Publication

Offspring of parents with chronic pain

Higgins, Kristen S.
; 
Birnie, Kathryn A.
; 
Chambers, Christine T.
; 
Wilson, Anna C.
; 
Caes, Line
; 
Clark, Alexander J.
; 
Lynch, Mary
; 
Stinson, Jennifer
; 
Campbell-Yeo, Marsha
Repository DOI
Publication Date
2015-11-01
Keywords
chronic pain, parents, offspring, children, systematic review, meta-analysis, meta-ethnography, irritable-bowel-syndrome, low-back-pain, rheumatoid-arthritis, psychosocial adjustment, fibromyalgia syndrome, adolescent children, maternal depression, pregnancy outcomes, abdominal-pain, risk-factors
Type
Article
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Citation
Higgins, Kristen S. Birnie, Kathryn A.; Chambers, Christine T.; Wilson, Anna C.; Caes, Line; Clark, Alexander J.; Lynch, Mary; Stinson, Jennifer; Campbell-Yeo, Marsha (2015). Offspring of parents with chronic pain. PAIN 156 (11), 2256-2266
Abstract
Offspring of parents with chronic pain may be at risk for poorer outcomes than offspring of healthy parents. The objective of this research was to provide a comprehensive mixed-methods systematic synthesis of all available research on outcomes in offspring of parents with chronic pain. A systematic search was conducted for published articles in English examining pain, health, psychological, or family outcomes in offspring of parents with chronic pain. Fifty-nine eligible articles were identified (31 population-based, 25 clinical, 3 qualitative), including offspring from birth to adulthood and parents with varying chronic pain diagnoses (eg, mixed pain samples, arthritis). Meta-analysis was used to synthesize the results from population-based and clinical studies, while meta-ethnography was used to synthesize the results of qualitative studies. Increased pain complaints were found in offspring of mothers and of fathers with chronic pain and when both parents had chronic pain. Newborns of mothers with chronic pain were more likely to have adverse birth outcomes, including low birthweight, preterm delivery, caesarian section, intensive care admission, and mortality. Offspring of parents with chronic pain had greater externalizing and internalizing problems and poorer social competence and family outcomes. No significant differences were found on teacher-reported externalizing problems. The meta-ethnography identified 6 key concepts (developing independence, developing compassion, learning about health and coping, missing out, emotional health, and struggles communicating with parents). Across study designs, offspring of parents with chronic pain had poorer outcomes than other offspring, although the meta-ethnography noted some constructive impact of having a parent with chronic pain.
Funder
Publisher
Ovid Technologies (Wolters Kluwer Health)
Publisher DOI
10.1097/j.pain.0000000000000293
Rights
Attribution-NonCommercial-NoDerivs 3.0 Ireland
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Externally hosted open access publications with University of Galway authors (2)