The Role of Parent Psychological Flexibility in Relation to Adolescent Chronic Pain: Further Instrument Development

Wallace, Dustin P.; McCracken, Lance M.; Weiss, Karen E.; Harbeck‐Weber, Cynthia

doi:10.1016/j.jpain.2014.11.013

Cited by 55 publications

(92 citation statements)

References 43 publications

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“…Parent pain acceptance has been shown to be directly correlated with child pain acceptance and negatively correlated with parent protective behavior, child pain catastrophizing, and child fear of pain 39 . Parent psychological flexibility has also been shown to be positively correlated with child pain acceptance and functioning and negatively correlated with child depression and parent protective behavior 19, 49 . These parent psychological dimensions can be targeted in treatment, and there has been a track record for success in patients with chronic pain 1, 3, 20–22, 40, 51 .…”

Section: Discussionmentioning

confidence: 99%

The Longitudinal Impact of Parent Distress and Behavior on Functional Outcomes Among Youth With Chronic Pain

Chow

Otis

Simons

2016

The Journal of Pain

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Accumulating evidence supports the concurrent association between parent distress and behavior and child functioning in the context of chronic pain, with existing longitudinal studies limited to a pediatric surgical context that identify parent catastrophizing as influential. In this study, we examined how parent factors assessed at a multidisciplinary pediatric pain clinic evaluation impact child psychological and functional outcomes over time. A cohort of 195 patients with chronic pain (ages 8–17) and their parents who presented for a multidisciplinary evaluation completed measures at baseline and at four-month follow-up. Patients completed measures of pain catastrophizing, pain-related fear and avoidance, generalized anxiety, depressive symptoms, and functional disability. Parents completed measures of pain catastrophizing, pain-related fear and avoidance, and protective responses to child pain. Parent reported child school functioning was also collected. Parent distress and behavior was concurrently associated with child distress and functioning at evaluation. After controlling for baseline child functioning, baseline parent avoidance and protective behavior emerged as significant predictors of child functioning at four-month follow-up. Parent distress and behavior influence child distress and functioning over time and these findings identify key parent domains to target in the context of a child’s pain treatment.

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Section: Discussionmentioning

confidence: 99%

The Longitudinal Impact of Parent Distress and Behavior on Functional Outcomes Among Youth With Chronic Pain

Chow

Otis

Simons

2016

The Journal of Pain

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“…Each cluster reflects different levels and expressions of psychological flexibility or inflexibility. Psychological inflexibility has been shown across diverse populations to be linked to various dysfunctional or risk behaviors [20], level of functioning [34] and dysfunction also in adolescents of psychological inflexible parents [61]. It is also possible that developing more tailored rehabilitation programs for these groups of patients, that target their different behavioral styles and psychological flexibility levels, could lead to improvements in treatment.…”

Section: Discussionmentioning

confidence: 99%

Latent Class Analysis of the Short and Long Forms of the Chronic Pain Acceptance Questionnaire: Further Examination of Patient Subgroups

Rovner

Vowles

Gerdle

et al. 2015

The Journal of Pain

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“…Recently, the role of partners in promoting positive functioning in individuals with chronic pain has received research attention (e.g., Taylor et al, 2013;Kindt et al, 2015;. Other studies have looked at psychological flexibility in parents (McCracken and Gauntlett-Gilbert, 2011;Wallace et al, 2015) and teacher support (Vervoort et al, 2014) as a buffer against negative outcomes in children with pain. The recently proposed dual-factor model of risk and resilience in the context of pediatric pain, the Ecological Resilience-Risk Model may promote future research endeavors in this area (Cousins et al, 2015).…”

Section: Future Challengesmentioning

confidence: 99%

Towards a science and practice of resilience in the face of pain

Goubert

Trompetter

2017

European Journal of Pain

131

135

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. Electronic mail may be sent to Liesbet.Goubert@UGent.be. Conflicts of interestThe authors declare to have no conflicts of interest. 2 Statement of "significance":What does this review add? The resilience approach put forward in this review spotlights sustainability of positive outcomes (e.g. engagement in meaningful activities) in the presence of pain as an outcome to pursue beyond recovery of negative outcomes. We illuminate the evidence-base and practical application of promising resilience mechanisms (positive emotions, psychological flexibility, needs satisfaction).3 Abstract Background and Objective: The primary objective of this paper is to discuss how a resilience approach to (chronic) pain may advance our current understanding of (mal)adaptation to pain. Different resilience perspectives are described, and future challenges for research, prevention and treatment of (chronic) pain are discussed. Databases and Data Treatment:Literature searches were performed in Web of Science and PubMed to identify relevant literature on risk and resilience in the context of pain. Results:Resilience can be best defined as the ability to restore and sustain living a fulfilling life in the presence of pain. The Psychological Flexibility Model, the Broaden-and-Build Theory, and Self-Determination Theory are described as theories that may provide insight into resilience within the context of (chronic) pain. Conclusions:We describe how a resilience paradigm shifts the outcomes to pursue in pain research and intervention and argue the need for including positive outcomes in addition to negative outcomes. Psychological flexibility, positive affect and basic psychological needs satisfaction are described as potentially important resilience mechanisms with the potential to target both sustainability and recovery from pain. A resilience approach to chronic pain may have important implications for the prevention and treatment of chronic pain problems, as it may give specific indications on how to empower patients to continue living a fulfilling life (in the presence of pain).4

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The Role of Parent Psychological Flexibility in Relation to Adolescent Chronic Pain: Further Instrument Development

Cited by 55 publications

References 43 publications

The Longitudinal Impact of Parent Distress and Behavior on Functional Outcomes Among Youth With Chronic Pain

The Longitudinal Impact of Parent Distress and Behavior on Functional Outcomes Among Youth With Chronic Pain

Latent Class Analysis of the Short and Long Forms of the Chronic Pain Acceptance Questionnaire: Further Examination of Patient Subgroups

Towards a science and practice of resilience in the face of pain

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