“Pain Can't stop me”: examining pain self-efficacy and acceptance as resilience processes among youth with chronic headache
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OBJECTIVE: To examine pain self-efficacy and pain acceptance in relation to functioning in pediatric patients with chronic headache. METHODS: Participants were 209 youth aged 8-17 years who presented for a multidisciplinary pediatric headache clinic evaluation. They completed measures of pain self-efficacy and pain acceptance and a standard battery of clinical measures including indicators of emotional functioning. RESULTS: Pain self-efficacy and acceptance were associated with less disability, better school functioning, and fewer depressive symptoms. While taking into account several demographic and pain-related variables, pain self-efficacy had a greater association with less functional disability, while pain acceptance had a greater association with less depressive symptoms and better school functioning. CONCLUSIONS: These findings indicate that both resilience processes can serve to positively interact with functioning and symptoms of depression. Ultimately, this study suggests that higher levels of pain self-efficacy and pain acceptance in an individual experiencing pain are associated with more positive outcomes.
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Symptom severity for several pain conditions including irritable bowel syndrome, temporomandibular disorders, headache, and fibromyalgia varies across the menstrual cycle.
“the severity of symptoms for several pain conditions including irritable bowel syndrome, temporomandibular disorders, headache, and fibromyalgia varies across the menstrual cycle 185–191.”
From Evaluating psychosocial contributions to chronic pain outcomes (2018) · cites this paper as [185]
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Cites
(1992) · PubMed · Cited by 33,716 · see citing works
The MOS 36-ltem Short-Form Health Survey (SF-36): I. Conceptual Framework and Item Selection
Ware, J. E., & Sherbourne, C. D. (1992) · Medical Care · doi:10.1097/00005650-199206000-00002 · Cited by 30,033 · see citing works
The Children's Depression, Inventory (CDI).
Kovacs, M. (1985) · Psychopharmacology bulletin · doi:10.1007/978-0-387-79061-9_4285 · Cited by 4,292 · see citing works
The PedsQL™: Measurement Model for the Pediatric Quality of Life Inventory
Varni, J. W., Seid, M., & Rode, C. A. (1999) · Medical Care · doi:10.1097/00005650-199902000-00003 · Cited by 3,291 · see citing works
The Multidimensional Anxiety Scale for Children (MASC): factor structure, reliability, and validity
MARCH, J. S., PARKER, J. D. A., SULLIVAN, K., STALLINGS, P., & CONNERS, C. K. (1997) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-199704000-00019 · Cited by 2,236 · see citing works
Neural mechanisms of the cognitive model of depression.
Disner, S. G., Beevers, C. G., Haigh, E. A. P., & Beck, A. T. (2011) · Nature Reviews Neuroscience · doi:10.1038/nrn3027 · Cited by 1,718 · see citing works
The pain self-efficacy questionnaire: Taking pain into account
Nicholas, M. K. (2007) · European Journal of Pain · doi:10.1016/j.ejpain.2005.12.008 · Cited by 1,656 · see citing works
The MOS 36-Item Short Form Health Survey
Russo, J. E., Trujillo, C. A., Wingerson, D. K., Decker, K. P., Ries, R. R., Wetzler, H. P., & Roy‐Byrne, P. (1998) · Medical Care · doi:10.1097/00005650-199805000-00015 · Cited by 1,308 · see citing works
Pain in children and adolescents: a common experience
Perquin, C. W., Hazebroek-Kampschreur, A. A. J. M., Hunfeld, J. A. M., Bohnen, A. M., van Suijlekom-Smit, L. W. A., Passchier, J., & van der Wouden, J. C. (2000) · Pain · doi:10.1016/s0304-3959(00)00269-4 · Cited by 1,114 · see citing works
Acceptance of chronic pain: component analysis and a revised assessment method
McCracken, L. M., Vowles, K. E., & Eccleston, C. (2004) · Pain · doi:10.1016/j.pain.2003.10.012 · Cited by 1,101 · see citing works
Fear-Avoidance Model of Chronic Pain: The Next Generation
Crombez, G., Eccleston, C., Van Damme, S., Vlaeyen, J. W. S., & Karoly, P. (2012) · The Clinical Journal of Pain · doi:10.1097/ajp.0b013e3182385392 · Cited by 960 · see citing works
The functional disability inventory: Measuring a neglected dimension of child health status
Walker, L. S., & Greene, J. W. (1991) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/16.1.39 · Cited by 881 · see citing works
Understanding the co-occurrence of anxiety disorders and chronic pain: state-of-the-art
Asmundson, G. J. G., & Katz, J. (2009) · Depression and Anxiety · doi:10.1002/da.20600 · Cited by 756 · see citing works
Chronic pain and depression: Does the evidence support a relationship?
