Risk and Resilience in Pediatric Pain: The Roles of Parent and Adolescent Catastrophizing and Acceptance

The Clinical Journal of Pain
Amanda B FeinsteinLaura E Simons

Abstract

Both pediatric and parent pain catastrophizing and pain acceptance are key factors associated with pediatric pain outcomes; however, the interactive effects of these factors within the parent-child dyad have yet to be tested. The aims of this study were to examine: (1) the mediating role of child catastrophizing between parent catastrophizing and child outcomes (pain interference and mobility), (2) the mediating role of child acceptance between parent acceptance and child outcomes, and (3) whether child acceptance buffers the relation between parent catastrophizing and child catastrophizing, which in turn impacts child outcomes. Cross-sectional data from 324 youth with chronic pain ages 10 to 17 years (mean age=14.72, [SD=2.12]; 73.1% female; 59% Caucasian) and their parents were collected. Participants completed measures assessing pediatric Patient-Reported Outcome Measurement Information System (PROMIS) domains (mobility and pain interference), pain catastrophizing, pain acceptance, and child pain intensity. Mediation was conducted via 1000-draw bootstrap-adjusted analyses in Mplus. Parent pain catastrophizing was indirectly associated with child pain interference via child catastrophizing but was not associated with mobility...Continue Reading

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Citations

Sep 16, 2019·The Journal of Pain : Official Journal of the American Pain Society·Patricia A RichardsonRashmi P Bhandari
Nov 17, 2020·Journal of Pediatric Psychology·Shreela PalitEmily J Bartley
Jul 7, 2021·The Journal of Pain : Official Journal of the American Pain Society·Rashmi P BhandariSoumitri Sil
Aug 23, 2021·The Clinical Journal of Pain·Melanie BeeckmanLiesbet Goubert

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Methods Mentioned

BETA
Cognitive-Behavioral Therapy

Software Mentioned

Peds
PedsQL
CHOIR
PROMIS
Mplus

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