Parental Beliefs and Worries Regarding Adolescent Chronic Pain
OBJECTIVESTo explore relationships between beliefs and worries held by parents of adolescents with chronic, nondisease specific, musculoskeletal pain and (1) parental pain promoting behaviors, (2) the adolescentʼs pain-related disability, (3) family functioning, and (4) parenting stress. METHODSA re...
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| Veröffentlicht in: | The Clinical journal of pain 2009-03, Vol.25 (3), p.223-232 |
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| container_title | The Clinical journal of pain |
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| creator | Guite, Jessica W Logan, Deirdre E McCue, Rebecca Sherry, David D Rose, John B |
| description | OBJECTIVESTo explore relationships between beliefs and worries held by parents of adolescents with chronic, nondisease specific, musculoskeletal pain and (1) parental pain promoting behaviors, (2) the adolescentʼs pain-related disability, (3) family functioning, and (4) parenting stress.
METHODSA retrospective chart review was conducted for 138 adolescents with chronic musculoskeletal pain syndromes presenting at an outpatient pediatric multidisciplinary pain management clinic. Adolescents reported on pain, disability, and parental pain promoting behaviors. Parents reported on their beliefs about the cause of and their responsibility for the adolescentʼs pain, worry about the adolescentʼs physical and emotional/behavioral health, parental pain promoting behaviors, family functioning, and parenting stress.
RESULTSParental beliefs that the cause of the adolescentʼs pain was “medical only” significantly moderated the relationship between adolescent pain and disability. Adolescent disability was positively correlated with parental worry about the adolescentʼs physical, but not emotional/behavioral, health. Parental worries about both physical and emotional/behavioral health were positively correlated with parentsʼ use of pain promoting behaviors. A positive relationship between poorer family functioning and parenting stress was found to be partially mediated by parent beliefs that the adolescentʼs pain was “medical only.”
DISCUSSIONThese findings provide insight into the complex interrelationships that exist among parentsʼ beliefs and worries about adolescent pain, parental pain promoting behavior, adolescent disability, family functioning, and parenting stress that may have implications for treatment decisions made on the adolescentʼs behalf. |
| doi_str_mv | 10.1097/AJP.0b013e31818a7467 |
| format | Article |
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METHODSA retrospective chart review was conducted for 138 adolescents with chronic musculoskeletal pain syndromes presenting at an outpatient pediatric multidisciplinary pain management clinic. Adolescents reported on pain, disability, and parental pain promoting behaviors. Parents reported on their beliefs about the cause of and their responsibility for the adolescentʼs pain, worry about the adolescentʼs physical and emotional/behavioral health, parental pain promoting behaviors, family functioning, and parenting stress.
RESULTSParental beliefs that the cause of the adolescentʼs pain was “medical only” significantly moderated the relationship between adolescent pain and disability. Adolescent disability was positively correlated with parental worry about the adolescentʼs physical, but not emotional/behavioral, health. Parental worries about both physical and emotional/behavioral health were positively correlated with parentsʼ use of pain promoting behaviors. A positive relationship between poorer family functioning and parenting stress was found to be partially mediated by parent beliefs that the adolescentʼs pain was “medical only.”
DISCUSSIONThese findings provide insight into the complex interrelationships that exist among parentsʼ beliefs and worries about adolescent pain, parental pain promoting behavior, adolescent disability, family functioning, and parenting stress that may have implications for treatment decisions made on the adolescentʼs behalf.</description><identifier>ISSN: 0749-8047</identifier><identifier>EISSN: 1536-5409</identifier><identifier>DOI: 10.1097/AJP.0b013e31818a7467</identifier><identifier>PMID: 19333173</identifier><identifier>CODEN: CJPAEU</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams & Wilkins, Inc</publisher><subject>Adolescent ; Adult ; Attitude to Health ; Biological and medical sciences ; Chronic Disease ; Culture ; Disability Evaluation ; Family Health ; Female ; Fundamental and applied biological sciences. Psychology ; Humans ; Illness Behavior ; Male ; Medical sciences ; Middle Aged ; Nervous system (semeiology, syndromes) ; Nervous system as a whole ; Neurology ; Pain - physiopathology ; Pain - psychology ; Pain Measurement ; Parent-Child Relations ; Parents - psychology ; Somesthesis and somesthetic pathways (proprioception, exteroception, nociception); interoception; electrolocation. Sensory receptors ; Statistics, Nonparametric ; Stress, Physiological ; Vertebrates: nervous system and sense organs</subject><ispartof>The Clinical journal of pain, 2009-03, Vol.25 (3), p.223-232</ispartof><rights>2009 Lippincott Williams & Wilkins, Inc.</rights><rights>2009 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3808-95f316513ec0dd7260e5adda6b9d0417acfa99e49359043c97df01d15fb6be663</citedby><cites>FETCH-LOGICAL-c3808-95f316513ec0dd7260e5adda6b9d0417acfa99e49359043c97df01d15fb6be663</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=21188729$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19333173$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Guite, Jessica W</creatorcontrib><creatorcontrib>Logan, Deirdre E</creatorcontrib><creatorcontrib>McCue, Rebecca</creatorcontrib><creatorcontrib>Sherry, David D</creatorcontrib><creatorcontrib>Rose, John B</creatorcontrib><title>Parental Beliefs and Worries Regarding Adolescent Chronic Pain</title><title>The Clinical journal of pain</title><addtitle>Clin J Pain</addtitle><description>OBJECTIVESTo explore relationships between beliefs and worries held by parents of adolescents with chronic, nondisease specific, musculoskeletal pain and (1) parental pain promoting behaviors, (2) the adolescentʼs pain-related disability, (3) family functioning, and (4) parenting stress.
