Anxiety, Coping, and Disability: A Test of Mediation in a Pediatric Chronic Pain Sample

Kaczynski, K. J.; Simons, L. E.; Claar, R. L.

doi:10.1093/jpepsy/jsr024

Cited by 61Pediatric Pain Management TechniquesMusculoskeletal pain and rehabilitationPsychosomatic Disorders and Their Treatments

Anxiety, Coping, and Disability: A Test of Mediation in a Pediatric Chronic Pain Sample

Kaczynski, K. J., Simons, L. E., Claar, R. L.·2011·Journal of Pediatric Psychology

DOI 10.1093/jpepsy/jsr024

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Abstract

OBJECTIVE: To evaluate pain coping as a mediator of associations between anxiety and functional disability and anxiety and somatic symptoms in adolescents with chronic pain. METHOD: Participants (mean age = 14.76 years, range: 12-17 years) included 280 patients (212 girls) with chronic pain who underwent multidisciplinary evaluation at a tertiary pain clinic in a northeast pediatric hospital. Patients completed measures of current pain, anxiety, active, passive, and accommodative pain coping, functional disability, and somatic symptoms. RESULTS: Structural equation modeling was employed. The association between anxiety and disability was fully mediated by passive coping. The association between anxiety and somatic symptoms was not mediated by coping. CONCLUSIONS: Links between anxiety symptoms and pain-related outcomes in adolescents with chronic pain are complex. Assessing how an adolescent copes with his/her pain provides further understanding of this relationship.

