Chronic pain is a common problem across adulthood. Many adults with chronic pain are raising children in the context of coping with their own pain condition. Little is known about the impact of having chronic pain on parenting behaviors despite their importance for understanding potential interpersonal mechanisms that contribute to the intergenerational transmission of pain. The present study utilizes a qualitative approach to examine pain impact on parenting practices among adults with chronic pain. Participants included 58 biological parents (89.5% mothers) recruited as part of an ongoing longitudinal study of family risk for chronic pain. Parents were receiving specialty care for chronic musculoskeletal, headache, or abdominal pain and had a child between 11 and 15 years of age. Parents participated in individual, scripted interviews designed to elicit their perspectives on being a parent with chronic pain (i.e., “Does your pain impact your approach to parenting, and if so, how?”). Interviews were videotaped and responses were subsequently coded for content independently by three trained raters using qualitative content analysis. Data were coded according to the study objectives and were organized into categories that reflected the emerging themes regarding the impact of pain on parenting across cognitive, emotional, and behavioral domains. Thematic analysis revealed five major areas of impact: involvement in parenting activities (86%), child’s physical activity participation (63%), impatience with children (40%), guilt/disappointment in parenting skills (37%), and inconsistent discipline (28%). Most parents (77%) reported pain impact across multiple domains; only one parent reported no impact. Preliminary qualitative findings demonstrate that the impact of pain on typical parenting practices is multidimensional and provides a more comprehensive understanding of the pain experience for caregivers. Such knowledge may help inform approaches to treatment for adults with chronic pain who are parents, as well as provide targets for preventative interventions for their at-risk children. Chronic pain is a common problem across adulthood. Many adults with chronic pain are raising children in the context of coping with their own pain condition. Little is known about the impact of having chronic pain on parenting behaviors despite their importance for understanding potential interpersonal mechanisms that contribute to the intergenerational transmission of pain. The present study utilizes a qualitative approach to examine pain impact on parenting practices among adults with chronic pain. Participants included 58 biological parents (89.5% mothers) recruited as part of an ongoing longitudinal study of family risk for chronic pain. Parents were receiving specialty care for chronic musculoskeletal, headache, or abdominal pain and had a child between 11 and 15 years of age. Parents participated in individual, scripted interviews designed to elicit their perspectives on being a parent with chronic pain (i.e., “Does your pain impact your approach to parenting, and if so, how?”). Interviews were videotaped and responses were subsequently coded for content independently by three trained raters using qualitative content analysis. Data were coded according to the study objectives and were organized into categories that reflected the emerging themes regarding the impact of pain on parenting across cognitive, emotional, and behavioral domains. Thematic analysis revealed five major areas of impact: involvement in parenting activities (86%), child’s physical activity participation (63%), impatience with children (40%), guilt/disappointment in parenting skills (37%), and inconsistent discipline (28%). Most parents (77%) reported pain impact across multiple domains; only one parent reported no impact. Preliminary qualitative findings demonstrate that the impact of pain on typical parenting practices is multidimensional and provides a more comprehensive understanding of the pain experience for caregivers. Such knowledge may help inform approaches to treatment for adults with chronic pain who are parents, as well as provide targets for preventative interventions for their at-risk children.
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