PTOTSurveyDisability and rehabilitation2019

The role of perceived family social support and parental solicitous responses in adjustment to bothersome pain in young people with physical disabilities.

Jordi Miró, Rocío de la Vega, Kevin J Gertz and 2 others

PMID 29130816

WHAT IT FOUND

In young people with physical disabilities and pain, parental solicitous responses were associated with more pain interference and catastrophizing.

General family support was associated with less pain interference. The protective effect of family support on catastrophizing depended on age.

Key findings

01Higher perceived parental solicitous responding was associated with greater pain-related catastrophizing.

02Greater perceived family support was associated with less pain interference, while more parental solicitous responding was associated with more pain interference.

03An age interaction emerged for catastrophizing: family support showed a non-significant positive association with catastrophizing in participants aged 14 or younger, and a non-significant negative association in those aged 15 or older.

STILL TO COME

How it was doneWhat they foundWhat it means for PTsWhat it means for OTs

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What it does not show

The study used a cross-sectional design, so it cannot establish that parental responses cause pain interference or catastrophizing. The sample was heterogeneous, including five different disability diagnoses and a wide age range (8-21), which may mask differences specific to certain conditions or developmental stages. Participants were recruited via convenience sampling (clinics, word of mouth, camps), which may limit generalizability to the broader population of youth with physical disabilities. The analysis did not control for the level of disability or assistance required for daily activities, which could influence both pain outcomes and family responses. The age moderation effect for family support and catastrophizing was exploratory and the underlying correlations were not statistically significant, requiring replication.

Declared interests

The authors declared no financial or other relationships that might lead to a conflict of interest.

The easy way to misread this

Do not conclude that reducing parental solicitousness alone will improve function. The study shows that general family support is associated with less pain interference, and the age-related findings on catastrophizing were exploratory with non-significant underlying correlations. The cross-sectional design means these are associations, not proven causal effects.

Read it on PubMed →