Relationships Among Pain, Protective Parental Responses, and Disability for Adolescents With Chronic Musculoskeletal Pain: The Mediating Role of Pain Catastrophizing

Guite, Jessica W.; McCue, Rebecca L.; Sherker, Jennifer L.; Sherry, David D.; Rose, John B.

doi:10.1097/ajp.0b013e31821d8fb4

Cited by 96Pediatric Pain Management TechniquesMusculoskeletal pain and rehabilitationPain Management and Treatment

Relationships Among Pain, Protective Parental Responses, and Disability for Adolescents With Chronic Musculoskeletal Pain: The Mediating Role of Pain Catastrophizing

Guite, Jessica W., McCue, Rebecca L., Sherker, Jennifer L., Sherry, David D., Rose, John B.·2011·The Clinical Journal of Pain

DOI 10.1097/ajp.0b013e31821d8fb4

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Abstract

OBJECTIVES: Children learn to cope with pain within the context of the family and parental responses to pediatric pain can impact health outcomes. The aim of this study was to examine relationships among pain, protective parental responses to pain, functional disability, and pain catastrophizing for adolescents with chronic musculoskeletal pain syndromes. METHODS: Initial evaluation records for 138 adolescents with chronic musculoskeletal pain who consulted a pediatric multidisciplinary pain management clinic were examined. Measures were collected at the time of the initial evaluation and included adolescent self-reports of their own usual pain intensity, perceived parental responses to their pain, adolescent functional disability, and pain catastrophizing. RESULTS: Pain catastrophizing was significantly correlated with pain intensity, protective parental responses to pain, and functional disability. Multiple regression analyses further suggest that pain catastrophizing serves as a mediator of relationships between: (1) pain and disability and (2) protective parenting responses and disability. Evidence supporting a significant indirect effect for pain catastrophizing on disability was found within both models through bootstrap and Sobel analyses. DISCUSSION: Pain catastrophizing seems to play an important role in understanding relationships between pain, protective parental responses, and disability for adolescents with musculoskeletal pain. Our findings suggest that strategies that help modify adolescent catastrophic pain beliefs and parental responses to pain, may help improve adolescent functioning.

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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 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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Authors: Guite, J. W., McCue, R. L., Sherker, J. L., Sherry, D. D., & Rose, J. B.
Affiliations: Children's Hospital of Philadelphia (US)
Corresponding author: Guite, Jessica W.
McCue, Rebecca L.
Sherker, Jennifer L.
Sherry, David D.
Rose, John B.
ORCID: Guite, Jessica W.
Sherker, Jennifer L.
Sherry, David D.
Rose, John B.
Venue: The Clinical Journal of Pain
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2011-11
Volume: 27
Issue: 9
Pages: 775-781
ISSN: 0749-8047 (ISSN-L)
DOI: 10.1097/ajp.0b013e31821d8fb4
OpenAlex: W1995073331
Cited by: 96
References: 48
Citations by year: 2026: 1 · 2025: 4 · 2024: 1 · 2023: 3 · 2022: 2 · 2021: 5 · 2020: 17 · 2019: 8 · 2018: 14 · 2017: 10 · 2016: 10 · 2015: 7 · 2014: 6 · 2013: 5 · 2012: 2
FWCI: 3.84
Type: journal article
Language: en
Open access: closed
Locations: Clinical Journal of Pain (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Treatment
Keywords: chronic musculoskeletal pain, adolescents, pain catastrophizing, functional disability, pain intensity, mediation, pediatric pain management
MeSH terms: Adaptation, Psychological, Adolescent, Attitude to Health, Developmental Disabilities, Disability Evaluation, Female, Humans, Male, Pain Measurement, Parent-Child Relations, Parents, Psychiatric Status Rating Scales, Catastrophization, Musculoskeletal Pain, Pain Management

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Relationships Among Pain, Protective Parental Responses, and Disability for Adolescents With Chronic Musculoskeletal Pain: The Mediating Role of Pain Catastrophizing

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