Citation

Reed-Knight B, van Tilburg MAL, Levy RL, Langer SL, Romano JM, Murphy TB, DuPen MM, Feld AD. J. Pediatr. Psychol. 2018; 43(1): 94-103.

Affiliation

Clinical Professor of Medicine, University of Washington.

Copyright

(Copyright © 2018, Oxford University Press)

DOI

10.1093/jpepsy/jsx082

PMID

28541526

Abstract

OBJECTIVE : To extend existing research on the pain burden experienced by youth with inflammatory bowel disease (IBD) by examining the complexity of psychosocial factors involved in pain-related distress. Parents completed measures of family stress and their child's pain-related expressions of distress and coping. Youth with IBD rated their depressive symptoms ( n  = 183 dyads). Mediation analyses were performed using regression-based techniques and bootstrapping. Greater family stress was positively related to children's pain-related expressions of distress and passive coping. Significant indirect effects were found in the relationship between family stress and expressed pain-related distress through parent-reported passive coping, depressive symptoms, and both passive coping and depressive symptoms sequentially.

RESULTS suggest that family stress can place children at risk for greater expressed pain-related distress through effects on coping and depressive symptoms. Addressing psychosocial difficulties is important for closing the gap between disability and health in youth with IBD.

Language: en

Keywords

coping; depression; inflammatory bowel disease; pain.