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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 (i.e., protective behaviors) [7].”
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Metadata
- 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 › Psychology › Clinical Psychology › Family Support in Illness
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › 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
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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