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DuPen MM, van Tilburg MA, Langer SL, et al. Parental Protectiveness Mediates the Association between Parent-Perceived Child Self-Efficacy and Health Outcomes in Pediatric Functional Abdominal Pain Disorder. Children (Basel). 2016;3(3)doi: 10.3390/children3030015.
DuPen, M. M., van Tilburg, M. A., Langer, S. L., Murphy, T. B., Romano, J. M., & Levy, R. L. (2016). Parental Protectiveness Mediates the Association between Parent-Perceived Child Self-Efficacy and Health Outcomes in Pediatric Functional Abdominal Pain Disorder. Children (Basel, Switzerland), 3(3), . https://doi.org/10.3390/children3030015
DuPen, Melissa M, et al. "Parental Protectiveness Mediates the Association between Parent-Perceived Child Self-Efficacy and Health Outcomes in Pediatric Functional Abdominal Pain Disorder." Children (Basel, Switzerland) vol. 3,3 (2016). doi: https://doi.org/10.3390/children3030015
DuPen MM, van Tilburg MA, Langer SL, Murphy TB, Romano JM, Levy RL. Parental Protectiveness Mediates the Association between Parent-Perceived Child Self-Efficacy and Health Outcomes in Pediatric Functional Abdominal Pain Disorder. Children (Basel). 2016 Sep 19;3(3). doi: 10.3390/children3030015. PMID: 27657151; PMCID: PMC5039475.
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Children (Basel). 2016 Sep 19;3(3). doi: 10.3390/children3030015.

Parental Protectiveness Mediates the Association between Parent-Perceived Child Self-Efficacy and Health Outcomes in Pediatric Functional Abdominal Pain Disorder.

Children (Basel, Switzerland)

Melissa M DuPen, Miranda A L van Tilburg, Shelby L Langer, Tasha B Murphy, Joan M Romano, Rona L Levy

Affiliations

  1. School of Social Work, University of Washington, Seattle, WA 98105, USA. [email protected].
  2. Center for Functional GI and Motility Disorders, University of North Carolina, Chapel Hill, NC 27599, USA. [email protected].
  3. College of Nursing and Health Innovation, Arizona State University, Phoenix, AZ 85004, USA. [email protected].
  4. School of Social Work, University of Washington, Seattle, WA 98105, USA. [email protected].
  5. Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA 98105, USA. [email protected].
  6. School of Social Work, University of Washington, Seattle, WA 98105, USA. [email protected].

PMID: 27657151 PMCID: PMC5039475 DOI: 10.3390/children3030015

Abstract

Previous studies have shown that parental protectiveness is associated with increased pain and disability in Functional Abdominal Pain Disorder (FAPD) but the role that perceived child self-efficacy may play remains unclear. One reason why parents may react protectively towards their child's pain is that they perceive their child to be unable to cope or function normally while in pain (perceived low self-efficacy). This study sought to examine (a) the association between parent-perceived child pain self-efficacy and child health outcomes (symptom severity and disability); and (b) the role of parental protectiveness as a mediator of this association. Participants were 316 parents of children aged 7-12 years with FAPD. Parents completed measures of perceived child self-efficacy when in pain, their own protective responses to their child's pain, child gastrointestinal (GI) symptom severity, and child functional disability. Parent-perceived child self-efficacy was inversely associated with parent-reported child GI symptom severity and disability, and parental protectiveness mediated these associations. These results suggest that parents who perceive their child to have low self-efficacy to cope with pain respond more protectively when they believe he/she is in pain, and this, in turn, is associated with higher levels of GI symptoms and disability in their child. This finding suggests that directly addressing parent beliefs about their child's ability to manage pain should be included as a component of FAPD, and potentially other child treatment interventions.

Keywords: Functional Abdominal Pain Disorder; children; coping; disability; pain; parenting; protectiveness; self-efficacy; somatic symptoms

Conflict of interest statement

The authors declare no conflict of interest.

References

  1. Psychol Rev. 1977 Mar;84(2):191-215 - PubMed
  2. Health Educ Q. 1988 Summer;15(2):175-83 - PubMed
  3. J Pediatr Gastroenterol Nutr. 2016 Jun;62(6):847-51 - PubMed
  4. J Pediatr Psychol. 2015 Oct;40(9):926-33 - PubMed
  5. Am Psychol. 1989 Sep;44(9):1175-84 - PubMed
  6. J Pediatr Psychol. 2009 May;34(4):430-40 - PubMed
  7. Child Health Care. 2009 Jul 3;38(3):169-184 - PubMed
  8. Pediatrics. 1980 Aug;66(2):159-67 - PubMed
  9. Clin J Pain. 2014 Dec;30(12):1033-43 - PubMed
  10. Pain. 2001 Oct;94(1):85-100 - PubMed
  11. Am J Gastroenterol. 2004 Dec;99(12):2442-51 - PubMed
  12. J Pediatr Gastroenterol Nutr. 2011 Feb;52(2):162-5 - PubMed
  13. Pain. 2006 Nov;125(1-2):35-42 - PubMed
  14. PLoS One. 2015 May 20;10(5):e0126982 - PubMed
  15. Clin J Pain. 2006 May;22(4):387-91 - PubMed
  16. J Pain. 2015 Jan;16(1):31-41 - PubMed
  17. Am J Gastroenterol. 2013 Sep;108(9):1496-507 - PubMed
  18. Clin J Pain. 2006 Oct;22(8):712-6 - PubMed
  19. J Pediatr Psychol. 1991 Feb;16(1):39-58 - PubMed
  20. Public Health Rep. 1978 May-Jun;93(3):268-77 - PubMed
  21. Pain. 2008 Aug 15;138(1):172-9 - PubMed
  22. J Pediatr Gastroenterol Nutr. 2008 Sep;47(3):309-15 - PubMed
  23. Gastroenterology. 2016 Feb 15;:null - PubMed

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