Using the Parent Risk Screening Measure (PRISM) to Assess Pain-Related Risk Factors in Parents of Youth Seeking Treatment for Acute Musculoskeletal Pain.

Autor:	Holley AL; Division of Psychology, Department of Pediatrics, Oregon Health and Science University (OHSU), Portland, OR., Gaultney W; Neuroversion, Anchorage, AK., Wilson AC; Division of Psychology, Department of Pediatrics, Oregon Health and Science University (OHSU), Portland, OR.
Jazyk:	angličtina
Zdroj:	The Clinical journal of pain [Clin J Pain] 2022 Aug 01; Vol. 38 (8), pp. 520-527. Date of Electronic Publication: 2022 Aug 01.
DOI:	10.1097/AJP.0000000000001053
Abstrakt:	Objectives: The Parent Risk Screening Measure (PRISM) rapidly assesses parent distress, psychosocial function, and behaviors associated with child pain-related dysfunction in parents of youth with chronic pain. Recognizing the importance of parent pain-related cognitions and responses to pain during the acute pain period, the current study examined the utility of the PRISM in screening parents of youth with acute pain. Methods: Participants were 175 parent-youth dyads taking part in a larger study examining risk and resilience in youth with acute musculoskeletal pain. Parents completed the PRISM and a battery of measures reporting on their child's pain-related disability and cognitions and behaviors in response to their child's pain. Youth reported on their pain, pain-related disability, pain-related fear, catastrophizing, and pain self-efficacy. Results: PRISM total scores ( M =2.55, SD=2.77) were correlated with many parent and child report measures (eg, protectiveness, catastrophizing, and pain-related fear), with higher scores associated with greater symptoms. Using published PRISM cutoffs, 86.9% of parents were classified as low and 13.13% as elevated risk. t tests revealed significant differences between elevated and low-risk groups on several measures. Moreover, youth of parents in the elevated risk group were more likely to meet clinical cutoffs on pain catastrophizing and fear avoidance measures. Discussion: Findings suggest the PRISM is useful in screening for parent distress and behaviors associated with elevated pain symptomatology in a pediatric acute musculoskeletal pain sample. The important next steps are to identify the ideal time for administering the PRISM and to examine the associations among PRISM scores and pain outcomes over time. Competing Interests: This work was supported by the National Institute of Arthritis and Musculoskeletal and Skin Diseases RO1AR073186 (PI: A.L.H.), Bethesda, Maryland. The authors declare no conflict of interest. (Copyright © 2022 Wolters Kluwer Health, Inc. All rights reserved.)
Databáze:	MEDLINE
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