Parental Perceptions of Pediatric Pain and POTS-Related Disability.
Document Type
Article
Publication Date
11-1-2017
Identifier
DOI: 10.1177/0009922816681137
Abstract
Adolescents with postural orthostatic tachycardia syndrome (POTS) often have pain and functional impairment. This study evaluated how parental attributions of children's symptoms relate to child functional impairment. Adolescents with chronic pain and clinical symptoms suggestive of autonomic dysfunction (fatigue, dizziness, nausea) that attended a multidisciplinary chronic pain clinic completed measures of depression, anxiety, and functioning (n = 141). Parents of 114 of these patients completed the Parent Pain Attribution Questionnaire (PPAQ), a measure indicating the extent they believe physical and psychosocial factors account for their child's health condition. Patients were retrospectively grouped as to whether or not they had significant POTS on tilt table testing (n = 37). Greater parental attribution to physical causes was associated with increased levels of functional disability whether patients had POTS ( r = 0.45, P = .006) or not ( r = 0.25, P = .03). These results suggest that providers should advocate a more comprehensive family-oriented rehabilitative approach to treatment.
Journal Title
Clinical pediatrics
Volume
56
Issue
13
First Page
1185
Last Page
1192
MeSH Keywords
Adolescent; Anxiety; Child; Chronic Pain; Depression; Disabled Children; Female; Humans; Male; Pain Measurement; Parent-Child Relations; Parents; Postural Orthostatic Tachycardia Syndrome; Retrospective Studies; Surveys and Questionnaires; Young Adult
Keywords
postural orthostatic tachycardia syndrome; POTS; autonomic dysfunction; child functional impairment; chronic pain; parental attributions
Recommended Citation
Keating EM, Antiel RM, Weiss KE, et al. Parental Perceptions of Pediatric Pain and POTS-Related Disability. Clin Pediatr (Phila). 2017;56(13):1185-1192. doi:10.1177/0009922816681137
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