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Parents reliably identify pain dismissal by pediatric providers

Clinical Journal of Pain Jan 16, 2020

Igler E, et al. - As at least 1 dismissal experience is reported by nearly 40% of children and adolescents with chronic pain, with medical providers and parents as the primary and most distressing dismissers, researchers here studied parental reactions to dismissive provider-child scenarios and the influence of provider and patient gender on perceptions. An online survey was completed by community parents (N = 326). They randomized the parents to listen to 1 of 8 vignettes of a provider-child chronic pain scenario. Vignettes differed by type of scenario (appropriate vs dismissive)×provider gender×patient gender. Dismissive language in a child and provider scenario was identified by the parents consistently. Seemingly more polarization was recognized among female providers and gender-matched dyads in terms of likelihood to bring their child to the provider and belief of pain, respectively. Caution is particularly recommended for providers within these groups regarding their language when responding to pediatric chronic pain complaints.
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