METHODSA retrospective chart review was conducted for 138 adolescents with chronic musculoskeletal pain syndromes presenting at an outpatient pediatric multidisciplinary pain management clinic. Adolescents reported on pain, disability, and parental pain promoting behaviors. Parents reported on their beliefs about the cause of and their responsibility for the adolescentʼs pain, worry about the adolescentʼs physical and emotional/behavioral health, parental pain promoting behaviors, family functioning, and parenting stress.
RESULTSParental beliefs that the cause of the adolescentʼs pain was “medical only” significantly moderated the relationship between adolescent pain and disability. Adolescent disability was positively correlated with parental worry about the adolescentʼs physical, but not emotional/behavioral, health. Parental worries about both physical and emotional/behavioral health were positively correlated with parentsʼ use of pain promoting behaviors. A positive relationship between poorer family functioning and parenting stress was found to be partially mediated by parent beliefs that the adolescentʼs pain was “medical only.”
DISCUSSIONThese findings provide insight into the complex interrelationships that exist among parentsʼ beliefs and worries about adolescent pain, parental pain promoting behavior, adolescent disability, family functioning, and parenting stress that may have implications for treatment decisions made on the adolescentʼs behalf.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Attitude to Health</subject><subject>Biological and medical sciences</subject><subject>Chronic Disease</subject><subject>Culture</subject><subject>Disability Evaluation</subject><subject>Family Health</subject><subject>Female</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Humans</subject><subject>Illness Behavior</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Nervous system (semeiology, syndromes)</subject><subject>Nervous system as a whole</subject><subject>Neurology</subject><subject>Pain - physiopathology</subject><subject>Pain - psychology</subject><subject>Pain Measurement</subject><subject>Parent-Child Relations</subject><subject>Parents - psychology</subject><subject>Somesthesis and somesthetic pathways (proprioception, exteroception, nociception); interoception; electrolocation. Sensory receptors</subject><subject>Statistics, Nonparametric</subject><subject>Stress, Physiological</subject><subject>Vertebrates: nervous system and sense organs</subject><issn>0749-8047</issn><issn>1536-5409</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkEtLHEEQgJugxNXkH4QwF72NVk9Pvy6BdfEVBJeQkGNT013jTtI7o927iP_eFpcIqUtRxVcPPsa-cDjlYPXZ_PvyFDrgggQ33KBulf7AZlwKVcsW7B6bgW5tbaDVB-ww5z8AXDYGPrIDboUQXIsZ-7bEROMGY3VOcaA-VziG6veU0kC5-kH3mMIw3lfzMEXKvqDVYpWmcfDVEofxE9vvMWb6vMtH7Nflxc_FdX17d3WzmN_WXhgwtZW94EqWXz2EoBsFJDEEVJ0N0HKNvkdrqbVCWmiFtzr0wAOXfac6UkocsZO3vQ9petxS3rj1UL6JEUeattkpDcaCkQVs30CfppwT9e4hDWtMz46De_Xmijf3v7cy9nW3f9utKbwP7UQV4HgHYPYY-4SjH_I_ruHcGN3Y9_tPU9xQyn_j9omSWxHGzcpBiUYWIQ2ABVGq-rVlxAt3nYT7</recordid><startdate>200903</startdate><enddate>200903</enddate><creator>Guite, Jessica W</creator><creator>Logan, Deirdre E</creator><creator>McCue, Rebecca</creator><creator>Sherry, David D</creator><creator>Rose, John B</creator><general>Lippincott Williams & Wilkins, Inc</general><general>Lippincott Williams & Wilkins</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200903</creationdate><title>Parental Beliefs and Worries Regarding Adolescent Chronic Pain</title><author>Guite, Jessica W ; Logan, Deirdre E ; McCue, Rebecca ; Sherry, David D ; Rose, John B</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3808-95f316513ec0dd7260e5adda6b9d0417acfa99e49359043c97df01d15fb6be663</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Attitude to Health</topic><topic>Biological and medical sciences</topic><topic>Chronic Disease</topic><topic>Culture</topic><topic>Disability Evaluation</topic><topic>Family Health</topic><topic>Female</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Humans</topic><topic>Illness Behavior</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Nervous system (semeiology, syndromes)</topic><topic>Nervous