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Article in Journal ()

Offspring of parents with chronic pain: A systematic review and meta-analysis of pain, health, psychological, and family outcomes

Citation
Higgins KS, Birnie KA, Chambers CT, Wilson AC, Caes L, Clark AJ, Lynch M, Stinson J & Campbell-Yeo M (2015) Offspring of parents with chronic pain: A systematic review and meta-analysis of pain, health, psychological, and family outcomes, Pain, 156 (11), pp. 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. © 2015 International Association for the Study of Pain.

Keywords
Chronic pain; Parents; Offspring; Children; Systematic review; Meta-analysis; Meta-ethnography

StatusPublished
AuthorsHiggins Kristen S, Birnie Kathryn A, Chambers Christine T, Wilson Anna C, Caes Line, Clark Alexander J, Lynch Mary, Stinson Jennifer, Campbell-Yeo Marsha
Publication date11/2015
Publication date online13/07/2015
Date accepted by journal02/07/2015
PublisherLippincott, Williams and Wilkins for International Association for the Study of Pain
ISSN 0304-3959
LanguageEnglish

Journal
Pain: Volume 156, Issue 11 (2015)

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