Parental Perceptions of Pediatric Pain and POTS-Related Disability.

Journal Article (Journal Article)

Adolescents with postural orthostatic tachycardia syndrome (POTS) often have pain and functional impairment. This study evaluated how parental attributions of children's symptoms relate to child functional impairment. Adolescents with chronic pain and clinical symptoms suggestive of autonomic dysfunction (fatigue, dizziness, nausea) that attended a multidisciplinary chronic pain clinic completed measures of depression, anxiety, and functioning (n = 141). Parents of 114 of these patients completed the Parent Pain Attribution Questionnaire (PPAQ), a measure indicating the extent they believe physical and psychosocial factors account for their child's health condition. Patients were retrospectively grouped as to whether or not they had significant POTS on tilt table testing (n = 37). Greater parental attribution to physical causes was associated with increased levels of functional disability whether patients had POTS ( r = 0.45, P = .006) or not ( r = 0.25, P = .03). These results suggest that providers should advocate a more comprehensive family-oriented rehabilitative approach to treatment.

Full Text

Duke Authors

Cited Authors

  • Keating, EM; Antiel, RM; Weiss, KE; Wallace, D; Antiel, SJ; Fischer, PR; Junghans-Rutelonis, AN; Harbeck-Weber, C

Published Date

  • November 2017

Published In

Volume / Issue

  • 56 / 13

Start / End Page

  • 1185 - 1192

PubMed ID

  • 27941082

Electronic International Standard Serial Number (EISSN)

  • 1938-2707

Digital Object Identifier (DOI)

  • 10.1177/0009922816681137


  • eng

Conference Location

  • United States