Relationships between family and parent characteristics and functional abilities in children with recurrent pain syndromes: An investigation of moderating effects on the pathway from pain to disability
Abstract
OBJECTIVE: To identify family characteristics associated with children's ability to function with recurrent pain. METHODS: Seventy-eight children ages 7-17 years with recurrent pain syndromes [migraine headache or recurrent abdominal pain (RAP)] were recruited from clinic settings. Children completed pain diaries and the Functional Disability Inventory (FDI). Mothers and fathers completed self-report measures of psychological distress, and mothers reported on family environment. RESULTS: Controlling for the influence of pain intensity, family environment and parental distress jointly predicted children's ability to function with pain. Among children with migraine, family environment moderated the relationship between pain and functional disability; in this group, greater pain associated with more functional disability in children from disruptive family environments, but not in children from more adaptive family environments. CONCLUSIONS: For some pediatric recurrent pain sufferers, family characteristics associate with the extent of pain-related disability and may help identify children likely to experience more impaired functioning in response to recurrent pain.
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Parental distress is associated with functional disability in children with chronic pain.
“There is also mounting evidence concerning the association between parental distress, such as anxiety, fear, catastrophizing, and depression, and functional disability in children with chronic pain [12,13,14], even at subclinical levels of parental distress [15].”
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- Authors
- Logan, D. E., & Scharff, L.
- Affiliations
- Boston Children's Hospital (US)
- Corresponding author
- Logan, Deirdre E.
- ORCID
- Logan, Deirdre E.
- Venue
- Journal of Pediatric Psychology
- Publisher
- Oxford University Press (OUP)
- Published
- 2005-12-01
- Volume
- 30
- Issue
- 8
- Pages
- 698-707
- ISSN
- 0146-8693 (ISSN-L)
- 1465-735X
- OpenAlex
- W2101581563
- Cited by
- 202
- References
- 32
- Citations by year
- 2025: 7 · 2024: 2 · 2023: 6 · 2022: 7 · 2021: 8 · 2020: 12 · 2019: 10 · 2018: 16 · 2017: 9 · 2016: 14 · 2015: 13 · 2014: 10 · 2013: 16 · 2012: 16
- FWCI
- 7.24
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Pediatric Psychology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (5r01hd038647-05)
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (HD38647)
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
- Health Sciences › Medicine › Psychiatry and Mental health › Migraine and Headache Studies
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Keywords
- pediatric migraine, recurrent abdominal pain, functional disability, family environment, parental psychological distress, family factors, pain intensity, moderating effect
- MeSH terms
- Activities of Daily Living, Adolescent, Child, Chronic Disease, Family Relations, Female, Humans, Male, Migraine Disorders, Parents, Regression Analysis, Social Environment, Stress, Psychological, Abdominal Pain, Multivariate Analysis
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