Romano, J. M., & Turner, J. A. (1985) · Psychological Bulletin · doi:10.1037/0033-2909.97.1.18 · Cited by 732 · see citing works
Abu‐Arafeh, I., RAZAK, S., Sivaraman, B., & Graham, C. (2010) · Developmental Medicine & Child Neurology · doi:10.1111/j.1469-8749.2010.03793.x · Cited by 658 · see citing works
von Baeyer, C. L., Spagrud, L. J., McCormick, J. C., Choo, E., Neville, K., & Connelly, M. A. (2009) · Pain · doi:10.1016/j.pain.2009.03.002 · Cited by 575 · see citing works
A systematic review of resilience in the physically ill
Stewart, D. E., & Yuen, T. (2011) · Psychosomatics · doi:10.1016/j.psym.2011.01.036 · Cited by 491 · see citing works
Resilience: A New Paradigm for Adaptation to Chronic Pain
Sturgeon, J. A., & Zautra, A. J. (2010) · Current Pain and Headache Reports · doi:10.1007/s11916-010-0095-9 · Cited by 417 · see citing works
Test-Retest Reliability of the Multidimensional Anxiety Scale for Children
March, J. S., Sullivan, K., & Parker, J. D. A. (1999) · Journal of Anxiety Disorders · doi:10.1016/s0887-6185(99)00009-2 · Cited by 383 · see citing works
A 40-Year Follow-Up of School Children with Migraine
BILLE, B. S. V. (1997) · Cephalalgia · doi:10.1046/j.1468-2982.1997.1704488.x · Cited by 338 · see citing works
Cognitive‐Behavioral Treatment of School‐Refusing Children: A Controlled Evaluation
King, N. J., Tonge, B. J., Heyne, D. A., Pritchard, M., Rollings, S., Young, D., Myerson, N., & Ollendick, T. H. (1998) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-199804000-00017 · Cited by 302 · see citing works
Self-care self-efficacy, quality of life, and depression after stroke
Robinson-Smith, G., Johnston, M. V., & Allen, J. (2000) · Archives of Physical Medicine and Rehabilitation · doi:10.1053/mr.2000.3863 · Cited by 293 · see citing works
Viane, I., Crombez, G., Eccleston, C., Poppe, C., Devulder, J., Van Houdenhove, B., & De Corte, W. (2003) · Pain · doi:10.1016/s0304-3959(03)00291-4 · Cited by 282 · see citing works
Acceptance and commitment therapy for fibromyalgia: A randomized controlled trial.
Wicksell, R. K., Kemani, M., Jensen, K., Kosek, E., Kadetoff, D., Sorjonen, K., Ingvar, M., & Olsson, G. L. (2013) · European Journal of Pain · doi:10.1002/j.1532-2149.2012.00224.x · Cited by 244 · cited 1× · see citing works
“These results suggest that a more mindfulness-based acceptance approach (Wicksell et al., 2013), though still largely abstract, may benefit the ability of students with pain to learn in school.”
