Parental chronic pain is associated with adverse outcomes in children, but the mechanisms of transmission are largely untested. Mothers with chronic pain (N = 400, M_age = 40.3 years, 90.5% White) and their children (M_age = 10.33 years, 83.3% White, 50.2% female) were recruited in 2016–2018 to test longitudinal pathways of risk transmission from maternal chronic pain to children's psychological symptoms, examining roles of parenting, maternal depression, and child distress tolerance. Maternal pain was associated with positive (β = .28) and pain-specific (β = .10) parenting behaviors. Maternal depression was associated with lower child distress tolerance (β = −.03), which was associated with greater child psychological symptoms (β = −.62). Parenting and maternal pain were not prospectively associated with child outcomes. When considering the dual-generational impacts of chronic pain, physical and psychological functioning should be examined.

中文翻译：

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产妇痛苦背景下的产妇抑郁、养育和儿童心理结局


父母的慢性疼痛与儿童的不良结局有关，但传播机制在很大程度上未经检验。2016-2018 年招募了患有慢性疼痛的母亲 （N = 400，M _年龄 = 40.3 岁，90.5% 白人） 及其孩子 （M_年龄 = 10.33 岁，83.3% 白人，50.2% 女性），以测试从孕产妇慢性疼痛到儿童心理症状的风险传递的纵向途径，研究养育、产妇抑郁和儿童痛苦容忍度的作用。产妇疼痛与积极 （β = .28） 和疼痛特异性 （β = .10） 育儿行为相关。母亲抑郁与较低的儿童痛苦容忍度 （β = −.03） 相关，这与较高的儿童心理症状相关 （β = −.62）。养育子女和产妇疼痛与儿童结局没有前瞻性相关性。在考虑慢性疼痛的两代影响时，应检查身体和心理功能。