system as a whole</topic><topic>Neurology</topic><topic>Pain - physiopathology</topic><topic>Pain - psychology</topic><topic>Pain Measurement</topic><topic>Parent-Child Relations</topic><topic>Parents - psychology</topic><topic>Somesthesis and somesthetic pathways (proprioception, exteroception, nociception); interoception; electrolocation. Sensory receptors</topic><topic>Statistics, Nonparametric</topic><topic>Stress, Physiological</topic><topic>Vertebrates: nervous system and sense organs</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Guite, Jessica W</creatorcontrib><creatorcontrib>Logan, Deirdre E</creatorcontrib><creatorcontrib>McCue, Rebecca</creatorcontrib><creatorcontrib>Sherry, David D</creatorcontrib><creatorcontrib>Rose, John B</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Clinical journal of pain</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Guite, Jessica W</au><au>Logan, Deirdre E</au><au>McCue, Rebecca</au><au>Sherry, David D</au><au>Rose, John B</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Parental Beliefs and Worries Regarding Adolescent Chronic Pain</atitle><jtitle>The Clinical journal of pain</jtitle><addtitle>Clin J Pain</addtitle><date>2009-03</date><risdate>2009</risdate><volume>25</volume><issue>3</issue><spage>223</spage><epage>232</epage><pages>223-232</pages><issn>0749-8047</issn><eissn>1536-5409</eissn><coden>CJPAEU</coden><abstract>OBJECTIVESTo explore relationships between beliefs and worries held by parents of adolescents with chronic, nondisease specific, musculoskeletal pain and (1) parental pain promoting behaviors, (2) the adolescentʼs pain-related disability, (3) family functioning, and (4) parenting stress.
METHODSA retrospective chart review was conducted for 138 adolescents with chronic musculoskeletal pain syndromes presenting at an outpatient pediatric multidisciplinary pain management clinic. Adolescents reported on pain, disability, and parental pain promoting behaviors. Parents reported on their beliefs about the cause of and their responsibility for the adolescentʼs pain, worry about the adolescentʼs physical and emotional/behavioral health, parental pain promoting behaviors, family functioning, and parenting stress.
RESULTSParental beliefs that the cause of the adolescentʼs pain was “medical only” significantly moderated the relationship between adolescent pain and disability. Adolescent disability was positively correlated with parental worry about the adolescentʼs physical, but not emotional/behavioral, health. Parental worries about both physical and emotional/behavioral health were positively correlated with parentsʼ use of pain promoting behaviors. A positive relationship between poorer family functioning and parenting stress was found to be partially mediated by parent beliefs that the adolescentʼs pain was “medical only.”
DISCUSSIONThese findings provide insight into the complex interrelationships that exist among parentsʼ beliefs and worries about adolescent pain, parental pain promoting behavior, adolescent disability, family functioning, and parenting stress that may have implications for treatment decisions made on the adolescentʼs behalf.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams & Wilkins, Inc</pub><pmid>19333173</pmid><doi>10.1097/AJP.0b013e31818a7467</doi><tpages>10</tpages></addata></record> |
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| subjects | Adolescent Adult Attitude to Health Biological and medical sciences Chronic Disease Culture Disability Evaluation Family Health Female Fundamental and applied biological sciences. Psychology Humans Illness Behavior Male Medical sciences Middle Aged Nervous system (semeiology, syndromes) Nervous system as a whole Neurology Pain - physiopathology Pain - psychology Pain Measurement Parent-Child Relations Parents - psychology Somesthesis and somesthetic pathways (proprioception, exteroception, nociception) interoception electrolocation. Sensory receptors Statistics, Nonparametric Stress, Physiological Vertebrates: nervous system and sense organs |
| title | Parental Beliefs and Worries Regarding Adolescent Chronic Pain |
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