Bonney Reed-Knight1,2,3, Miranda A L van Tilburg4, Rona L Levy5, Shelby L Langer6, Joan M Romano7, Tasha B Murphy5, Melissa M DuPen5, Andrew D Feld8,9. 1. Children's Healthcare of Atlanta. 2. Division of Gastroenterology, Hepatology, & Nutrition, Emory University School of Medicine. 3. GI Care for Kids. 4. Division of Gastroenterology and Hepatology, University of North Carolina. 5. School of Social Work, University of Washington. 6. Center for Health Promotion and Disease Prevention, College of Nursing and Health Innovation, Arizona State University. 7. Department of Psychiatry & Behavioral Sciences, Psychiatry & Behavioral Sciences, University of Washington. 8. Gastroenterology Kaiser Permanente, Washington. 9. Clinical Professor of Medicine, University of Washington.
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. Methods: 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. Results: 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. Conclusions: 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.
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. Methods: 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. Results: 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. Conclusions: 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.
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