Risk and Resilience in Pediatric Chronic Pain: Exploring the Protective Role of Optimism

Cousins, Laura A.; Cohen, Lindsey L.; Venable, Claudia

doi:10.1093/jpepsy/jsu094

Cited by 60 publications

(47 citation statements)

References 47 publications

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“…This is in line with recent qualitative research conducted with fathers of youth with chronic pain 12 . Optimism and benefit finding as resilience-based factors have been hypothesized to be protective leading to better coping with chronic pain 13 and other pediatric chronic illnesses 38 . In addition to constructs such as parent acceptance and psychological flexibility, optimism and benefit finding warrant further consideration in pediatric pain research.…”

Section: Discussionmentioning

confidence: 99%

“…Missing from the pediatric pain literature is examination of both the content and affective tone of parents’ pain narratives. Moreover, recent research on resilience-based constructs and processes (acceptance, psychological flexibility, optimism) among parents of youth with chronic pain 2, 4, 12, 13 emphasize the merit in examining themes pertaining to resilience in addition to emotional burden. Finally, pain narratives shared in a therapeutic context (i.e., with a psychologist, physician, or other provider in treatment) may reveal unique insights that are not offered in non-therapeutic contexts (e.g., focus groups, face-to-face interviews with a researcher).…”

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confidence: 99%

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Characterizing the Pain Narratives of Parents of Youth With Chronic Pain

Noel

Beals-Erickson²,

Law

et al. 2016

The Clinical Journal of Pain

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Objectives Questionnaire-based research has shown that parents exert a powerful influence on and are profoundly influenced by living with a child with chronic pain. Examination of parents' pain narratives through an observational lens offers an alternative approach to understanding the complexity of pediatric chronic pain; however, the narratives of parents of youth with chronic pain have been largely overlooked. The present study aimed to characterize the vulnerability- and resilience-based aspects of the pain narratives of parents of youth with chronic pain. Methods Pain narratives of 46 parents were recorded during the baseline session as part of two clinical trials evaluating a behavioral intervention for parents of youth with chronic pain. The narratives were coded for aspects of pain-related vulnerability and resilience. Results Using exploratory cluster analysis, two styles of parents’ pain narratives were identified. Distress narratives were characterized by more negative affect and an exclusively unresolved orientation towards the child’s diagnosis of chronic pain whereas resilience narratives were characterized by positive affect and a predominantly resolved orientation towards the child’s diagnosis. Preliminary support for the validity of these clusters was provided through our finding of differences between clusters in parental pain catastrophizing about child pain (helplessness). Discussion Findings highlight the multidimensional nature of parents’ experience of their child’s pain problem. Clinical implications in terms of assessment and treatment are discussed.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Characterizing the Pain Narratives of Parents of Youth With Chronic Pain

Noel

Beals-Erickson²,

Law

et al. 2016

The Clinical Journal of Pain

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“…A musculoskeletal group reported greater disability and more difficulty coping than the headache group [56]. Further support relates pain catastrophizing to pediatric chronic pain conditions [61]. Together, these findings suggest that coping strategies represent an important area of focus for prevention and intervention strategies for chronic pain.…”

Section: Current Status Of the Literature On Risk Factors For Pedimentioning

confidence: 99%

“…In addition, fear of pain on its own has been identified as a risk factor in youth [61]. Studies such as these need to be replicated in pediatric populations to help understand these pathways in children.…”

Section: Current Status Of the Literature On Risk Factors For Pedimentioning

confidence: 99%

A Broad Consideration of Risk Factors in Pediatric Chronic Pain: Where to Go from Here?

McKillop

Banez

2016

Children

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Pediatric chronic pain is a significant problem associated with substantial functional impairment. A variety of risk factors have been found to be associated with chronic pain in youth. The greatest amount of evidence appears to support that temperament, anxiety, depression, subjective experience of stress, passive coping strategies, sleep problems, other somatic-related problems, and parent and/or family factors are important variables. However, a great deal of this research focuses on a single risk factor or on multiple risk factors in isolation. Much of the literature utilizes older diagnostic criteria and would benefit from replication, larger sample sizes, and comparison across pain disorders. Problems also exist with disagreement across definitions, resulting in inconsistency or unclear use of terms. Furthermore, recent consideration has suggested that outcome measures should include functional disability in addition to pain. A second generation of research is needed to shed light on the complex interactions that likely play a role in the transition from acute to chronic pain. Building on recent calls for changes in research in this area, we propose the next steps for this research, which involve consideration of both biopsychosocial and developmental contexts.

