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.
Highlights
Catastrophizing cognitions regarding pain have emerged as important predictors of pain-related outcomes [1]
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
One-hundred and eighty-four parent-child dyads served as participants, a subsample of 210 dyads enrolled in a randomized controlled trial (RCT) of a cognitive-behavioral intervention designed to help families manage pediatric Inflammatory Bowel Disease (IBD)
Summary
Catastrophizing cognitions regarding pain have emerged as important predictors of pain-related outcomes [1]. Catastrophizing among adults has been associated with increased pain intensity, severity and interference, increased pain behavior, decreased pain tolerance, increased depression and distress, and increased disability [3,4,5,6,7,8,9,10]. Catastrophizing among children has been associated with increased pain intensity, severity and pain-related attentional avoidance, increased pain anxiety and pain behavior, increased depression and distress, increased functional disability, and decreased healthrelated quality of life [11,12,13,14,15,16,17,18,19,20]. Attention to catastrophizing among significant others such as spouses/partners or parents
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