Andrea A Wojtowicz1, Rachel Neff Greenley2, Amitha Prasad Gumidyala3, Andrew Rosen4, Sara E Williams5. 1. Department of Psychology, Rosalind Franklin University of Medicine & Science, 3333 Green Bay Road, North Chicago, IL 60064, United States. Electronic address: andrea.wojtowicz@my.rfums.org. 2. Department of Psychology, Rosalind Franklin University of Medicine & Science, 3333 Green Bay Road, North Chicago, IL 60064, United States. Electronic address: Rachel.greenley@rosalindfranklin.edu. 3. Department of Psychology, Rosalind Franklin University of Medicine & Science, 3333 Green Bay Road, North Chicago, IL 60064, United States. Electronic address: amitha.prasad@my.rfums.org. 4. Department of Psychology, Rosalind Franklin University of Medicine & Science, 3333 Green Bay Road, North Chicago, IL 60064, United States. Electronic address: ar.rosen@gmail.com. 5. Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, Cincinnati, OH 45229, United States. Electronic address: sara.williams2@cchmc.org.
Abstract
BACKGROUND:Abdominal pain is commonly reported by youth with IBD. In a significant subset of youth, pain severity and pain catastrophizing (i.e., unhelpful thoughts related to the pain) may contribute to more negative outcomes and greater impairment in functioning. This study aimed to examine relationships of pain severity and pain catastrophizing with functional disability among a sample of youth with inflammatory bowel disease (IBD). METHODS:Seventy-five youth aged 11 to 18 years completedratings of abdominal pain severity, pain catastrophizing, and functional disability using validated measures. Disease activity was rated by treating physicians. RESULTS: Over half of participants reported abdominal pain in the past two weeks, and pain was present among those with and without clinical disease activity. Nearly one-third of youth reported mild to moderate functional disability. After controlling for gender, pain severity accounted for 15% of the variance in patient functional disability. Moreover, pain catastrophizing contributed significant variance to the prediction of functional disability (approximately 7%) beyond the role of pain severity. CONCLUSIONS: Greater attention to the role of pain catastrophizing in contributing to functional disability in youth with IBD may be important given that pain-related cognitions are modifiable via intervention.
RCT Entities:
BACKGROUND:Abdominal pain is commonly reported by youth with IBD. In a significant subset of youth, pain severity and pain catastrophizing (i.e., unhelpful thoughts related to the pain) may contribute to more negative outcomes and greater impairment in functioning. This study aimed to examine relationships of pain severity and pain catastrophizing with functional disability among a sample of youth with inflammatory bowel disease (IBD). METHODS: Seventy-five youth aged 11 to 18 years completed ratings of abdominal pain severity, pain catastrophizing, and functional disability using validated measures. Disease activity was rated by treating physicians. RESULTS: Over half of participants reported abdominal pain in the past two weeks, and pain was present among those with and without clinical disease activity. Nearly one-third of youth reported mild to moderate functional disability. After controlling for gender, pain severity accounted for 15% of the variance in patient functional disability. Moreover, pain catastrophizing contributed significant variance to the prediction of functional disability (approximately 7%) beyond the role of pain severity. CONCLUSIONS: Greater attention to the role of pain catastrophizing in contributing to functional disability in youth with IBD may be important given that pain-related cognitions are modifiable via intervention.
Authors: Miranda A L van Tilburg; Robyn L Claar; Joan M Romano; Shelby L Langer; Lynn S Walker; William E Whitehead; Bisher Abdullah; Dennis L Christie; Rona L Levy Journal: J Pediatr Gastroenterol Nutr Date: 2015-10 Impact factor: 2.839
Authors: Christopher Andrew Lamb; Nicholas A Kennedy; Tim Raine; Philip Anthony Hendy; Philip J Smith; Jimmy K Limdi; Bu'Hussain Hayee; Miranda C E Lomer; Gareth C Parkes; Christian Selinger; Kevin J Barrett; R Justin Davies; Cathy Bennett; Stuart Gittens; Malcolm G Dunlop; Omar Faiz; Aileen Fraser; Vikki Garrick; Paul D Johnston; Miles Parkes; Jeremy Sanderson; Helen Terry; Daniel R Gaya; Tariq H Iqbal; Stuart A Taylor; Melissa Smith; Matthew Brookes; Richard Hansen; A Barney Hawthorne Journal: Gut Date: 2019-09-27 Impact factor: 23.059
Authors: Robyn Lewis Claar; Miranda A L van Tilburg; Bisher Abdullah; Shelby Langer; Dalia Sherif; William E Whitehead; Douglas A Drossman; Rona L Levy Journal: J Pediatr Gastroenterol Nutr Date: 2017-10 Impact factor: 2.839
Authors: Miranda A L van Tilburg; Robyn Lewis Claar; Joan M Romano; Shelby L Langer; Douglas A Drossman; William E Whitehead; Bisher Abdullah; Rona L Levy Journal: J Pediatr Date: 2017-02-24 Impact factor: 4.406
Authors: Rona L Levy; Miranda A L van Tilburg; Shelby L Langer; Joan M Romano; Lynn S Walker; Lloyd A Mancl; Tasha B Murphy; Robyn L Claar; Shara I Feld; Dennis L Christie; Bisher Abdullah; Melissa M DuPen; Kimberly S Swanson; Melissa D Baker; Susan A Stoner; William E Whitehead Journal: Inflamm Bowel Dis Date: 2016-09 Impact factor: 5.325