Display options
Share it on

Pain Res Treat. 2014;2014:751097. doi: 10.1155/2014/751097. Epub 2014 Jan 20.

Parental Catastrophizing Partially Mediates the Association between Parent-Reported Child Pain Behavior and Parental Protective Responses.

Pain research and treatment

Shelby L Langer, Joan M Romano, Lloyd Mancl, Rona L Levy

Affiliations

  1. School of Social Work, University of Washington, Box 354900, 4101 15th Avenue NE, Seattle, WA 98105, USA.
  2. Psychiatry and Behavioral Sciences, School of Medicine, University of Washington, Box 356560, 1959 Pacific Street, Seattle, WA 98195, USA.
  3. Oral Health Sciences, School of Dentistry, University of Washington, Box 357475, 1959 NE Pacific Street, Seattle, WA 98195, USA.

PMID: 24579047 PMCID: PMC3918362 DOI: 10.1155/2014/751097

Abstract

This study sought to model and test the role of parental catastrophizing in relationship to parent-reported child pain behavior and parental protective (solicitous) responses to child pain in a sample of children with Inflammatory Bowel Disease and their parents (n = 184 dyads). Parents completed measures designed to assess cognitions about and responses to their child's abdominal pain. They also rated their child's pain behavior. Mediation analyses were performed using regression-based techniques and bootstrapping. Results supported a model treating parent-reported child pain behavior as the predictor, parental catastrophizing as the mediator, and parental protective responses as the outcome. Parent-reported child pain behavior predicted parental protective responses and this association was mediated by parental catastrophizing about child pain: indirect effect (SE) = 2.08 (0.56); 95% CI = 1.09, 3.30. The proportion of the total effect mediated was 68%. Findings suggest that interventions designed to modify maladaptive parental responses to children's pain behaviors should assess, as well as target, parental catastrophizing cognitions about their child's pain.

References

  1. J Pediatr Psychol. 2014 Jan-Feb;39(1):45-54 - PubMed
  2. Inflamm Bowel Dis. 2011 Dec;17(12):2541-50 - PubMed
  3. Clin J Pain. 2006 Oct;22(8):712-6 - PubMed
  4. Pain. 2006 Mar;121(1-2):77-84 - PubMed
  5. Clin J Pain. 2001 Mar;17(1):52-64 - PubMed
  6. Pain. 2011 Jan;152(1):212-222 - PubMed
  7. Pain. 2010 Dec;151(3):834-842 - PubMed
  8. JAMA Pediatr. 2013 Feb;167(2):178-84 - PubMed
  9. Child Health Care. 2009 Jul 3;38(3):169-184 - PubMed
  10. Clin J Pain. 2006 May;22(4):387-91 - PubMed
  11. Pain. 2012 Mar;153(3):687-695 - PubMed
  12. Pain. 2001 Aug;93(2):173-183 - PubMed
  13. Pain. 1998 Sep;77(3):253-260 - PubMed
  14. Pain. 2003 Nov;106(1-2):19-25 - PubMed
  15. J Crohns Colitis. 2010 Feb;4(1):7-27 - PubMed
  16. Pain. 2008 Aug 15;138(1):172-179 - PubMed
  17. J Pediatr Gastroenterol Nutr. 2013 Apr;56(4):449-58 - PubMed
  18. Pain. 2007 Feb;127(3):234-242 - PubMed
  19. Pain. 2003 Aug;104(3):639-646 - PubMed
  20. Am J Gastroenterol. 2004 Dec;99(12):2442-51 - PubMed
  21. Pain. 2006 Aug;123(3):254-263 - PubMed
  22. Clin J Pain. 2014 Sep;30(9):787-99 - PubMed
  23. J Behav Med. 1991 Apr;14(2):155-67 - PubMed
  24. Pain. 2013 Oct;154(10):1979-1988 - PubMed
  25. Pain. 2005 Dec 15;119(1-3):26-37 - PubMed
  26. J Pediatr Gastroenterol Nutr. 2013 Aug;57(2):250-7 - PubMed
  27. J Consult Clin Psychol. 1992 Oct;60(5):777-82 - PubMed
  28. J Clin Psychol Med Settings. 2012 Jun;19(2):188-96 - PubMed
  29. Eur J Pain. 2011 May;15(5):515.e1-9 - PubMed
  30. J Clin Psychol. 1995 Nov;51(6):775-82 - PubMed
  31. Pain. 2004 Jun;109(3):500-506 - PubMed
  32. Pain. 2008 Jan;134(1-2):59-68 - PubMed
  33. Pain. 2008 Sep 30;139(1):47-54 - PubMed
  34. J Pain. 2005 May;6(5):338-9 - PubMed
  35. Med Care. 1999 Feb;37(2):126-39 - PubMed
  36. Clin J Pain. 2010 Jun;26(5):410-7 - PubMed
  37. Pain. 2012 Aug;153(8):1695-1701 - PubMed
  38. Am J Gastroenterol. 2010 Apr;105(4):946-56 - PubMed
  39. J Pain. 2007 Sep;8(9):708-17 - PubMed
  40. Pain. 2006 Jul;123(1-2):37-44 - PubMed
  41. Inflamm Bowel Dis. 2010 Dec;16(12):2148-57 - PubMed
  42. J Clin Psychol Med Settings. 2012 Sep;19(3):270-6 - PubMed
  43. Pain. 2006 May;122(1-2):43-52 - PubMed
  44. Clin J Pain. 2001 Jun;17(2):165-72 - PubMed
  45. J Pediatr Psychol. 2006 Aug;31(7):674-83 - PubMed
  46. Eur J Pain. 2009 Feb;13(2):196-201 - PubMed
  47. Am J Gastroenterol. 2001 Oct;96(10):2915-20 - PubMed
  48. J Dev Behav Pediatr. 2012 Feb;33(2):106-11 - PubMed
  49. Clin J Pain. 2013 Aug;29(8):681-8 - PubMed
  50. J Pediatr Psychol. 2009 May;34(4):430-40 - PubMed
  51. Pain. 2004 Apr;108(3):221-229 - PubMed
  52. Expert Rev Neurother. 2009 May;9(5):745-58 - PubMed
  53. Pain. 2003 May;103(1-2):151-6 - PubMed
  54. J Pediatr Psychol. 1991 Feb;16(1):39-58 - PubMed
  55. Proc Nutr Soc. 2011 Aug;70(3):329-35 - PubMed
  56. Pain. 1983 Sep;17(1):33-44 - PubMed
  57. J Pediatr Psychol. 2011 Oct;36(9):1043-51 - PubMed
  58. Inflamm Bowel Dis. 2011 Jul;17(7):1603-9 - PubMed
  59. Eur Rev Med Pharmacol Sci. 2009 Mar;13 Suppl 1:23-32 - PubMed

Publication Types

Grant support