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Quality of life in youth with chronic pain: An examination of youth and parent resilience and risk factors

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Title: Quality of life in youth with chronic pain: An examination of youth and parent resilience and risk factors
Author: Lee, Soeun; McMurtry, Meghan; Summers, Caroline; Edwards, Kim; Elik, Nez; Lumley, Margaret
Abstract: Objectives: Pediatric chronic pain has often been examined from a risk perspective, and relatively less is known about the individual and family-level resilience factors that help youth with chronic pain maintain their quality of life. This cross-sectional study: a) examined the relations among purported youth and parent resilience (youth pain acceptance and pain self-efficacy, parent psychological flexibility) and risk (youth pain intensity, parent protectiveness) factors with youth quality of life, and b) tested exploratory statistical mechanisms that may explain relations between parent and youth variables. Methods: Participants included 122 youth (10 to 17 years; M=14.26, SD=2.19) seen in an interdisciplinary pediatric chronic pain program and a parent. Youth completed measures of their average pain, quality of life, pain acceptance, and pain self-efficacy. Parents completed measures of their pain-related psychological flexibility and behavioral responses to pain (i.e., protectiveness, distraction, monitoring, minimizing). Results: Youth pain acceptance, pain self-efficacy, and parent psychological flexibility were highly positively correlated with each other, and with overall youth quality of life. Evidence for a buffering effect of pain acceptance and pain self-efficacy on the association between pain intensity and quality of life was not found. Protectiveness was found to be a significant mediator of the relation between parental psychological flexibility and youth quality of life. Discussion: The results are discussed in the context of the resilience-risk framework and current understandings of the role of parental factors for pediatric chronic pain.
URI: https://hdl.handle.net/10214/24085
Date: 2020
Rights: Attribution-NonCommercial 4.0 International
Terms of Use: All items in the Atrium are protected by copyright with all rights reserved unless otherwise indicated.
Related Publications: Lee, S. McMurtry, M. Summers, C. Edwards, K. Elik, N. Lumley, M, 2020. Quality of Life in Youth with Chronic Pain: An Examination of Youth and Parent Resilience and Risk Factors. Clinical Journal of Pain. https://doi.org/10.1097/AJP.0000000000000820


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Attribution-NonCommercial 4.0 International Except where otherwise noted, this item's license is described as Attribution-NonCommercial 4.0 International