Adolescent Pain Catastrophizing Mediates the Relationship Between Protective Parental Responses to Pain and Disability Over Time

Welkom, Josie S.; Hwang, Wei–Ting; Guite, Jessica W.

doi:10.1093/jpepsy/jst011

Cited by 59 publications

(54 citation statements)

References 52 publications

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“…Parental protectiveness was shown to be associated with child disability indirectly through pain catastrophizing at initial visit and follow up, and decreases in parent protectiveness were related to lower levels of disability. This supports the Social Learning Theory, which asserts that an individual's responses are shaped via positive or negative reinforcement (Welkom et al 2013). Kraljevic et al (2012) also found significant positive correlation between pain catastrophizing of adult children and both of their parents.…”

Section: Parent and Child Relationshipssupporting

confidence: 72%

“…In support of the presentation of catastrophizing as a learned behavior are two recent studies by Welkom et al (2013), Kraljevic et al (2012). In these studies it was revealed that while a child's pain catastrophizing might have every intention of eliciting heightened assistance and empathetic parental responses, protective parenting is in fact particularly unhelpful.…”

Section: Parent and Child Relationshipsmentioning

confidence: 99%

“…The Communal Coping Model explains catastrophizing as a maladaptive coping strategy, intended to elicit social support in the face of a perceived stressor by overt display of pain, which is ultimately shaped by positive and negative reinforcements within an individual's environment and social interactions (Boothby et al 2004;Kraljevic et al 2012;Welkom et al 2013). …”

Section: Social Learning Causes Of Catastrophizingmentioning

confidence: 99%

See 2 more Smart Citations

The Role of Catastrophizing Beliefs in Effective Chronic Pain Treatment

Smith¹,

Herman²,

Smith³

2015

J Rat-Emo Cognitive-Behav Ther

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Chronic pain is a serious and complex health issue. Patients dealing with chronic pain demonstrate multifarious behavioral and cognitive responses to their widely varying individual experiences. How can we, as health professionals, best serve these patients? In this paper, we discuss the place of pain within the historical conceptualization of health and normalcy, and the more current biopsychosocial model. We also review contemporary theories on how cognition plays a vital role in the psychological processing of stimuli, including pain. We focus on the significant interactions between catastrophizing appraisals of pain and the chronic pain experience, including increases in pain perception, pain sensitivity, depression and disability. In light of these significant interactions, we assert that catastrophizing must be specifically addressed in the treatment of chronic pain. We therefore explore the mechanisms through which catastrophizing comes to influence the pain experience, and its etiology. Then, with an understanding of cognitive processing of stimuli, along with the causes and consequences of catastrophizing, we suggest several targets of treatment for catastrophizing in chronic pain. We explore how the cognitive models meet or fail to meet those targets. We conclude with suggestions for further research on the topic of catastrophizing and chronic pain.

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Section: Parent and Child Relationshipssupporting

confidence: 72%

Section: Parent and Child Relationshipsmentioning

confidence: 99%

Section: Social Learning Causes Of Catastrophizingmentioning

confidence: 99%

See 1 more Smart Citation

The Role of Catastrophizing Beliefs in Effective Chronic Pain Treatment

Smith¹,

Herman²,

Smith³

2015

J Rat-Emo Cognitive-Behav Ther

View full text Add to dashboard Cite

show abstract

“…For instance, parental catastrophizing about their child's pain has been shown to be associated with child cognitions about pain, which in turn are related to the child's pain-related disability (e.g., Vowles, Cohen, McCracken, & Eccleston, 2010;Wilson, Lewandowski, & Palermo, 2011). The indirect effect of parent responses to children's pain has been demonstrated longitudinally, with adolescent cognitions, specifically catastrophizing, mediating the effect of parent protectiveness on pain and disability over time (Welkom, Hwang, & Guite, 2013). Child catastrophizing has consistently been shown to be associated with the experience of pain in children and adolescents.…”

Section: Introductionmentioning

confidence: 99%

Parent Pain and Catastrophizing Are Associated With Pain, Somatic Symptoms, and Pain-Related Disability Among Early Adolescents

Wilson

Moss

Palermo

et al. 2013

Journal of Pediatric Psychology

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Objective To examine associations between parental history of pain and catastrophizing and their adolescent's pain, somatic symptoms, catastrophizing, and disability. Methods Participants included 178 youths aged 11-14 years recruited through public schools. Adolescents completed measures assessing pain characteristics, somatic symptoms, and pain catastrophizing. Parents reported on their own pain, and catastrophizing about their adolescent's pain. Results About one quarter of the adolescents and two thirds of parents reported having pain. Parent pain was associated with adolescent pain, somatic symptoms, and pain catastrophizing. Parent catastrophizing was a significant predictor of adolescent somatic symptoms and pain-related disability, beyond the contribution of parent pain. Adolescent catastrophizing mediated the association between parent catastrophizing and adolescent pain-related disability. Conclusions Parent history of pain and pain-related cognitions may contribute to adolescent risk for chronic pain.

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“…26 In regards to pain rehabilitation, pain catastrophizing was associated with greater functional disability, both at admission and 2 months following rehabilitation. 32 Pain catastrophizing has also been shown to be related to perceived pain intensity, functional disability, and general or trait anxiety, and to predict pain intensity and functional disability 6 months later. 33 Interestingly, others have shown pain catastrophizing to be related to psychological functioning and pain intensity, but not to functional impairment or social functioning.…”

mentioning

confidence: 99%

The Influence of Anxiety Reduction on Clinical Response to Pediatric Chronic Pain Rehabilitation

Benore

D'Auria

Banez

et al. 2015

The Clinical Journal of Pain

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The findings of this study support existing research on anxiety and CP, specifically the relationship between anxiety and pain-related disability. This study also supports the benefit of intensive interdisciplinary rehabilitation for both reducing anxiety and increasing functional outcomes, suggesting a possible link in children's response to intervention. Study limitations and future directions for related research are discussed.

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Adolescent Pain Catastrophizing Mediates the Relationship Between Protective Parental Responses to Pain and Disability Over Time

Cited by 59 publications

References 52 publications

The Role of Catastrophizing Beliefs in Effective Chronic Pain Treatment

The Role of Catastrophizing Beliefs in Effective Chronic Pain Treatment

Parent Pain and Catastrophizing Are Associated With Pain, Somatic Symptoms, and Pain-Related Disability Among Early Adolescents

The Influence of Anxiety Reduction on Clinical Response to Pediatric Chronic Pain Rehabilitation

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