Title

Maladaptive Coping and Depressive Symptoms Partially Explain the Association Between Family Stress and Pain-Related Distress in Youth With IBD

Document Type

Article

Date of Publication

1-2018

Publication Title

Journal of Pediatric Psychology

First Page

94

Last Page

103

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 IBDrated 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 youthwith IBD.

DOI

10.1093/jpepsy/jsx082

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