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Journal of Pediatric Psychology Advance Access published online on March 2, 2006
Journal of Pediatric Psychology, doi:10.1093/jpepsy/jsj103
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© The Author 2006. 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
Received November 23, 2004
Revised December 14, 2005
Accepted December 21, 2005

Article

Psychological Correlates of Depression in Children with Recurrent Abdominal Pain

Laura Kaminsky PhD 1 *, Marli Robertson MD 2, and Deborah Dewey PhD 2

1 Department of Psychology, University of Calgary
2 Department of Paediatrics, University of Calgary

* To whom correspondence should be addressed.
Laura Kaminsky, E-mail: laura.kaminsky{at}calgaryhealthregion.ca


  Abstract

Objective To examine the associations between coping style, social support, self-efficacy, locus of control, maternal adjustment, and depressive symptoms in children with recurrent abdominal pain (RAP) of childhood. Methods Fifty children with RAP (8-18 years) and their mothers were recruited from a gastroenterology clinic (GI) and community medical practices. Participants completed questionnaires that assessed coping style, social support, self-efficacy, locus of control, maternal adjustment, and psychological adjustment. Results Passive coping strategies such as isolating oneself from others, catastrophizing, and behavioral disengagement were associated with more child-reported depressive symptoms. Higher levels of self-efficacy and greater social support from teachers and classmates were associated with fewer child-reported depressive symptoms. Higher levels of maternal adjustment problems, higher social support from parents, and lower social support from classmates were associated with maternal reports of more child internalizing symptoms. Conclusions These findings suggest that coping style, self-efficacy, social support, and maternal adjustment are correlates of depressive symptoms in children with RAP.

Keywords: children; depression; psychosocial adjustment; recurrent abdominal pain.
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