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Journal of Pediatric Psychology Advance Access originally published online on May 19, 2005
Journal of Pediatric Psychology 2006 31(7):667-673; doi:10.1093/jpepsy/jsj038
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© The Author 2005. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oupjournals.org

Children’s Appraisal and Coping with Pain: Relation to Maternal Ratings of Worry and Restriction in Family Activities

Tricia A. Lipani, MS and Lynn S. Walker, PhD

Vanderbilt University Medical Center

All correspondence concerning this article should be addressed to Tricia A. Lipani, MS, Vanderbilt University Medical Center, 436 Medical Center South, Nashville, Tennessee 23732-3571. E-mail: t.lipani{at}vanderbilt.edu.

Received April 14, 2004; revision received February 14, 2005 and April 22, 2005; accepted April 25, 2005

Objective To examine the relation of children’s pain severity, perceived pain threat, and passive coping to maternal worry and family activities. Methods We assessed pain severity, perceived threat (conceptualized as beliefs about pain seriousness and coping ability), and coping strategies in 130 patients with chronic abdominal pain. Mothers rated the impact of the child’s health on maternal worry and family activities. Results Controlling for pain severity, higher pain threat was associated with maternal reports of greater worry and limitations in family activities due to the child’s health. Children’s use of passive-coping strategies was not related to maternal worry or family activity limitations. Conclusions Health care providers should assess patients’ pain beliefs, correct misperceptions about pain seriousness, and help increase patients’ perceived efficacy in coping with pain.

Key words: abdominal pain; children; coping; family; pain beliefs; worry.


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