Birkinshaw, Hollie;
Williams, Amanda C de C;
Friedrich, Claire;
Lee, Charlotte;
Keogh, Edmund;
Eccleston, Christopher;
Pincus, Tamar;
(2025)
Interpersonal dyadic influences on transitions between pain states: a narrative review and synthesis.
PAIN
, 166
(9)
pp. 1974-1995.
10.1097/j.pain.0000000000003544.
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Abstract
Pain is not experienced in isolation; it is affected by and affects other people. Interactions between parents and partners and people living with pain affect beliefs, emotions and behaviours, and pain progress and change. We searched systematically for longitudinal studies of associations between specific familial, dyadic, interpersonal factors and quantitative pain transitions. We coded studies for risk of bias. For the narrative synthesis, we grouped findings by dyads - parents and children, and people with pain and their partners (usually spouses), and then by the psychosocial mechanism/s. We described certainty of evidence for each pain transition and each mechanism. Patient and public contributors were involved throughout. Of 52 studies, 38 were of parents and children (27,814 dyads) and 14 of partners (4904 dyads). Three groups of predictive factors were identified for parent and child studies: parent mental health, parent cognitions, and parent behaviours. Parental anxiety (but not depression) predicted children's onset of pain and worsening; the evidence was of moderate certainty and almost exclusively involved mothers. Evidence that some parental behaviours, such as protective behaviours, were associated with worse child pain was of very low certainty. The evidence for partners was of poor quality, precluding synthesis. The review highlights that most interpersonal pain research fails to capture the complex dynamics of longstanding relationships and highlights the difficulty of doing so using simple models.
| Type: | Article |
|---|---|
| Title: | Interpersonal dyadic influences on transitions between pain states: a narrative review and synthesis |
| Location: | United States |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1097/j.pain.0000000000003544 |
| Publisher version: | https://doi.org/10.1097/j.pain.0000000000003544 |
| Language: | English |
| Additional information: | Copyright © 2025 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the International Association for the Study of Pain. |
| Keywords: | Science & Technology, Life Sciences & Biomedicine, Anesthesiology, Clinical Neurology, Neurosciences, Neurosciences & Neurology, Pain, Transitions, Chronic pain, Psychosocial, Interpersonal, Dyadic, Parents, Partners, PEDIATRIC CHRONIC PAIN, RISK-FACTORS, PARENT PAIN, DIAGNOSTIC UNCERTAINTY, LONGITUDINAL IMPACT, CHILDRENS SYMPTOMS, POSTSURGICAL PAIN, SPOUSE CONFIDENCE, ADULT RESPONSES, ABDOMINAL-PAIN |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences > Clinical, Edu and Hlth Psychology |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10216405 |
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