Testing a Model of Pain Appraisal and Coping in Children with Chronic Abdominal Pain

Overview

Journal Health Psychol

Specialty Public Health

Date 2005 Jul 28

PMID 16045372

Citations 61

Authors

Lynn S Walker

Craig A Smith

Judy Garber

Robyn Lewis Claar

Affiliations

Soon will be listed here.

Abstract

This prospective study of children with recurrent abdominal pain (N=133; ages 8--15 years) used path analysis to examine relations among dispositional pain beliefs and coping styles, cognitions and behavior related to a specific pain episode, and short- and long-term outcomes. Children believing they could not reduce or accept pain appraised their episode-specific coping ability as low and reported passive coping behavior. Dispositional passive coping had direct effects on both episode-specific passive coping and long-term symptoms and disability. Accommodative coping (acceptance and self-encouragement) was associated with reduced episode-specific distress, which itself predicted reduced depressive symptoms 3 months later. Results suggest that coping-skill interventions for children with chronic pain should target reductions in passive coping and consider the potential benefits of accommodative coping strategies.

Citing Articles

Positive Schemas, Coping, and Quality of Life in Pediatric Recurrent Abdominal Pain.

Lee S, Tomlinson R, Lumley M, Bax K, Ashok D, McMurtry C J Clin Psychol Med Settings. 2023; 31(1):37-47.

PMID: 36952113 DOI: 10.1007/s10880-023-09952-6.

Mediation of outcomes for cognitive behavioral therapy targeted to parents of children with Functional Abdominal Pain Disorders.

van Tilburg M, Levy R, Stoner S, Romano J, Murphy T, Abdullah B J Psychosom Res. 2021; 150:110618.

PMID: 34598050 PMC: 8526395. DOI: 10.1016/j.jpsychores.2021.110618.

Engagement during a Mixed In-Person and Remotely Delivered Psychological Intervention for Youth with Functional Abdominal Pain Disorders and Anxiety.

Miller A, Ely S, Barber Garcia B, Richardson P, Cunningham N Children (Basel). 2021; 8(9).

PMID: 34572207 PMC: 8466519. DOI: 10.3390/children8090775.

Passive Coping Associations With Self-Esteem and Health-Related Quality of Life in Youth With Inflammatory Bowel Disease.

Reed B, Rea K, Claar R, van Tilburg M, Levy R Front Psychol. 2021; 12:670902.

PMID: 34248766 PMC: 8263929. DOI: 10.3389/fpsyg.2021.670902.

Sex Moderates the Relationship Between Nausea Severity and Heart Rate Variability in Adolescents and Young Adults.

Caillet A, Russell A, Wild M, Acra S, Bradshaw L, Bruehl S Dig Dis Sci. 2021; 67(2):606-612.

PMID: 33608817 PMC: 8373993. DOI: 10.1007/s10620-021-06892-9.

References

Bentler P . Comparative fit indexes in structural models. Psychol Bull. 1990; 107(2):238-46. DOI: 10.1037/0033-2909.107.2.238. View

Walker L, Greene J . The functional disability inventory: measuring a neglected dimension of child health status. J Pediatr Psychol. 1991; 16(1):39-58. DOI: 10.1093/jpepsy/16.1.39. View

Jensen M, Turner J, Romano J . Self-efficacy and outcome expectancies: relationship to chronic pain coping strategies and adjustment. Pain. 1991; 44(3):263-269. DOI: 10.1016/0304-3959(91)90095-F. View

Gil K, Williams D, Thompson Jr R, Kinney T . Sickle cell disease in children and adolescents: the relation of child and parent pain coping strategies to adjustment. J Pediatr Psychol. 1991; 16(5):643-63. DOI: 10.1093/jpepsy/16.5.643. View

Walker L, Garber J, Greene J . Somatization symptoms in pediatric abdominal pain patients: relation to chronicity of abdominal pain and parent somatization. J Abnorm Child Psychol. 1991; 19(4):379-94. DOI: 10.1007/BF00919084. View

