Ozge
Abstract
Purpose: This study aims to scrutinize how the relationships between parents' and adolescents' coping strategies with migraine through correlational analysis of quantitative data as well as supporting qualitative information.
Materials and Methods: This research included 70 parents and their adolescent children diagnosed with migraine after neurological evaluation. Besides the sociodemographic data, the commonly used pain coping methods by participants were examined with the Headache Questionnaire. The groups' pain coping strategies were measured with the sub-dimensions of the Pain Coping Questionnaire.
Results: Positive and significant relationships were found between parents and adolescents in terms of the use of functional behavioral (r=.29, p=.015) and cognitive coping strategies (r=.29, p=.015). Both groups were similar in their frequency rates of preferring ineffective attack treatment and inappropriate analgesic usage. The significant correlations found between the scores of groups’ for coping with pain by seeking ineffective medical remedies supported our qualitative results (r=.35, p=.003). Conclusion: The possible roles of parents' knowledge and practices regarding pain management on their children with similar headache complaints may be variable in itself, depending on some developmental and individual issues with the onset of adolescence period.
References
- Yeh WZ, Blizzard L, Taylor BV. What is the actual prevalence of migraine? Brain Behav. 2018;8:e00950..
- Wöber-Bingöl C. Epidemiology of migraine and headache in children and adolescents. Curr Pain Headache Rep. 2013;17:341.
- Burch RC, Buse DC, Lipton RB. Migraine: epidemiology, burden, and comorbidity. Neurol Clin. 2019;37:631-49.
- Lazarus RS. Coping theory and research: past, present, and future. Psychosom Med. 1993;55:234-47.
- Skinner EA, Zimmer‐Gembeck MJ. The development of coping. Annu Rev Psychol. 2007;58:119-44.
- Eccleston C, Malleson P. Managing chronic pain in children and adolescents. We need to address the embarrassing lack of data for this common problem. BMJ. 2003;326:1408-9.
- Bond DS, Buse DC, Lipton RB, Thomas JG, Rathier L, Roth J et al. Clinical pain catastrophizing in women with migraine and obesity. Headache. 2015;55:923-33.
- Seng EK, Mauser ED, Marzouk M, Patel ZS, Rosen N, Buse DC. When mom has migraine?: an observational study of the impact of parental migraine on adolescent children. Headache. 2019;59:224-34.
- Genizi J, Khourieh Matar A, Zelnik N, Schertz M, Srug I. Frequency of pediatric migraine with aura in a clinic-based sample. Headache. 2016;56:113-7.
- Hatchette JE, McGrath PJ, Murray M, Finley G. Maternal influences in adolescents' pain self‐management: a qualitative investigation. Vulnerable Child Youth Stud. 2006;1:159-69.
- Simons LE, Claar RL, Logan DL. Chronic pain in adolescence: parental responses, adolescent coping, and their impact on adolescent’s pain behaviors. J Pediatr Psychol. 2008;33:894-904.
- Wilson AC, Lewandowski AS, Palermo TM. Fear-avoidance beliefs and parental responses to pain in adolescents with chronic pain. Can J Pain. 2011;16:178-82.
- Lynch-Jordan AM, Kashikar-Zuck S, Szabova A, Goldschneider KR. The interplay of parent and adolescent catastrophizing and its impact on adolescents’ pain, functioning, and pain behavior. Clin J Pain. 2013;29:681-8.
- Skarstein S, Lagerløv P, Helseth S, Leegaard M. How do parents influence their adolescents’ use of over‐the‐counter analgesics?: a review of the current literature. J Clin Nurs. 2019;28:1451-64.
- Van Lierde, E. The social transmission of pain-related experiences: The role of observational learning (Doctorate dissertation). Ghent, Ghent University, 2019.
- Ozge A, Bugdaycı R, Saşmaz T, Kaleagasi H, Kurt Ö, Karakelle A et al. The sensitivity and specificity of the case definition criteria in diagnosis of headache: a school-based epidemiological study of 5562 children in Mersin. Cephalalgia. 2002;22:791-8.
- Kleinke CL. How chronic pain patients cope with pain?: relation to treatment outcome in a multidisciplinary pain clinic. Cogn Ther Res. 1992;16:669-85.
- Karaca S, Demir O, Aşkın R, Şimşek İ. Validity and reliability of the scale of coping with pain. 5th Turkish-German Physical Medicine and Rehabilitation Congress, 1996, Antalya.
- George D, Mallery M. IBM SPSS Statistics 26 Step by Step: A Simple Guide and Reference. New York, Routledge, 2019.
- Kayar O, Toros F, Güler Aksu G, Özge A. The role of internalizing problems on headache characteristics and pain coping strategies among adolescents diagnosed with episodic migraine. Agri. 2023;35:119-33.
- Holstein BE, Andersen A, Krølner R, Due P, Hansen EH. Young adolescents' use of medicine for headache: sources of supply, availability and accessibility at home. Pharmacoepidemiol Drug Saf. 2008;17:406-10.
- Skarstein S, Lagerløv P, Kvarme LG, Helseth S. Pain and development of identity in adolescents who frequently use over-the-counter analgesics: a qualitative study. J Clin Nurs. 2018;27:3583-91.
- Goubert L, Vlaeyen JWS, Crombez G, Craig KD. Learning about pain from others: an observational learning account. J Pain. 2011;12:167-74.
- Hermann C. Modeling, social learning in pain. In Encyclopedia of Pain (Eds GF Gebhart GF, RF Schmidt):1894-8. Berlin, Springer, 2013.
- Stone AL, Bruehl S, Smith CA, Garber J, Walker LS. Social learning pathways in the relation between parental chronic pain and daily pain severity and functional impairment in adolescents with functional abdominal pain. J Pain. 2018;159:298-305.
- Haaker J, Golkar A, Olsson A. Assessing social transmission of threats in humans using the observational fear conditioning procedure. Nat Protoc. 2017;127:1378-86.
- Akkoca Y, Yıldırım S, Inan LE. The use of the cognitive behavioral therapy for the treatment of migraine and tension type headaches. Journal of Cognitive Behavioral Psychotherapy and Research. 2015;4:10-7.
- Sullivan MJL, Martel MO, Tripp D, Savard A, Crombez G. The relation between catastrophizing and the communication of pain experience. J Pain. 2006;122:282-8.
- Sullivan MJL. The communal coping model of pain catastrophizing: clinical and research implications. Can Psychol. 2012;53:32-41.
- Huitt W, Hummel J. Piaget's theory of cognitive development. Educ Psychol. 2003;3:1-5.
- Kayar O. The role of parents and internalizing problems on pain coping strategies in adolescents diagnosed with episodic migraine (Doctorate dissertation). Mersin, Mersin University, 2020.
- Kayar O, Altinoğlu Dikmeer İ, Güler Aksu G, Toros F, Özge A. The mediating role of early maladaptive schemas on the relationship between illness perception and pain coping strategies among adolescents diagnosed with migraine. Front. Neurol. 2023;14:1128965.