Journal
JOURNAL OF PAIN
Volume 23, Issue 2, Pages 263-275Publisher
CHURCHILL LIVINGSTONE
DOI: 10.1016/j.jpain.2021.08.002
Keywords
Parent-child reminiscing; memory-reframing intervention; post-surgical pain; pediatric pain; memory for pain
Categories
Funding
- University of Calgary University Research Grants Committee Pilot Seed Grant
- Alberta Children's Hospital Foundation
- Alberta Strategy for Patient-Oriented Research Graduate Studentship
- University of Calgary Eyes High Doctoral Scholarship
- Alberta Innovates Graduate Studentship in Health Innovation
- Frederick Banting and Charles Best Canada Graduate Scholarships
- Canada Graduate Scholarship Masters Award
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The memory-reframing intervention can help children remember their pain experiences more accurately and change negative pain memories.
Negatively-biased pain memories (ie, recalling more pain as compared to earlier reports) are a robust predictor of future pain experiences. This randomized controlled trial examined the efficacy of a memory-reframing intervention to reframe children's pain memories. Sixty-five children (54% girls, Mage=5.35 years) underwent a tonsillectomy and reported their levels of post-surgical pain intensity and pain-related fear. 2 weeks post-surgery, children and 1 of their parents were randomized to the memory-reframing intervention or control group. Following control/intervention instructions, parents and children reminisced about the past surgery as they normally would (control) or using the memory-reframing strategies (intervention). Children recalled their post-surgical pain intensity and pain-related fear one week later. Parents reported the intervention's acceptability. Recruitment statistics were used to assess feasibility. Controlling for initial pain intensity ratings and using the Faces Pain Scale Revised, children in the intervention group reported more accurate/positively-biased memories for day 1 post-surgery pain intensity (M = 2.60/10; 95% CI, 1.62 to 3.68), compared to children in the control group (M = 4.11/10; 95% CI, 3.12 to 5.03), hp2 = .07, p = .040. The intervention was acceptable and feasible. Optimal parent-child reminiscing about a past pain experience resulted in children remembering their pain more accurately/positively. Clinicaltrials.gov: NCT03538730. Perspective: This article presents results of the first randomized controlled trial examining the efficacy of parent-led memory-reframing intervention to change children's memories for pain. Children of parents who were taught and engaged in optimal reminiscing about a past surgery experience remembered their pain intensity more accurately/positively. (c) 2021 by United States Association for the Study of Pain, Inc.
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