Negatively biased pain memories robustly predict maladaptive pain outcomes in children. Both attention bias to pain and parental narrative style have been linked with the development of these negative biases, with previous studies indicating that how parents talk to their child about the pain might buffer the influence of children's attention bias to pain on the development of such negatively biased pain memories. This study investigated the moderating role of parental narrative style in the relation between pain-related attention and memory biases in a pediatric chronic pain sample who underwent a cold pressor task. Participants were 85 youth-parent dyads who reminisced about youth's painful event. Eye-tracking technology was used to assess youth's attention bias to pain information, whereas youth's pain-related memories were elicited 1 month later through telephone interview. Results indicated that a parental narrative style using less repetitive yes-no questions, more emotion words, and less fear words buffered the influence of high levels of youth's attention bias to pain in the development of negatively biased pain memories. Opposite effects were observed for youth with low levels of attention bias to pain. Current findings corroborate earlier results on parental reminiscing in the context of pain (memories) but stress the importance of matching narrative style with child characteristics, such as child attention bias to pain, in the development of negatively biased pain memories. Future avenues for parent-child reminiscing and clinical implications for pediatric chronic pain are discussed.

中文翻译：

---

父母的叙述风格调节了患有慢性疼痛的青少年与疼痛相关的注意力和记忆偏差之间的关系。

负向偏向的疼痛记忆可以有力地预测儿童适应不良的疼痛结果。对疼痛的注意偏差和父母的叙述风格都与这些负面偏差的发展有关，之前的研究表明，父母与孩子谈论疼痛的方式可能会缓冲儿童对疼痛的注意偏差对这种负面偏差发展的影响。带有偏见的痛苦记忆。本研究调查了接受冷加压任务的儿科慢性疼痛样本中父母叙述风格在疼痛相关注意力和记忆偏差之间关系中的调节作用。参与者是 85 名青少年父母二人组，他们回忆了青少年的痛苦经历。利用眼动追踪技术评估青少年对疼痛信息的注意力偏差，并在1个月后通过电话访谈引出青少年与疼痛相关的记忆。结果表明，父母的叙述风格使用较少重复的是非问题、更多情感词和更少恐惧词，缓冲了青少年对疼痛的高水平注意力偏差对消极偏见疼痛记忆发展的影响。对于对疼痛的注意力偏向程度较低的青少年，观察到相反的效果。目前的研究结果证实了早期关于父母在疼痛（记忆）背景下回忆的结果，但强调了将叙事风格与儿童特征相匹配的重要性，例如儿童对疼痛的注意力偏差，在消极偏见的疼痛记忆的发展中的重要性。讨论了亲子回忆的未来途径以及对儿科慢性疼痛的临床影响。