Thompson Jr R, Gil K, Abrams M, Phillips G . Stress, coping, and psychological adjustment of adults with sickle cell disease. J Consult Clin Psychol. 1992; 60(3):433-40. DOI: 10.1037//0022-006x.60.3.433. View

Walker L, Garber J, Greene J . Psychosocial correlates of recurrent childhood pain: a comparison of pediatric patients with recurrent abdominal pain, organic illness, and psychiatric disorders. J Abnorm Psychol. 1993; 102(2):248-58. DOI: 10.1037//0021-843x.102.2.248. View

Carver C, Scheier M . Situational coping and coping dispositions in a stressful transaction. J Pers Soc Psychol. 1994; 66(1):184-95. DOI: 10.1037//0022-3514.66.1.184. View

Church A, Burke P . Exploratory and confirmatory tests of the big five and Tellegen's three- and four-dimensional models. J Pers Soc Psychol. 1994; 66(1):93-114. DOI: 10.1037//0022-3514.66.1.93. View

10.

Frank N, Blount R, Smith A, Manimala M, Martin J . Parent and staff behavior, previous child medical experience, and maternal anxiety as they relate to child procedural distress and coping. J Pediatr Psychol. 1995; 20(3):277-89. DOI: 10.1093/jpepsy/20.3.277. View

11.

Rudolph K, Dennig M, Weisz J . Determinants and consequences of children's coping in the medical setting: conceptualization, review, and critique. Psychol Bull. 1995; 118(3):328-57. DOI: 10.1037/0033-2909.118.3.328. View

12.

Peyrot M . Causal analysis: theory and application. J Pediatr Psychol. 1996; 21(1):3-24. DOI: 10.1093/jpepsy/21.1.3. View

13.

Holmbeck G . Toward terminological, conceptual, and statistical clarity in the study of mediators and moderators: examples from the child-clinical and pediatric psychology literatures. J Consult Clin Psychol. 1997; 65(4):599-610. DOI: 10.1037//0022-006x.65.4.599. View

14.

McCracken L . Learning to live with the pain: acceptance of pain predicts adjustment in persons with chronic pain. Pain. 1998; 74(1):21-27. DOI: 10.1016/S0304-3959(97)00146-2. View

15.

Bursch B, Walco G, Zeltzer L . Clinical assessment and management of chronic pain and pain-associated disability syndrome. J Dev Behav Pediatr. 1998; 19(1):45-53. DOI: 10.1097/00004703-199802000-00008. View

16.

Smith C, Wallston K, Dwyer K, Dowdy S . Beyond good and bad coping: a multidimensional examination of coping with pain in persons with rheumatoid arthritis. Ann Behav Med. 1997; 19(1):11-21. DOI: 10.1007/BF02883422. View

17.

Lefebvre J, Keefe F, Affleck G, Raezer L, Starr K, Caldwell D . The relationship of arthritis self-efficacy to daily pain, daily mood, and daily pain coping in rheumatoid arthritis patients. Pain. 1999; 80(1-2):425-35. DOI: 10.1016/s0304-3959(98)00242-5. View

18.

Schwartz J, Neale J, Marco C, Shiffman S, Stone A . Does trait coping exist? A momentary assessment approach to the evaluation of traits. J Pers Soc Psychol. 1999; 77(2):360-9. DOI: 10.1037//0022-3514.77.2.360. View

19.

Walker L, Garber J, Smith C, Van Slyke D, Claar R . The relation of daily stressors to somatic and emotional symptoms in children with and without recurrent abdominal pain. J Consult Clin Psychol. 2001; 69(1):85-91. PMC: 3144704. View

20.

Thomsen A, Compas B, Colletti R, Stanger C, Boyer M, Konik B . Parent reports of coping and stress responses in children with recurrent abdominal pain. J Pediatr Psychol. 2002; 27(3):215-26. DOI: 10.1093/jpepsy/27.3.215. View