BackgroundSelf-Efficacy and Self-Reported Functional Status in Coronary Heart Disease
Sullivan, M. D., LaCroix, A. Z., Russo, J. E., & Katon, W. J. (1998) · Psychosomatic Medicine · doi:10.1097/00006842-199807000-00014 · Cited by 242 · see citing works
The Multidimensional Anxiety Scale for Children (MASC)
March, J. S., & Parker, J. D. A. (2014) · Routledge eBooks · doi:10.4324/9781410610621-2 · Cited by 213 · see citing works
McCracken, L. M., Spertus, I. L., Janeck, A. S., Sinclair, D., & Wetzel, T. F. (1999) · Pain · doi:10.1016/s0304-3959(98)00219-x · Cited by 209 · see citing works
Self-efficacy impacts self-care and HbA1c in young adults with Type I diabetes
Johnston-Brooks, C. H., Lewis, M. A., & Garg, S. (2002) · Psychosomatic Medicine · doi:10.1097/00006842-200201000-00007 · Cited by 196 · see citing works
Too sick for school? Parent influences on school functioning among children with chronic pain
Logan, D. E., Simons, L. E., & Carpino, E. A. (2012) · Pain · doi:10.1016/j.pain.2011.11.004 · Cited by 174 · see citing works
Self-citationPrenatal marijuana exposure: Effect on child depressive symptoms at ten years of age
Gray, K. A., Day, N. L., Leech, S. L., & Richardson, G. A. (2005) · Neurotoxicology and Teratology · doi:10.1016/j.ntt.2005.03.010 · Cited by 172 · see citing works
Miles, C. L., Pincus, T., Carnes, D., Taylor, S. J. C., & Underwood, M. (2011) · The Clinical Journal of Pain · doi:10.1097/ajp.0b013e318208c8a2 · Cited by 163 · see citing works
Benefit Finding Scale for Children: Preliminary Findings from a Childhood Cancer Population
Phipps, S., Long, A. M., & Ogden, J. (2007) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/jsl052 · Cited by 145 · see citing works
Kratz, A. L., Davis, M. C., & Zautra, A. J. (2007) · Annals of Behavioral Medicine · doi:10.1007/bf02879911 · Cited by 143 · see citing works
Wright, L. J., Zautra, A. J., & Going, S. (2008) · Annals of Behavioral Medicine · doi:10.1007/s12160-008-9048-5 · Cited by 141 · see citing works
Are depression, anxiety and poor mental health risk factors for knee pain? A systematic review
Phyomaung, P. P., Dubowitz, J., Cicuttini, F. M., Fernando, S., Wluka, A. E., Raaijmaakers, P., Wang, Y., & Urquhart, D. M. (2014) · BMC Musculoskeletal Disorders · doi:10.1186/1471-2474-15-10 · Cited by 135 · see citing works
Lynch-Jordan, A. M., Kashikar-Zuck, S., Szabova, A., & Goldschneider, K. R. (2013) · The Clinical Journal of Pain · doi:10.1097/ajp.0b013e3182757720 · Cited by 135 · see citing works
Bursch, B., Tsao, J. C. I., Meldrum, M. L., & Zeltzer, L. K. (2006) · Pain · doi:10.1016/j.pain.2006.04.026 · Cited by 118 · see citing works
Weiss, K. E., Hahn, A. L., Wallace, D. P., Biggs, B. K., Bruce, B. K., & Harrison, T. E. (2013) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/jst028 · Cited by 116 · see citing works
The Impact of Adolescent Chronic Pain on Functioning: Disentangling the Complex Role of Anxiety
Cohen, L. L., Vowles, K. E., & Eccleston, C. (2009) · Journal of Pain · doi:10.1016/j.jpain.2009.09.009 · Cited by 105 · see citing works
McCracken, L. M., Gauntlett‐Gilbert, J., & Eccleston, C. (2010) · European Journal of Pain · doi:10.1016/j.ejpain.2009.05.002 · Cited by 104 · see citing works
Anxiety and Functional Disability in a Large Sample of Children and Adolescents with Chronic Pain
Simons, L. E., Sieberg, C. B., & Claar, R. L. (2012) · Pain Research and Management · doi:10.1155/2012/420676 · Cited by 100 · see citing works
Self-citationQuality of Life and Emotional Functioning in Youth With Chronic Migraine and Juvenile Fibromyalgia
Kashikar-Zuck, S., Zafar, M., Barnett, K. A., Aylward, B. S., Strotman, D., Slater, S. K., Allen, J. R., LeCates, S. L., Kabbouche, M. A., Ting, T. V., et al. (2013) · The Clinical Journal of Pain · doi:10.1097/ajp.0b013e3182850544 · Cited by 77 · see citing works
