Tags

Type your tag names separated by a space and hit enter

The interplay of parent and adolescent catastrophizing and its impact on adolescents' pain, functioning, and pain behavior.
Clin J Pain. 2013 Aug; 29(8):681-8.CJ

Abstract

OBJECTIVES

Catastrophizing is a coping style linked to poorer patient outcomes. Little attention has focused on the parent-adolescent dyad and catastrophizing as a shared coping style. The purpose of this study was to: (1) examine the effects of adolescent and parent pain catastrophizing on adolescent functioning and (2) explore concordance in catastrophizing in parent-adolescent dyads, with equal interest in outcomes of dyads with discordant coping styles.

METHODS

Pain intensity, catastrophizing, depressive symptoms, quality of life, and pain behaviors were assessed in adolescents (ages 11 to 17) presenting to a pediatric chronic pain clinic (N=240).

RESULTS

Significant correlations between (1) parent and adolescent catastrophizing; (2) catastrophizing and pain behaviors; and (3) catastrophizing and adolescent outcomes were found. Parents and adolescents were classified into concordant or discordant dyads based on catastrophizing with a majority of dyads (>70%) showing concordant coping styles. Among discordant dyads, functional disability and depressive symptoms were significantly higher in a dyad with a high catastrophizing adolescent and low catastrophizing parent.

DISCUSSION

Results provide further support for catastrophizing being a maladaptive coping strategy for adolescents with pain and their parents. Greater adolescent catastrophizing was related to increased pain behaviors and poorer adolescent functioning. Parent catastrophizing also seems related to poorer adolescent outcomes, and most parent-adolescent dyads showed concordance in use of catastrophizing, which may suggest a shared tendency for adaptive or maladaptive styles of coping with pain. Future research should investigate pain coping at a dyadic or family level to explore how family coping styles magnify distress and disability or buffer adolescents from such problems.

Authors+Show Affiliations

Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH 45229, USA. anne.lynch-jordan@cchmc.orgNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural

Language

eng

PubMed ID

23370064

Citation

Lynch-Jordan, Anne M., et al. "The Interplay of Parent and Adolescent Catastrophizing and Its Impact On Adolescents' Pain, Functioning, and Pain Behavior." The Clinical Journal of Pain, vol. 29, no. 8, 2013, pp. 681-8.
Lynch-Jordan AM, Kashikar-Zuck S, Szabova A, et al. The interplay of parent and adolescent catastrophizing and its impact on adolescents' pain, functioning, and pain behavior. Clin J Pain. 2013;29(8):681-8.
Lynch-Jordan, A. M., Kashikar-Zuck, S., Szabova, A., & Goldschneider, K. R. (2013). The interplay of parent and adolescent catastrophizing and its impact on adolescents' pain, functioning, and pain behavior. The Clinical Journal of Pain, 29(8), 681-8. https://doi.org/10.1097/AJP.0b013e3182757720
Lynch-Jordan AM, et al. The Interplay of Parent and Adolescent Catastrophizing and Its Impact On Adolescents' Pain, Functioning, and Pain Behavior. Clin J Pain. 2013;29(8):681-8. PubMed PMID: 23370064.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The interplay of parent and adolescent catastrophizing and its impact on adolescents' pain, functioning, and pain behavior. AU - Lynch-Jordan,Anne M, AU - Kashikar-Zuck,Susmita, AU - Szabova,Alexandra, AU - Goldschneider,Kenneth R, PY - 2013/2/2/entrez PY - 2013/2/2/pubmed PY - 2014/2/14/medline SP - 681 EP - 8 JF - The Clinical journal of pain JO - Clin J Pain VL - 29 IS - 8 N2 - OBJECTIVES: Catastrophizing is a coping style linked to poorer patient outcomes. Little attention has focused on the parent-adolescent dyad and catastrophizing as a shared coping style. The purpose of this study was to: (1) examine the effects of adolescent and parent pain catastrophizing on adolescent functioning and (2) explore concordance in catastrophizing in parent-adolescent dyads, with equal interest in outcomes of dyads with discordant coping styles. METHODS: Pain intensity, catastrophizing, depressive symptoms, quality of life, and pain behaviors were assessed in adolescents (ages 11 to 17) presenting to a pediatric chronic pain clinic (N=240). RESULTS: Significant correlations between (1) parent and adolescent catastrophizing; (2) catastrophizing and pain behaviors; and (3) catastrophizing and adolescent outcomes were found. Parents and adolescents were classified into concordant or discordant dyads based on catastrophizing with a majority of dyads (>70%) showing concordant coping styles. Among discordant dyads, functional disability and depressive symptoms were significantly higher in a dyad with a high catastrophizing adolescent and low catastrophizing parent. DISCUSSION: Results provide further support for catastrophizing being a maladaptive coping strategy for adolescents with pain and their parents. Greater adolescent catastrophizing was related to increased pain behaviors and poorer adolescent functioning. Parent catastrophizing also seems related to poorer adolescent outcomes, and most parent-adolescent dyads showed concordance in use of catastrophizing, which may suggest a shared tendency for adaptive or maladaptive styles of coping with pain. Future research should investigate pain coping at a dyadic or family level to explore how family coping styles magnify distress and disability or buffer adolescents from such problems. SN - 1536-5409 UR - https://www.unboundmedicine.com/medline/citation/23370064/The_interplay_of_parent_and_adolescent_catastrophizing_and_its_impact_on_adolescents'_pain_functioning_and_pain_behavior_ L2 - http://dx.doi.org/10.1097/AJP.0b013e3182757720 DB - PRIME DP - Unbound Medicine ER -