Journal of Pediatric Psychology Advance Access published online on May 22, 2006
Journal of Pediatric Psychology, doi:10.1093/jpepsy/jsj124
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1 Vanderbilt University School of Medicine
* To whom correspondence should be addressed. Objective To test the hypothesis that pain patients differ from well children in their appraisal and coping with daily stressors and to test a model of the relation of stress appraisal and coping to symptoms and disability. Methods Pediatric patients with chronic abdominal pain (n = 143) and well children (n = 104) completed a 5-day diary study regarding their appraisal and coping with daily stressors. Somatic symptoms, depressive symptoms, and functional disability were assessed 2 months later. Results Compared to well children, pain patients were less confident of their ability either to change or to adapt to stress and were less likely to use accommodative coping strategies. Different patterns of stress appraisal were associated with active, passive, and accommodative coping. Both appraisals and coping were significantly related to symptoms and disability. Conclusions The relation between stress and symptoms in pediatric pain patients may be explained in part by their appraisal and coping with stressors. The relation between appraisal and coping was consistent with Lazarus, R. S., & Folkman, S. (1984). Stress, Appraisal, and Coping. New York: Springer.
Received October 22, 2004
Revised March 9, 2006
Accepted April 12, 2006
Article
Appraisal and Coping with Daily Stressors by Pediatric Patients with Chronic Abdominal Pain
Lynn S. Walker PhD 1 *,
Craig A. Smith PhD 2,
Judy Garber PhD 2,
and
Robyn Lewis Claar PhD 3
2 Vanderbilt University
3 Children’s Hospital Boston and Harvard Medical School
Lynn S. Walker, E-mail: lynn.walker{at}vanderbilt.edu
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