Wallace, D. P., Harbeck‐Weber, C., Whiteside, S. P. H., & Harrison, T. E. (2011) · Journal of Pain · doi:10.1016/j.jpain.2010.11.004 · Cited by 58 · see citing works
Carpino, E. A., Segal, S., Logan, D. E., Lebel, A., & Simons, L. E. (2014) · Journal of Pain · doi:10.1016/j.jpain.2014.01.493 · Cited by 55 · see citing works
Self-citationThe Role of Trait Mindfulness in the Pain Experience of Adolescents
Petter, M., Chambers, C. T., McGrath, P. J., & Dick, B. D. (2013) · The Journal of Pain · doi:10.1016/j.jpain.2013.08.015 · Cited by 55 · see citing works
Logan, D. E., Claar, R. L., Guite, J. W., Kashikar‐Zuck, S., Lynch-Jordan, A. M., Palermo, T. M., Wilson, A. C., & Zhou, C. (2013) · Journal of Pain · doi:10.1016/j.jpain.2013.01.777 · Cited by 45 · see citing works
Sweis, B. M., Veverka, K. K., Dhillon, E. S., Urban, J. H., & Lucas, L. R. (2013) · Neuroscience · doi:10.1016/j.neuroscience.2013.04.052 · Cited by 39 · see citing works
Fuss, S., Pagé, M. G., & Katz, J. D. (2011) · Pain Research and Management · doi:10.1155/2011/534652 · Cited by 39 · see citing works
Determinants of Disability After Fingertip Injuries
Bot, A. G. J., Bossen, J. K. J., Mudgal, C. S., Jupiter, J. B., & Ring, D. (2014) · Psychosomatics · doi:10.1016/j.psym.2013.08.005 · Cited by 24 · see citing works
Munshi, K., Eisendrath, S. J., & Delucchi, K. (2012) · Mindfulness · doi:10.1007/s12671-012-0135-0 · Cited by 24 · see citing works
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Edwards, R. R., Dworkin, R. H., Sullivan, M. D., Turk, D. C., & Wasan, A. D. (2016) · The Journal of Pain · doi:10.1016/j.jpain.2016.01.001 · Cited by 954 · see citing works
Evaluating psychosocial contributions to chronic pain outcomes
Meints, S. M., & Edwards, R. R. (2018) · Progress in Neuro-Psychopharmacology and Biological Psychiatry · doi:10.1016/j.pnpbp.2018.01.017 · Cited by 719 · see citing works
Topical review: Resilience resources and mechanisms in pediatric chronic pain
Cousins, L. A., Kalapurakkel, S., Cohen, L. L., & Simons, L. E. (2015) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/jsv037 · Cited by 144 · see citing works
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Pielech, M., Vowles, K., & Wicksell, R. (2017) · Children · doi:10.3390/children4020010 · Cited by 99 · see citing works
Waldron, S. M., Gauntlett-Gilbert, J., Marks, E., Loades, M. E., & Jacobs, K. (2018) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/jsy036 · Cited by 18 · see citing works
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- Authors
- Kalapurakkel, S., A. Carpino, E., Lebel, A., & E. Simons, L.
- Affiliations
- Boston Children's Hospital (US)
- ORCID
- Lebel, Alyssa
- Venue
- Journal of Pediatric Psychology
- Publisher
- Oxford University Press (OUP)
- Published
- 2014-10-15
- Volume
- 40
- Issue
- 9
- Pages
- 926-933
- ISSN
- 0146-8693 (ISSN-L)
- 1465-735X
- PMC
- PMC4592326
- OpenAlex
- W2129255353
- Cited by
- 105
- References
- 50
- Citations by year
- 2026: 5 · 2025: 8 · 2024: 8 · 2023: 11 · 2022: 10 · 2021: 14 · 2020: 14 · 2019: 8 · 2018: 11 · 2017: 4 · 2016: 7 · 2015: 4
- FWCI
- 3.82
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Pediatric Psychology (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Sara Page Mayo Endowment for Pediatric Pain Research and Treatment
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (K23HD067202, HD067202)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Migraine and Headache Studies
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Keywords
- pain self-efficacy, pain acceptance, chronic headache, pediatric headache, resilience, functional disability, school functioning, depressive symptoms, youth, emotional functioning
- MeSH terms
- Adolescent, Child, Depression, Emotions, Female, Disabled Persons, Persons with Disabilities, Humans, Male, Pain, Pain Measurement, Self Efficacy, Headache Disorders, Resilience, Psychological
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