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Cultural influences on parental responses to children's pain

Kristjansdottir, Olof LU ; McGrath, Patrick J. ; Finley, G. Allen ; Kristjansdottir, Gudrun LU ; Siripul, Pulsuk ; MacKinnon, Sean P. and Yoshida, Yoko (2018) In Pain 159(10). p.2035-2049
Abstract

There is a scarcity of work examining the relationship between culture and pain-related caregiver behaviors. Moreover, no pediatric pain studies have examined the relationship between caregiver cultural values and pain-related caregiver behaviors nor discern if this process is mediated by caregiver parenting styles and moderated by ecosocial context. Based on cross-cultural developmental theories, this study hypothesized that ecosocial context would moderate the relationship between cultural values, parenting styles, and pain-related caregiver behaviors; and that parenting styles mediate the effect of cultural values on pain-related caregiver behaviors. A cross-cultural survey design was employed using a convenience sample of 547... (More)

There is a scarcity of work examining the relationship between culture and pain-related caregiver behaviors. Moreover, no pediatric pain studies have examined the relationship between caregiver cultural values and pain-related caregiver behaviors nor discern if this process is mediated by caregiver parenting styles and moderated by ecosocial context. Based on cross-cultural developmental theories, this study hypothesized that ecosocial context would moderate the relationship between cultural values, parenting styles, and pain-related caregiver behaviors; and that parenting styles mediate the effect of cultural values on pain-related caregiver behaviors. A cross-cultural survey design was employed using a convenience sample of 547 caregivers of 6 to 12 year olds living in Canada (n 5 183), Iceland (n 5 184), and Thailand (n 5 180). Multigroup structural equation modeling showed that ecosocial context did not affect which cultural model of parenting the caregiver adopted. Parenting styles mediated the relationship between cultural values and pain-related caregiver behavior. Vertical/horizontal individualism, collectivism, and authoritative-and authoritarian-parenting styles positively predicted solicitousness. Vertical individualism and authoritarian-parenting style positively predicted discouraging behavior, whereas other predictors did not. The findings support the sociocommunication model of children's pain by showing that cultural context does affect parents' behaviors. They also corroborate with others' claims of solicitousness universality in a pediatric pain context. However, solicitousness may have different cultural meanings among individuals and may be used in conjunction with discouraging behavior. The findings from this study have implications for the theory development about culture and pediatric pain, but do not provide specific clinical recommendations.

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author
; ; ; ; ; and
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Authoritarian-parenting, Authoritative-parenting, Cultural values, Culture, Discouraging, Ecosocial context, Horizontal-vertical individualism-collectivism, Mediation, Moderation, Pain-related parental behaviors, Parenting styles, Solicitousness, Structural equation modeling
in
Pain
volume
159
issue
10
pages
15 pages
publisher
Elsevier
external identifiers
  • pmid:29905654
  • scopus:85060137975
ISSN
0304-3959
DOI
10.1097/j.pain.0000000000001289
language
English
LU publication?
no
id
c5ce6ae8-6c80-4cfc-8304-c2121e2b06ec
date added to LUP
2019-06-10 09:19:56
date last changed
2020-11-10 01:57:50
@article{c5ce6ae8-6c80-4cfc-8304-c2121e2b06ec,
  abstract     = {<p>There is a scarcity of work examining the relationship between culture and pain-related caregiver behaviors. Moreover, no pediatric pain studies have examined the relationship between caregiver cultural values and pain-related caregiver behaviors nor discern if this process is mediated by caregiver parenting styles and moderated by ecosocial context. Based on cross-cultural developmental theories, this study hypothesized that ecosocial context would moderate the relationship between cultural values, parenting styles, and pain-related caregiver behaviors; and that parenting styles mediate the effect of cultural values on pain-related caregiver behaviors. A cross-cultural survey design was employed using a convenience sample of 547 caregivers of 6 to 12 year olds living in Canada (n 5 183), Iceland (n 5 184), and Thailand (n 5 180). Multigroup structural equation modeling showed that ecosocial context did not affect which cultural model of parenting the caregiver adopted. Parenting styles mediated the relationship between cultural values and pain-related caregiver behavior. Vertical/horizontal individualism, collectivism, and authoritative-and authoritarian-parenting styles positively predicted solicitousness. Vertical individualism and authoritarian-parenting style positively predicted discouraging behavior, whereas other predictors did not. The findings support the sociocommunication model of children's pain by showing that cultural context does affect parents' behaviors. They also corroborate with others' claims of solicitousness universality in a pediatric pain context. However, solicitousness may have different cultural meanings among individuals and may be used in conjunction with discouraging behavior. The findings from this study have implications for the theory development about culture and pediatric pain, but do not provide specific clinical recommendations.</p>},
  author       = {Kristjansdottir, Olof and McGrath, Patrick J. and Finley, G. Allen and Kristjansdottir, Gudrun and Siripul, Pulsuk and MacKinnon, Sean P. and Yoshida, Yoko},
  issn         = {0304-3959},
  language     = {eng},
  number       = {10},
  pages        = {2035--2049},
  publisher    = {Elsevier},
  series       = {Pain},
  title        = {Cultural influences on parental responses to children's pain},
  url          = {http://dx.doi.org/10.1097/j.pain.0000000000001289},
  doi          = {10.1097/j.pain.0000000000001289},
  volume       = {159},
  year         = {2018},
}