Testing a model of pain appraisal and coping in children with chronic abdominal pain - PubMed (original) (raw)
Testing a model of pain appraisal and coping in children with chronic abdominal pain
Lynn S Walker et al. Health Psychol. 2005 Jul.
Abstract
This prospective study of children with recurrent abdominal pain (N=133; ages 8--15 years) used path analysis to examine relations among dispositional pain beliefs and coping styles, cognitions and behavior related to a specific pain episode, and short- and long-term outcomes. Children believing they could not reduce or accept pain appraised their episode-specific coping ability as low and reported passive coping behavior. Dispositional passive coping had direct effects on both episode-specific passive coping and long-term symptoms and disability. Accommodative coping (acceptance and self-encouragement) was associated with reduced episode-specific distress, which itself predicted reduced depressive symptoms 3 months later. Results suggest that coping-skill interventions for children with chronic pain should target reductions in passive coping and consider the potential benefits of accommodative coping strategies.
Figures
Figure 1
Conceptual model. The dashed lines indicate that the observed relations between short- and long-term outcomes were expected to be weak.
Figure 2
Specific model of hypothesized relations among variables. The dashed lines indicate that the depicted relations between short- and long-term outcomes were expected to be weak.
Figure 3
Final model of observed relations among variables, _χ_2(75, N = 133) = 142.5, p < .01, comparative fit index = .91, root-mean-square error of approximation = .08. The numerical values represent standardized beta weights. The dashed lines indicate that the depicted paths between short- and long-term outcomes were expected to be weak.
Similar articles
- Dispositional versus episode-specific assessment of children's coping with pain.
Shirkey KC, Smith CA, Walker LS. Shirkey KC, et al. J Pediatr Psychol. 2011 Jan;36(1):74-83. doi: 10.1093/jpepsy/jsq058. Epub 2010 Jul 23. J Pediatr Psychol. 2011. PMID: 20656762 Free PMC article. - Appraisal and coping with daily stressors by pediatric patients with chronic abdominal pain.
Walker LS, Smith CA, Garber J, Claar RL. Walker LS, et al. J Pediatr Psychol. 2007 Mar;32(2):206-16. doi: 10.1093/jpepsy/jsj124. Epub 2006 May 22. J Pediatr Psychol. 2007. PMID: 16717138 Free PMC article. - Models of anxiety, depression, somatization, and coping as predictors of abdominal pain in a community sample of school-age children.
Lavigne JV, Saps M, Bryant FB. Lavigne JV, et al. J Pediatr Psychol. 2014 Jan-Feb;39(1):9-22. doi: 10.1093/jpepsy/jst060. Epub 2013 Aug 13. J Pediatr Psychol. 2014. PMID: 23942993 - [Psychological diagnostics of functional abdominal pain in children and adolescents].
Schlarb AA, Bock I, Gulewitsch MD, Hautzinger M. Schlarb AA, et al. Psychother Psychosom Med Psychol. 2009 Sep-Oct;59(9-10):329-36. doi: 10.1055/s-2008-1067471. Epub 2008 Aug 8. Psychother Psychosom Med Psychol. 2009. PMID: 18690585 Review. German. - [Pain and depression: cognitive and behavioural mediators of a frequent association].
Radat F, Koleck M. Radat F, et al. Encephale. 2011 Jun;37(3):172-9. doi: 10.1016/j.encep.2010.08.013. Epub 2010 Oct 8. Encephale. 2011. PMID: 21703432 Review. French.
Cited by
- Positive Schemas, Coping, and Quality of Life in Pediatric Recurrent Abdominal Pain.
Lee S, Tomlinson R, Lumley MN, Bax KC, Ashok D, McMurtry CM. Lee S, et al. J Clin Psychol Med Settings. 2024 Mar;31(1):37-47. doi: 10.1007/s10880-023-09952-6. Epub 2023 Mar 23. J Clin Psychol Med Settings. 2024. PMID: 36952113 - Mediation of outcomes for cognitive behavioral therapy targeted to parents of children with Functional Abdominal Pain Disorders.
van Tilburg MAL, Levy RL, Stoner S, Romano JM, Murphy TB, Abdullah B, Mancl L, Feld AD. van Tilburg MAL, et al. J Psychosom Res. 2021 Nov;150:110618. doi: 10.1016/j.jpsychores.2021.110618. Epub 2021 Sep 15. J Psychosom Res. 2021. PMID: 34598050 Free PMC article. Clinical Trial. - Engagement during a Mixed In-Person and Remotely Delivered Psychological Intervention for Youth with Functional Abdominal Pain Disorders and Anxiety.
Miller AK, Ely SL, Barber Garcia BN, Richardson P, Cunningham NR. Miller AK, et al. Children (Basel). 2021 Sep 2;8(9):775. doi: 10.3390/children8090775. Children (Basel). 2021. PMID: 34572207 Free PMC article. - Passive Coping Associations With Self-Esteem and Health-Related Quality of Life in Youth With Inflammatory Bowel Disease.
Reed B, Rea KE, Claar RL, van Tilburg MAL, Levy RL. Reed B, et al. Front Psychol. 2021 Jun 24;12:670902. doi: 10.3389/fpsyg.2021.670902. eCollection 2021. Front Psychol. 2021. PMID: 34248766 Free PMC article. - Sex Moderates the Relationship Between Nausea Severity and Heart Rate Variability in Adolescents and Young Adults.
Caillet AR, Russell AC, Wild MG, Acra S, Bradshaw LA, Bruehl S, Walker LS, Stone AL. Caillet AR, et al. Dig Dis Sci. 2022 Feb;67(2):606-612. doi: 10.1007/s10620-021-06892-9. Epub 2021 Feb 19. Dig Dis Sci. 2022. PMID: 33608817 Free PMC article.
References
- Apley J. The child with abdominal pains. London: Blackwell; 1975.
- Bentler PM. Comparative fit indexes in structural models. Psychological Bulletin. 1990;107:238–246. - PubMed
- Bentler PM, Wu EJC. EQS for Macintosh: User’s guide [Computer software manual] Encino, CA: Multivariate Software; 1995.
- Bollen KA. Structural equations with latent variables. Oxford, England: Wiley; 1989.
- Brown GK, Nicassio PM. Development of a questionnaire for the assessment of active and passive coping strategies in chronic pain patients. Pain. 1987;31:53–63. - PubMed
Publication types
MeSH terms
Grants and funding
- P30 HD015052/HD/NICHD NIH HHS/United States
- R01 HD023264/HD/NICHD NIH HHS/United States
- R01 HD23264/HD/NICHD NIH HHS/United States
- P30 HD15052/HD/NICHD NIH HHS/United States
- R01 HD023264-15/HD/NICHD NIH HHS/United States