Pain beliefs and readiness to change among adolescents with chronic musculoskeletal pain and their parents before an initial pain clinic evaluation
Open accessAbstract
OBJECTIVES: To understand relationships between pain-related beliefs and readiness to change among treatment-seeking adolescents with chronic musculoskeletal pain and their parents. METHODS: A total of 102 adolescent-parent dyads were recruited at the time of initial evaluation at a multidisciplinary pain management clinic. Dyads completed self-report measures to assess pain, catastrophizing, endorsement of a biopsychosocial perspective of pain, and readiness to change/motivation to adopt a self-management approach to pain coping. RESULTS: Agreement between adolescent-parent dyad reports of pain catastrophizing and readiness to change was found; however, adolescents were less likely to view pain as "affected by feelings and emotions" than parents. The hypothesis that greater pain catastrophizing would be correlated with less readiness to change was partially supported. Adolescent and parents who reported lower levels of endorsement of a biopsychosocial perspective were less willing to adopt a self-management approach to pain coping. Endorsement of a biopsychosocial perspective of pain aligned with readiness to change stages more consistently for parents. DISCUSSION: This study documents initial relationships among pain catastrophizing, biopsychosocial perspectives of pain, and readiness to engage in a self-management approach to pain coping for adolescents with chronic pain and their parents. Although agreement exists between dyads regarding catastrophizing and readiness to change, differences were noted in biopsychosocial perspective and dominant readiness to change stage before an initial pain clinic encounter. Findings are considered in terms of future research to advance knowledge regarding the role these factors may play in treatment adherence and outcomes.
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Children's beliefs about their symptoms and the acceptability of interventions matter because they can predict whether a child will receive and benefit from treatment.
“Child beliefs about the nature of their symptoms and the acceptability of interventions are also important because they may predict whether a child will receive and benefit from treatment.12,13”
From Provider Communication Regarding Psychosocial Factors Predicts Pain Beliefs in Parent and Child (2016) · cites this paper as [12]
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- Authors
- Guite, J. W., Kim, S., Chen, C.-P., Sherker, J. L., Sherry, D. D., Rose, J. B., & Hwang, W.-T.
- Affiliations
- Children's Hospital of Philadelphia (US)
- University of Pennsylvania (US)
- Corresponding author
- Guite, Jessica W.
- Kim, Sohee
- Rose, John B.
- Venue
- The Clinical Journal of Pain
- Published
- 2014-01
- Volume
- 30
- Issue
- 1
- Pages
- 27-35
- ISSN
- 0749-8047 (ISSN-L)
- PMC
- PMC3742695
- OpenAlex
- W2004631749
- Cited by
- 41
- References
- 24
- Citations by year
- 2026: 4 · 2025: 3 · 2024: 2 · 2023: 3 · 2022: 2 · 2021: 2 · 2020: 5 · 2019: 3 · 2018: 4 · 2017: 7 · 2016: 1 · 2015: 2 · 2014: 2 · 2013: 1
- FWCI
- 1.86
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Clinical Journal of Pain (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (R03HD054596)
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Health Sciences › Health Professions › Speech and Hearing › Adolescent and Pediatric Healthcare
- Keywords
- chronic musculoskeletal pain, adolescents, pain beliefs, pain catastrophizing, readiness to change, self-management, pain coping, parent-adolescent dyads, medication adherence
- MeSH terms
- Adaptation, Psychological, Adolescent, Adolescent Behavior, Attitude to Health, Culture, Female, Humans, Male, Parents, Patient Acceptance of Health Care, Philadelphia, Patient Satisfaction, Pain Clinics, Catastrophization, Chronic Pain, Pain Management
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