Maladaptive Coping and Depressive Symptoms Partially Explain the Association between Family Stress and Pain-Related Distress in Youth with IBD

Bonney Reed-Knight, Miranda A.L. Van Tilburg, Rona L. Levy, Shelby Langer, Joan M. Romano, Tasha B. Murphy, Melissa M. Dupen, Andrew D. Feld

Research output: Contribution to journalArticle

8 Scopus citations

Abstract

Objective: To extend existing research on the pain burden experienced by youth with inflammatory bowel disease (IBD) by examining the complexity of psychosocial factors involved in pain-related distress. Methods: Parents completed measures of family stress and their child's pain-related expressions of distress and coping. Youth with IBD rated their depressive symptoms (n=183 dyads). Mediation analyses were performed using regression-based techniques and bootstrapping. Results: Greater family stress was positively related to children's pain-related expressions of distress and passive coping. Significant indirect effects were found in the relationship between family stress and expressed pain-related distress through parent-reported passive coping, depressive symptoms, and both passive coping and depressive symptoms sequentially. Conclusions: Results suggest that family stress can place children at risk for greater expressed pain-related distress through effects on coping and depressive symptoms. Addressing psychosocial difficulties is important for closing the gap between disability and health in youth with IBD.

Original languageEnglish (US)
Pages (from-to)94-103
Number of pages10
JournalJournal of pediatric psychology
Volume43
Issue number1
DOIs
StatePublished - Jan 1 2018

Keywords

  • coping
  • depression
  • inflammatory bowel disease
  • pain

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Developmental and Educational Psychology

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