Maladaptive Coping and Depressive Symptoms Partially Explain the Association Between Family Stress and Pain-Related Distress in Youth With IBD

Overview

Journal J Pediatr Psychol

Publisher Oxford University Press

Date 2017 May 26

PMID 28541526

Citations 12

Authors

Bonney Reed-Knight

Miranda A L van Tilburg

Rona L Levy

Shelby L Langer

Joan M Romano

Tasha B Murphy

Melissa M DuPen

Andrew D Feld

Affiliations

Soon will be listed here.

Abstract

Objective: To extend existing research on the pain burden experienced by youth with inflammatory bowel disease (IBD) by examining the complexity of psychosocial factors involved in pain-related distress.

Methods: Parents completed measures of family stress and their child's pain-related expressions of distress and coping. Youth with IBD rated their depressive symptoms (n = 183 dyads). Mediation analyses were performed using regression-based techniques and bootstrapping.

Results: Greater family stress was positively related to children's pain-related expressions of distress and passive coping. Significant indirect effects were found in the relationship between family stress and expressed pain-related distress through parent-reported passive coping, depressive symptoms, and both passive coping and depressive symptoms sequentially.

Conclusions: Results suggest that family stress can place children at risk for greater expressed pain-related distress through effects on coping and depressive symptoms. Addressing psychosocial difficulties is important for closing the gap between disability and health in youth with IBD.

Citing Articles

Coping Strategies and Inflammatory Bowel Disease: A Narrative Review.

Popa S, Fadgyas Stanculete M, Grad S, Brata V, Duse T, Badulescu A J Clin Med. 2024; 13(6).

PMID: 38541856 PMC: 10971081. DOI: 10.3390/jcm13061630.

Appraisals of Pain in Pediatric Inflammatory Bowel Disease: A Qualitative Study With Youth, Parents, and Providers.

Gorbounova I, van Diggelen T, Slack K, Murphy L, Palermo T Crohns Colitis 360. 2023; 4(4):otac040.

PMID: 36778512 PMC: 9802382. DOI: 10.1093/crocol/otac040.

Parental Distress in Pediatric Inflammatory Bowel Diseases: Associations With Time From Diagnosis, Disease Activity, and Demographic Factors.

Cesa K, Cunningham C, Noll R, Kim S Crohns Colitis 360. 2022; 4(2):otac019.

PMID: 35783219 PMC: 9237933. DOI: 10.1093/crocol/otac019.

Family care and subjective well-being of coronary heart disease patients after percutaneous coronary intervention: Mediating effects of coping strategies.

Liang L, Liu Y, Shi Y, Jiang T, Zhang H, Liu B Int J Nurs Sci. 2022; 9(1):79-85.

PMID: 35079608 PMC: 8766782. DOI: 10.1016/j.ijnss.2021.09.006.

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.

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