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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 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]
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“Responses are summed to create a total score and there are validated cut-off scores to categorize disability severity, as follows: little to none (0-10), mild (11-30), moderate (31-50), or severe (greater than 50).”
BackgroundWarschburger, P., Calvano, C., Becker, S., Ebinger, F., Hudert, C. A., Iven, E., Posovszky, C., Winter, S.-M., Daubmann, A., Ozga, A., et al. (2021) · The American Journal of Gastroenterology · doi:10.14309/ajg.0000000000001191 · Cited by 18
The relationship between parental attitudes and behaviours in the context of paediatric chronic pain
Jaaniste, T., Jia, N. Z., Lang, T., Goodison-Farnsworth, E., McCormick, M., & Anderson, D. (2016) · Child Care Health and Development · doi:10.1111/cch.12312 · Cited by 18
Lynch-Jordan, A. M., Peugh, J., Cunningham, N. R., Trygier, J., & Kashikar‐Zuck, S. (2018) · Clinical Journal of Pain · doi:10.1097/ajp.0000000000000638 · Cited by 17
Spreading the word: pediatric pain education from treatment to prevention
Ickmans, K., Rheel, E., Rezende, J., & dos Reis, F. J. J. (2022) · Archives of Physiotherapy · doi:10.1186/s40945-022-00151-4 · Cited by 19
Hanania, J. W., George, J. E., Rizzo, C. J., Manjourides, J., & Goldstein, L. (2024) · Journal of Patient-Reported Outcomes · doi:10.1186/s41687-024-00774-0 · Cited by 16
“A plethora of research documents the link between chronic pain and functional disability [2, 4–5].”
BackgroundPack, R., Gilliland, R., & Mecham, A. (2018) · Physiotherapy Theory and Practice · doi:10.1080/09593985.2018.1551454 · Cited by 16
Heathcote, L., Williams, S. E., Smith, A. M., Sieberg, C., & Simons, L. (2018) · Children · doi:10.3390/children5060076 · Cited by 15
Self-citationDekker, C., Goossens, M. E. J. B., Winkens, B., Remerie, S. C., Bastiaenen, C. H. G., & Verbunt, J. (2020) · Children · doi:10.3390/children7120288 · Cited by 14
Psychological Neuromodulatory Treatments for Young People with Chronic Pain
Miró, J., Castarlenas, E., de la Vega, R., Roy, R., Solé, E., Tomé‐Pires, C., & Jensen, M. (2016) · Children · doi:10.3390/children3040041 · Cited by 16
Kangas, M., Kallesoe, K. H., & Rask, C. U. (2020) · Zeitschrift für Psychologie · doi:10.1027/2151-2604/a000401 · Cited by 15
The management of pediatric chronic pain in Spain: a web-based survey study
Miró, J., Micó, J. A., & Barbero, F. R. (2020) · Current Medical Research and Opinion · doi:10.1080/03007995.2020.1854208 · Cited by 15
Weiss, K. E., Junghans-Rutelonis, A. N., Aaron, R. V., Harbeck-Weber, C., McTate, E., Luedtke, C., & Bruce, B. K. (2019) · The Clinical Journal of Pain · doi:10.1097/ajp.0000000000000737 · Cited by 14
Helgeland, H., Gjone, I. H., & Diseth, T. H. (2022) · Human Systems Therapy Culture and Attachments · doi:10.1177/26344041221099644 · Cited by 15
“…in the child or the parents, difficult family relationships, parents being overinvolved in their child, undiscovered learning difficulties, social anxiety, bullying, enduring school absenteeism, and so on (Elliott et al., 2020; Logan et al., 2012; Palermo et al., 2014; Walker et al., 2006).”
BackgroundDonado, C., Turrisi, T. B., Wihak, T., & Coakley, R. (2019) · Journal of Developmental & Behavioral Pediatrics · doi:10.1097/dbp.0000000000000738 · Cited by 15
Chronic school absenteeism as a diagnostic clue for paediatricians
Cozzi, G., & Barbi, E. (2019) · Journal of Paediatrics and Child Health · doi:10.1111/jpc.14689 · Cited by 14
Online multidisciplinary interventions for paediatric chronic pain: A content analysis
Hurley-Wallace, A. L., Nowotny, E., Schoth, D. E., & Liossi, C. (2021) · European Journal of Pain · doi:10.1002/ejp.1827 · Cited by 15
“Theoretical models, such as the Interpersonal Fear- Avoidance Model (Goubert & Simons, 2013; Simons & Kaczynski, 2012) and research (Logan et al., 2012; Palermo et al., 2007, 2014; Simons et al., 2008) have emphasized that parental factors play an important role in paediatric chronic pain…”
MethodPatel, S. K., Johansen, C. M., Gold, A. O., Delgado, N., Xu, S., & Dennis, J. M. (2020) · Pediatric Blood & Cancer · doi:10.1002/pbc.28320 · Cited by 15
Castarlenas, E., Vega, R. D. L., Tomé-Pires, C., Solé, E., Racine, M., Jensen, M. P., & Miró, J. (2015) · The Clinical Journal of Pain · doi:10.1097/ajp.0000000000000188 · Cited by 12
Nelson, S., & Coakley, R. (2018) · Current Pain and Headache Reports · doi:10.1007/s11916-018-0726-0 · Cited by 12
Beliefs About Worry and Pain Amongst Adolescents With and Without Chronic Pain
Wainwright, E. M., Jordan, A. L., Fisher, E., Wilson, C. E., Mullen, D., & Madhavakkannan, H. (2021) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/jsab109 · Cited by 12
Williams‐Reade, J., Tapanes, D., Distelberg, B. J., & Montgomery, S. (2019) · Journal of Marital and Family Therapy · doi:10.1111/jmft.12377 · Cited by 12
Dougherty, B., Zelikovsky, N., Miller, K. S., Rodriguez, D., Armstrong, S. L., & Sherry, D. D. (2020) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/jsaa127 · Cited by 12
“, 2014), and greater functional disability (Goubert et al., 2006; Logan et al., 2012).”
BackgroundResultInfluentialWiertz, C. M. H., Goossens, M. E. J. B., Spek, E. M., & Verbunt, J. (2017) · European Journal of Pain · doi:10.1002/ejp.1058 · Cited by 11
Kohut, S. A., Forgeron, P. A., McMurtry, M., Weiser, N., Iuliano, A., & Stinson, J. (2021) · Journal of Child and Family Studies · doi:10.1007/s10826-021-02040-z · Cited by 10
“For example, parent miscarried helping (i.e., overprotective behaviours) has been shown to predict decreases in their child’s school attendance and overall school impairment (Fales et al., 2014; Logan et al., 2012).”
Background
Metadata
- 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 › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
- Social Sciences › Psychology › Clinical Psychology › 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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