Too sick for school? Parent influences on school functioning among children with chronic pain
Open accessAbstract
Parental responses to children with chronic pain have been shown to influence the extent of the child's functional disability, but these associations have not been well studied in relation to children's pain-related school functioning. The current study tests the hypothesis that parental pain catastrophizing and parental protective responses to child pain influence the extent of school impairment in children with chronic pain. A mediational model was tested to determine whether parental protective behaviors serve a mediating role between parental pain catastrophizing and child school impairment. Study participants were a clinical sample of 350 children ages 8-17 years with chronic pain and their parents. Measures of pain characteristics, demographic characteristics, child depressive symptoms, school attendance rates, overall school functioning, parental pain catastrophizing, and parental protective responses to pain were collected. Results show that, controlling for the known influences of pain intensity and child depressive symptoms, parental pain catastrophizing and parental protective responses to child pain each independently predict child school attendance rates and reports of overall school impairment. Parental protectiveness was found to mediate the association between parental cognitions (i.e., parent pain catastrophizing) and child school functioning outcomes. These findings underscore the importance of intervening with parents to foster parental responses to child pain that help children engage and succeed in the school environment despite pain.
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Parental overprotective behaviour can increase distress and disability in young people with FSS.
“parental overprotective behaviour can increase distress and disability in the young [18–21]”
From Feasibility of group-based acceptance and commitment therapy for adolescents (AHEAD) with multiple functional somatic syndromes: A pilot study (2020) · cites this paper as [21]
The Results (Multivariate regression analyses; page unavailable) report that parental protective behavior predicted poorer school outcomes in children with chronic pain, supporting the disability aspect. The paper does not establish that protectiveness increases the young people’s distress; child depressive symptoms were controlled for, not reported as an outcome of protectiveness. Its study population was children with chronic pain, rather than young people with FSS generally. (LLM, conf=0.86)
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- Authors
- Logan, D. E., Simons, L. E., & Carpino, E. A.
- Affiliations
- Boston Children's Hospital (US)
- Corresponding author
- Logan, Deirdre E.
- Venue
- Pain
- Published
- 2012-02
- Volume
- 153
- Issue
- 2
- Pages
- 437-443
- ISSN
- 0304-3959 (ISSN-L)
- PMC
- PMC3884564
- OpenAlex
- W1994660199
- Cited by
- 174
- References
- 52
- Citations by year
- 2026: 1 · 2025: 6 · 2024: 4 · 2023: 8 · 2022: 9 · 2021: 14 · 2020: 20 · 2019: 20 · 2018: 19 · 2017: 11 · 2016: 21 · 2015: 15 · 2014: 10 · 2013: 8 · 2012: 6
- FWCI
- 7.09
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- Pain (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Sara Page Mayo Endowment for Pediatric Pain Research and Treatment
- National Institutes of Health
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (K23HD067202)
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Social Sciences › Sociology and Political Science › Family Support in Illness
- Keywords
- pediatric chronic pain, school functioning, school attendance, mediation, parental cognitions, child depressive symptoms
- MeSH terms
- Absenteeism, Adolescent, Adult, Child, Female, Humans, Male, Parent-Child Relations, Parents, Schools, Sick Role, Catastrophization, Chronic Pain
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