Cited by 121Pediatric Pain Management TechniquesMusculoskeletal pain and rehabilitationPain Management and Placebo Effect

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Sex and Age Differences in Coping Styles Among Children with Chronic Pain

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Lynch, Anne M., Kashikar-Zuck, Susmita, Goldschneider, Kenneth R., Jones, Benjamin A.·2007·Journal of Pain and Symptom Management

DOI 10.1016/j.jpainsymman.2006.07.014

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Abstract

The purpose of this study was to examine sex and age differences in coping strategies among pediatric patients with chronic pain. Sex differences are reported in the adult pain and coping literatures, but little attention has been given to possible distinctions in coping styles in the pediatric chronic pain population. Investigating pain coping skills at an early age may provide clinicians with a better understanding of the evolution of characteristic coping styles and identify areas for intervention. Pain intensity (Visual Analog Scale), pain coping strategies (Pain Coping Questionnaire), and coping efficacy were assessed in children (ages 8-12 years) and adolescents (ages 13-18 years), presenting to a pediatric chronic pain clinic (n=272). Significant sex differences in coping strategies were found. After controlling for pain intensity, girls used social support seeking more than boys, while boys used more behavioral distraction techniques. Adolescents engaged in more positive self-statements (a cognitive strategy) than children. Both boys and girls showed a trend toward pain coping efficacy being negatively correlated with average pain intensity. For girls, pain coping efficacy was also significantly negatively correlated with internalizing/catastrophizing. However, no sex or age differences in coping efficacy were found. This study demonstrates the early emergence of sex- and aged-based preferences in coping strategies among children and adolescents with chronic pain. The findings establish a basis for further research on early social influences in the development of pain coping styles in males and females. Implications for further clinical research in this area are discussed.

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Authors: Lynch, A. M., Kashikar-Zuck, S., Goldschneider, K. R., & Jones, B. A.
Affiliations: Prisma Health (US)
Corresponding author: Lynch, Anne M.
ORCID: Goldschneider, Kenneth R.
Jones, Benjamin A.
Venue: Journal of Pain and Symptom Management
Publisher: Elsevier BV
Published: 2007-02
Volume: 33
Issue: 2
Pages: 208-216
ISSN: 0885-3924 (ISSN-L)
DOI: 10.1016/j.jpainsymman.2006.07.014
OpenAlex: W2073692129
Cited by: 121
References: 29
Citations by year: 2026: 4 · 2025: 3 · 2024: 11 · 2023: 2 · 2022: 6 · 2021: 3 · 2020: 2 · 2019: 8 · 2018: 10 · 2017: 1 · 2016: 8 · 2015: 8 · 2014: 11 · 2013: 7 · 2012: 5
FWCI: 6.98
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
www.elsevier.com/open-access/userlicense/1.0/ (vor, 4729 d)
Locations: Journal of Pain and Symptom Management (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
Life Sciences › Neuroscience › Cognitive Neuroscience › Pain Management and Placebo Effect
Keywords: chronic pain, pediatric chronic pain, coping strategies, sex differences, age differences, coping self-efficacy, pain intensity, social support seeking, positive self-statements, pain catastrophizing, internalizing problems, children, adolescents
MeSH terms: Adaptation, Psychological, Adolescent, Psychology, Adolescent, Age Factors, Child, Psychology, Child, Chronic Disease, Female, Humans, Male, Pain, Sex Characteristics

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Sex and Age Differences in Coping Styles Among Children with Chronic Pain

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