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Journal of Pediatric Psychology Advance Access published online on November 13, 2009
Journal of Pediatric Psychology, doi:10.1093/jpepsy/jsp103
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© The Author 2009. 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

Parenting an Adolescent with Chronic Pain: An Investigation of How a Taxonomy of Adolescent Functioning Relates to Parent Distress

Lindsey L Cohen, PhD1,2, Kevin E Vowles, PhD3 and Christopher Eccleston, PhD2

1Department of Psychology, Georgia State University, 2Centre for Pain Research, School for Health, University of Bath, and 3Interdisciplinary Musculoskeletal Pain Assessment and Community Treatment Service, The Haywood Hospital

All correspondence concerning this article should be addressed to Lindsey L. Cohen, PhD, Department of Psychology, Georgia State University, Atlanta, GA 30302, USA. E-mail: llcohen{at}gsu.edu


  Abstract

Objective Cluster analyses allow health professionals to classify adolescents with chronic pain into subgroups, which might allow efficient tailoring of treatment. Given the nature of family relationships when a child has chronic pain, we aimed to evaluate whether an adolescent-disability-derived cluster formula would appropriately classify their parents via parenting stress, anxiety, and depression. Methods A patient-report data-derived cluster formula sorted 204 parents of adolescents with chronic pain into 4 groups. Parents completed measures of distress, anxiety, and depression. Results The 4-group solution generally sorted parents accurately, with parents of the least disabled adolescents functioning well and parents of the most disabled adolescents reporting clinically significant levels of stress, anxiety, and depression. Conclusions Findings suggest the patient-derived 4-group cluster solution might be an efficient method of distinguishing subgroups of parents with varying levels of stress, anxiety, and depression, which can be used to guide family-oriented treatment efforts.

Key words: adolescents; chronic and recurrent pain; parenting stress; parents.

Received May 7, 2009; revision received October 4, 2009; accepted October 14, 2009


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