Do parent protective responses mediate the relation between parent distress and child functional disability among children with chronic pain?
Abstract
OBJECTIVES: To examine whether protective parent responses mediate the relation between parent distress and child functioning. METHODS: At a pain clinic evaluation, 157 families participated. Parents completed measures of global distress (BSI-18), distress in the context of their child's pain (BAP-PIQ), and protective responses to their child's pain. Children completed measures of functional disability and pain. RESULTS: BAP-PIQ subscales were significantly associated with child functional disability, whereas BSI subscales were unrelated. Protective parent responses partially mediated the relation between parent distress and child functional disability for depression, anxiety, and catastrophizing. However, parent protective behavior fully mediated the relationship between parent helplessness and child functional disability, indicating that feelings of parent helplessness did not uniquely contribute to child functional disability. Discussion Results suggest that when treating youth with chronic pain, parental distress in the context of children's pain needs to be addressed.
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When parents interpret an adolescent's pain expression through the lens of their own catastrophic appraisals and pain-related fears, they are more likely to engage in maladaptive parenting behaviors (protective behaviors).
“When parents interpret an adolescent's pain expression through the lens of their own catastrophic appraisals and pain-related fears, they are more likely to engage in maladaptive parenting behaviors (i.e., protective behaviors) [7].”
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Consecuencias del dolor crónico en la infancia y la adolescencia
Cáceres‐Matos, R., Gil‐García, E., Barrientos‐Trigo, S., Molina, E., & Pórcel‐Gálvez, A. M. (2018) · Gaceta Sanitaria · doi:10.1016/j.gaceta.2017.11.007 · Cited by 11 · see citing works
Parental Catastrophizing and Goal Pursuit in the Context of Child Chronic Pain: A Daily Diary Study
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Family‐Related Factors in Children and Adolescents With Chronic Pain: A Systematic Review
Martí, L., Garriga‐Cazorla, H., Roman‐Juan, J., & Miró, J. (2025) · European Journal of Pain · doi:10.1002/ejp.70038 · Cited by 9 · see citing works
Caregiver Burden Associated With Pediatric Chronic Pain
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Newton-John, T. R. O. (2022) · Canadian Journal of Pain · doi:10.1080/24740527.2022.2038032 · Cited by 9 · see citing works
Cutting the cord? Parenting emerging adults with chronic pain
Lunde, C. E., Fisher, E., Donovan, E., Serbic, D., & Sieberg, C. B. (2022) · Paediatric and Neonatal Pain · doi:10.1002/pne2.12072 · Cited by 10 · see citing works
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Pain science education for children living with and beyond cancer: Challenges and research agenda
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Cognitive Behavioral Therapy for Functional Gastrointestinal Disorders
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Parental accommodation of symptoms in adolescents with chronic pain
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A Parent-Targeted Group Intervention for Pediatric Pain Delivered In-Person or Virtually
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Calvano, C., & Warschburger, P. (2022) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/jsac011 · Cited by 4 · see citing works
Lamparyk, K., Stellway, J. E., Turnage, C., Murphy, T., Echere, J., & Levy, R. L. (2023) · Clinical Practice in Pediatric Psychology · doi:10.1037/cpp0000496 · Cited by 4 · see citing works
Development of the Parent Responses to School Functioning Questionnaire
Garcia, B. N. B., Gray, L. S., Simons, L. E., & Logan, D. E. (2017) · Journal of Pain · doi:10.1016/j.jpain.2017.06.011 · Cited by 4 · see citing works
Parental Response to Only Children: Breaking the Stereotypes
Levy, R. L., Murphy, T., Kamp, K., Langer, S. L., & van Tilburg, M. A. L. (2021) · Children · doi:10.3390/children8070605 · Cited by 4 · see citing works
- Authors
- Sieberg, C. B., Williams, S., & Simons, L. E.
- Affiliations
- Boston Children's Hospital (US)
- Venue
- Journal of Pediatric Psychology
- Publisher
- Oxford University Press (OUP)
- Published
- 2011-07-08
- Volume
- 36
- Issue
- 9
- Pages
- 1043-1051
- ISSN
- 0146-8693 (ISSN-L)
- 1465-735X
- OpenAlex
- W2121665179
- Cited by
- 128
- References
- 36
- Citations by year
- 2026: 2 · 2025: 5 · 2024: 2 · 2023: 7 · 2022: 13 · 2021: 9 · 2020: 12 · 2019: 6 · 2018: 11 · 2017: 9 · 2016: 13 · 2015: 10 · 2014: 11 · 2013: 7 · 2012: 9
- FWCI
- 8.59
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Pediatric Psychology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
- Social Sciences › Sociology and Political Science › Family Support in Illness
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Keywords
- pediatric chronic pain, parental distress, mediation, pain catastrophizing, parental depression, parental anxiety
- MeSH terms
- Adaptation, Psychological, Adolescent, Adult, Child, Disability Evaluation, Empathy, Female, Humans, Male, Middle Aged, Parent-Child Relations, Parents, Stress, Psychological, Parenting, Disabled Children, Children with Disabilities, Catastrophization, Chronic Pain
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