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Kallesøe, K. H., Schröder, A., Wicksell, R. K., Preuss, T., Jensen, J. S., & Rask, C. U. (2020) · BMC Psychiatry · doi:10.1186/s12888-020-02862-z · Cited by 24 · see citing works
The Paediatric electronic Persistent Pain Outcomes Collaboration (PaedePPOC): establishment of a binational system for benchmarking children's persistent pain services
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Reexamining the Factor Structure of Somatization Using the Children's Somatization Inventory (CSI-24) in a Community Sample
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Functional limitations in children and adolescents suffering from chronic pain: validation and psychometric properties of the German Functional Disability Inventory (FDI-G)
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“Pain has negative effects on all aspects of health-related quality of life, including physical, emotional, social, and role functioning [93]; high levels of pain are often associated with anxiety and depression [94,95].”
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Does Pain Intensity Matter? The Relation between Coping and Quality of Life in Pediatric Patients with Chronic Pain
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The Reported Pain Coping Strategies of Pediatric Burn Survivors—Does a Correlation Exist Between Coping Style and Development of Anxiety Disorder?
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Preclinical Considerations about Affective Disorders and Pain: A Broadly Intertwined, yet Often Under-Explored, Relationship Having Major Clinical Implications
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“Thus, similar studies (Cohen et al., 2010; Kaczynski et al., 2011) have utilized mixed pediatric patient populations to examine the impact of pain on functional outcomes.”
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Fisher, E., Keogh, E., & Eccleston, C. (2015) · Pain · doi:10.1097/j.pain.0000000000000383 · Cited by 8 · see citing works
“Higher levels of anxiety have been associated with increased somatic complaints, poorer coping skills, and disability.(4,16,27) Anxiety is held central to the fear-avoidance model of the development and maintenance of chronic pain.”
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Experiential Avoidance as a Factor in Generalized Psychological Vulnerability: In the Relationship Between Chronic Pain and Pain Anxiety With Pain Disability
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“, 2013), which have in turn been demonstrated to predict functional disability in youth with chronic pain (Benore et al., 2015; Cohen et al., 2010; Kaczynski et al., 2011; Kashikar-Zuck, et al., 2001; Vervoort et al., 2006).”
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Hope and Coping in Youth With Painful Disorders of Gut-Brain Interaction
Evans, C., Adetayo, T., Patel, D. H., Dimmitt, R. A., Gowey, M. A., Wakefield, E. O., & Goodin, B. R. (2025) · Clinical Practice in Pediatric Psychology · doi:10.1177/21694826251324197 · Cited by 3 · see citing works
“Furthermore, one study found that the association between anxiety and disability was fully mediated by passive coping in a pediatric chronic pain sample (Kaczynski et al., 2011).”
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“A study by Kaczynski et al [31] evaluated pain coping as a mediator of associations between anxiety and functional disability in adolescents with chronic pain.”
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Diagnostics of Chronic Pain in Children and Adolescents
Wager, J., Kriszio, H., Dobe, M., Hechler, T., & Zernikow, B. (2013) · Springer eBooks · doi:10.1007/978-3-642-37816-4_3 · Cited by 3 · see citing works
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Algılanan Ebeveyn Reddi ile Somatizasyon Arasındaki İlişkide Aleksitiminin Aracı Rolü
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Diagnostik
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Functional disability and depression symptoms in a paediatric persistent pain sample
Broadbent, J., Bertino, M. D., Brooke, L., Fuller‐Tyszkiewicz, M., & CHALKIADIS, G. A. (2017) · Scandinavian Journal of Pain · doi:10.1016/j.sjpain.2017.05.006 · Cited by 1 · see citing works
Preliminary Evaluation of a Web-Based Psychological Screening Tool in Adolescents Undergoing Minimally Invasive Pectus Surgery: Single-Center Observational Cohort Study (Preprint)
Wildemeersch, D., D’Hondt, M., Bernaerts, L., & Mertens, P. (2018) · JMIR Mental Health · doi:10.2196/11607
Diagnostics of Chronic Pain in Children and Adolescents
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Additional file 4 of Feasibility of group-based acceptance and commitment therapy for adolescents (AHEAD) with multiple functional somatic syndromes: a pilot study
Kallesøe, K. H., Schröder, A., Wicksell, R. K., Preuss, T., Jensen, J. S., & Rask, C. U. (2020) · Figshare · doi:10.6084/m9.figshare.12986608
Additional file 1 of Feasibility of group-based acceptance and commitment therapy for adolescents (AHEAD) with multiple functional somatic syndromes: a pilot study
Kallesøe, K. H., Schröder, A., Wicksell, R. K., Preuss, T., Jensen, J. S., & Rask, C. U. (2020) · Figshare · doi:10.6084/m9.figshare.12986599
Additional file 2 of Feasibility of group-based acceptance and commitment therapy for adolescents (AHEAD) with multiple functional somatic syndromes: a pilot study
Kallesøe, K. H., Schröder, A., Wicksell, R. K., Preuss, T., Jensen, J. S., & Rask, C. U. (2020) · Figshare · doi:10.6084/m9.figshare.12986602
Additional file 1 of Reciprocal relationships between self-esteem, coping styles and anxiety symptoms among adolescents: between-person and within-person effects
Li, W., Guo, Y., Lai, W., Wang, W., Li, X., Zhu, L., Shi, J., Guo, L., & Lu, C. (2024) · Figshare · doi:10.6084/m9.figshare.26567375
Additional file 3 of Feasibility of group-based acceptance and commitment therapy for adolescents (AHEAD) with multiple functional somatic syndromes: a pilot study
Kallesøe, K. H., Schröder, A., Wicksell, R. K., Preuss, T., Jensen, J. S., & Rask, C. U. (2020) · Figshare · doi:10.6084/m9.figshare.12986605
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Young people with and without chronic pain: The role of anxiety
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Authors: Kaczynski, K. J., Simons, L. E., & Claar, R. L.
Affiliations: Boston Children's Hospital (US)
ORCID: Simons, L. E.
Venue: Journal of Pediatric Psychology
Publisher: Oxford University Press (OUP)
Published: 2011-05-05
Volume: 36
Issue: 8
Pages: 932-941
ISSN: 0146-8693 (ISSN-L)
1465-735X
DOI: 10.1093/jpepsy/jsr024
OpenAlex: W2167477822
Cited by: 61
References: 59
Citations by year: 2026: 2 · 2025: 2 · 2024: 2 · 2023: 1 · 2022: 3 · 2021: 2 · 2020: 8 · 2019: 5 · 2018: 7 · 2017: 7 · 2016: 4 · 2015: 5 · 2014: 4 · 2013: 3 · 2012: 6
FWCI: 3.84
Type: journal article
Language: en
Open access: closed
Locations: Journal of Pediatric Psychology (publishedVersion)
PubMed (publishedVersion)
Funders: Sara Page Mayo Endowment for Pediatric Pain Research and Treatment
Topics: Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
Keywords: anxiety, pain coping, functional disability, somatic symptoms, chronic pain, adolescents, mediation, passive coping, active coping, pediatric pain
MeSH terms: Adaptation, Psychological, Adolescent, Anxiety, Child, Cross-Sectional Studies, Disability Evaluation, Female, Persons with Disabilities, Humans, Male, Pain Measurement, Chronic Pain

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Anxiety, Coping, and Disability: A Test of Mediation in a Pediatric Chronic Pain Sample

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