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Journal of Pediatric Psychology Advance Access published online on March 28, 2008
Journal of Pediatric Psychology, doi:10.1093/jpepsy/jsn029
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© The Author 2008. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oxfordjournals.org

Chronic Pain in Adolescence: Parental Responses, Adolescent Coping, and their Impact on Adolescent's Pain Behaviors

Laura E. Simons, PhD1,2, Robyn Lewis Claar, PhD1,2 and Deirdre L. Logan, PhD1,2

1Department of Psychiatry, Children's Hospital Boston and 2Harvard University Medical School

All correspondence concerning this article should be addressed to Laura Simons, PhD, Pain Treatment Service, Children's Hospital Boston, 333 Longwood Avenue, Boston, MA 02115, USA. E-mail: laura.simons{at}childrens.harvard.edu


  Abstract

Objectives The aim of this study was to examine relations among parental responses, adolescent pain coping, and pain behaviors in adolescents with chronic pain. Methods This study included 217 adolescents (12–17 years) evaluated at a multidisciplinary pain clinic and their parents. Adolescents completed measures assessing their pain, pain coping responses, functional disability, and somatic symptoms. Parents reported on their responses to their adolescent's pain. Results Passive and active coping interacted with parental protective behavior to predict adolescents’ pain behaviors. Contrary to expectations, among adolescents who reported infrequent use of passive or active coping strategies, higher levels of parental protective behavior were associated with higher levels of disability and somatic symptoms. Discussion Among adolescents who report infrequent use of passive and active coping responses, parental protective responses to pain may inadvertently promote greater disability and symptom complaints. Parental responses to pain may be an important target to treat adolescent chronic pain.

Key words: adolescents; biopsychosocial model; chronic pain; parents; social learning.

Received October 25, 2007; revision received February 27, 2008; accepted March 4, 2008


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