Interactive Effects of Internalizing and Externalizing Problem Behaviors on Recurrent Pain in Children

Vaalamo, Inka; Pulkkinen, Lea; Kinnunen, Taru; Kaprio, Jaakko; Rose, Richard J.

doi:10.1093/jpepsy/27.3.245

Cited by 31 publications

(20 citation statements)

References 87 publications

(125 reference statements)

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“…In this longitudinal study [12], they demonstrated that there was no significant age effect on the association between adolescents’ functional somatic symptoms and externalizing problems. In the same line, Vaalamo et al [54] showed no differences in externalizing problem behaviours between 11–12 years old boys and girls with recurrent pain.…”

Section: Discussionmentioning

confidence: 82%

“…aggression, negative affectivity) may attenuate individual’s coping capacity resulting in the intensification of the stress experience, that, in turn, exacerbates pain perception. Therefore, multiple, recurrent SHC may constitute behavioural manifestations that depict the low self-control capacity on managing intensification of emotions and activation of behaviour [54]. What is more, neurobiological findings regarding the close proximity of brain structures processing pain and negative emotion may provide impetus to study the association of emotional/behavioural functioning and SHC from a neuropsychological perspective as well [20].…”

Section: Discussionmentioning

confidence: 99%

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Adolescents’ multiple, recurrent subjective health complaints: investigating associations with emotional/behavioural difficulties in a cross-sectional, school-based study

Petanidou¹,

Giannakopoulos

Tzavara³

et al. 2014

Child and Adolescent Psychiatry and Mental Health

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BackgroundAdolescence has been documented as the peak age of onset for mental health perturbations, clinical disorders and unsubstantiated health complaints. The present study attempted to investigate associations between multiple, recurrent subjective health complaints (SHC) with emotional/behavioural difficulties, as measured by the Strengths and Difficulties Questionnaire scale (SDQ), among Greek adolescents.MethodsQuestionnaires were administered in a large, nation-wide, random, school-based sample of Greek adolescents, aged 12–18 years. Data from 1170 participants were analyzed. Adolescents with multiple, recurrent SHC were compared in terms of their emotional/behavioural difficulties to their peers with lower levels of health complaints. SDQ scales were separately investigated for their associations with multiple, recurrent SHC, after adjustment for gender, age and socioeconomic status (ses). Further analysis included multiple logistic regression models with multiple, recurrent SHC as the dependent variable and gender, age, ses and SDQ Total difficulties score as independent factors. Potential gender and age interactions were also explored.ResultsAlmost half of the study participants reported multiple, recurrent SHC. Adolescents with multiple, recurrent SHC had higher scores on all SDQ scales, except from the Prosocial behavior scale, compared to their peers with lower levels of health complaints. Emotional Symptoms, Conduct Problems, Hyperactivity/Inattention and Peer Problems were associated with greater likelihood of having multiple, recurrent SHC, after adjustment for gender, age and ses. The multiple logistic regression models revealed that older adolescents and girls, as well as those with increased Total difficulties score had an increased risk for multiple, recurrent SHC reporting. No significant interaction between SDQ scales and gender or age was found.ConclusionsOur study highlights the magnitude of psychological burden among adolescents experiencing multiple, recurrent SHC. Professionals in school and clinical settings should be cautious for impaired emotional/behavioural functioning when assessing adolescents with multiple, recurrent SHC, so as early identification of at-risk individuals and timely, appropriate referrals are facilitated.

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Section: Discussionmentioning

confidence: 82%

Section: Discussionmentioning

confidence: 99%

Adolescents’ multiple, recurrent subjective health complaints: investigating associations with emotional/behavioural difficulties in a cross-sectional, school-based study

Petanidou¹,

Giannakopoulos

Tzavara³

et al. 2014

Child and Adolescent Psychiatry and Mental Health

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“…The TR-MPNI items are presented in the form of statements (e.g., "Cannot concentrate on anything"), and the teachers are asked to rate pupils on every item on a four-point scale where 0=does not apply and 3=applies in a pronounced way. A factor analysis of the structure of the TR-MPNI (e.g., Pulkkinen et al 1999;Vaalamo et al 2002) has resulted in three main factors for externalizing problem behaviors, internalizing problem behaviors, and adaptive behaviors. The TR-MPNI scales have been validated against peer nominations and parental ratings in a large sample of Finnish twins (Pulkkinen et al 1999).…”

Section: Methodsmentioning

confidence: 99%

“…The TR-MPNI scales have been validated against peer nominations and parental ratings in a large sample of Finnish twins (Pulkkinen et al 1999). The scales differentiate between genders and are differentially affected by genetic and environmental factors (Vierikko et al 2006); are associated with heart rate reactivity , self-control (Kokkonen and Kinnunen 2006) and parenting and home atmosphere ; predict smoking initiation (Barman et al 2004) and recurrent pain (Vaalamo et al 2002); and are longitudinally predicted by self-esteem, hope, and academic achievements (Ciarrochi et al 2007). …”

Section: Methodsmentioning

confidence: 99%

A school-based intervention program as a context for promoting socioemotional development in children

2010

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The present study investigated the role of a school-based intervention program, called the Integrated School Day, in the socioemotional development of Finnish children during their first years of school. The 3-year program involved the restructuring of the school day by adding in extracurricular activities, which were organized on school premises, included a multitude of activities according to children's wishes, and were available to every child. The longitudinal findings, based on the hierarchical linear modeling, showed that the 9-to 10-year-old children who had participated in the program (N=276) had lower levels of internalizing problem behaviors, both social anxiety and depressive symptoms, than the non-intervention comparison group (N=239). The difference was statistically significant in both genders. The results also showed that the higher number of years of participation (but not the number of different activities or the regularity of participation) was related to lower internalizing problem behaviors, particularly to lower social anxiety, at the end of the program.Résumé La présente étude portait sur le rôle d'un programme d'intervention en milieu scolaire appelé «Journée d'école intégrée», dans le développement socio-émotionnel d'enfants finlandais durant leurs premières années d'école. Le programme, d'une durée de trois ans, concernait la restructuration de la journée scolaire par l'ajout d'activités parascolaires, organisées dans les locaux de l'école, comprenant une multitude d'activités conformes aux désirs des enfants, et accessibles à chaque enfant. Les conclusions Eur

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“…Emotion dysregulation, considered a key component of complex traumatic stress (Ford, 2009), has been demonstrated to increase pain reporting in children (Connelly et al, 2012;Vaalamo, Pulkkinen, Kinnunen, Kaprio, & Rose, 2002). Using electronic diaries to collect repeated-measure, real-time data, Connelly et al (2012) demonstrated that participants reported less functional disability after successfully attenuating negative emotion.…”

Section: Pain Managementmentioning

confidence: 99%

Complex Traumatic Stress in the Pediatric Medical Setting

Brosbe

Faust

Gold

2013

Journal of Trauma & Dissociation

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There has been a recent increase in research focusing on child complex traumatic stress following prolonged or repeated trauma. These traumatic stress reactions often affect many aspects of the child's functioning, including psychological, behavioral, and physical health. In addition, complex traumatic stress experienced by youth with serious medical conditions may influence health issues such as medical adherence, emotional adjustment to illness, and pain management. This article reviews and delineates the current state of the literature on the impact of complex traumatic stress in childhood on mental and physical health as well as on these pediatric health-related issues. To date, few empirical studies have directly addressed this association. Several features associated with complex traumatic stress, such as emotion regulation difficulties, disruptive behavior, and family conflict, have indirectly been demonstrated to interfere with pediatric adherence, medical coping, and pain management. This demonstrates the need for more focused research in this area.

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Interactive Effects of Internalizing and Externalizing Problem Behaviors on Recurrent Pain in Children

Abstract: Low self-control of emotions, indicated by internalizing and externalizing problem behaviors, was related to pain in both boys and girls; high self-control of emotions, indicated by constructive behavior, associated with pain only in girls.

Cited by 31 publications

References 87 publications

Adolescents’ multiple, recurrent subjective health complaints: investigating associations with emotional/behavioural difficulties in a cross-sectional, school-based study

Adolescents’ multiple, recurrent subjective health complaints: investigating associations with emotional/behavioural difficulties in a cross-sectional, school-based study

A school-based intervention program as a context for promoting socioemotional development in children

Complex Traumatic Stress in the Pediatric Medical Setting

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