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“…Mają także swój udział w procesie leczenia dolegliwości fizycznych. Wykazano np., że optymistyczne podejście do efektów terapii chronicznego bólu u dzieci i młodzieży przekładało się na subiektywne złagodzenie intensywności bólu oraz strachu przed bólem -tak u dzieci, jak i u ich rodziców [24].…”

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Nasilenie osobowościowych przejawów schizotypii wśród osób zdrowych a wartościowanie siebie i świata w kontekście zdrowia psychicznego. Próba walidacji skróconej skali schizotypii Oxford–Liverpool Inventory of Feelings and Experiences w warunkach polskich

Starkowska

Adamowicz

Kaleta

et al. 2017

Pomeranian J Life Sci

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Introduction:The object of this study was the expression of schizotypal personality traits observed in healthy people, and their relationship with self-esteem and a positive attitude to life. The practical aim was the first attempt to use the Oxford-Liverpool Inventory of Feelings and Experiences (O-LIFE) in the Polish-language population. Materials and methods:The questionnaire-based study on a group of 70 men and women employed the Polish translation of the English short version of the O-LIFE scale. In the previous pilot study (n = 202, age 19-88 years) analysis of reliability showed very satisfactory accuracy of the overall score (α = 0.82), and ranged from the low to high reliability of factor scores. Research on the adaptation of the O-LIFE scale to the conditions of the Polish population is currently continuing in the Department of Psychiatry at The Pomeranian Medical University in Szczecin in Poland. Results: The study demonstrated negative relationships between self-esteem, positive orientation and all measures of schizotypal traits, particularly in relation to the overall score (r = −0.518) and the dimension of cognitive disorganization (r = −0.531). Those coincide with the stronger manifestations of individual differences in schizotypy which (in the case of mental overload) may predispose patients to the development of schizotypal personality disorder or schizophrenia. Conclusions: Within the limits of mental health, symptoms of schizotypal personality characteristics were associated with low self-esteem, greater pessimism and lower assessment of life satisfaction. These may reduce the sense of mental and physical well-being, and are risk factors for a variety of mental problems, especially from the psychotic spectrum. In addition, we noted the usefulness of the Polish version of the short O-LIFE scale, mainly in quantitative research and in outlining further research possibilities. Keywords: personality measurement; schizotypy; personality disorders; schizophrenia. ABSTRAKT Wstęp: Przedmiotem badania były przejawy schizotypii -rozumiane jako cechy osobowości ludzi zdrowych -oraz ich związek z samooceną i pozytywnym nastawieniem do życia. Celem praktycznym była próba walidacji skróconej skali schizotypii Oxford-Liverpool Inventory of Feelings and Experiences (O-LIFE). Materiały i metody: W badaniu kwestionariuszowym na grupie 70 kobiet i mężczyzn wykorzystano przetłumaczoną z języka angielskiego skróconą wersję O-LIFE. W uprzednim badaniu pilotażowym (n = 202) na zdrowych osobach w wieku 19-88 lat analiza rzetelności wykazała bardzo satysfakcjonującą dokład-ność pomiaru ogólnej skali schizotypii (α = 0,82) oraz wahającą się od niskiej po wysoką rzetelność wyników czynnikowych. Badania nad adaptacją skali O-LIFE do warunków populacji polskiej obecnie kontynuowane są w Katedrze Psychiatrii Pomorskiego Uniwersytetu Medycznego w Szczecinie. Wyniki: Wykazano ujemne związki pomiędzy samooceną i orientacją pozytywną a wszystkimi miarami cech schizotypowych, zwłaszcza w odniesieniu do wyniku ogólnego ...

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Risk and Resilience in Pediatric Chronic Pain: Exploring the Protective Role of Optimism

Abstract: Optimism might be protective and offset the negative influence of fear of pain and catastrophizing on pain-related functioning.

Cited by 60 publications

References 47 publications

Characterizing the Pain Narratives of Parents of Youth With Chronic Pain

Characterizing the Pain Narratives of Parents of Youth With Chronic Pain

A Broad Consideration of Risk Factors in Pediatric Chronic Pain: Where to Go from Here?

Nasilenie osobowościowych przejawów schizotypii wśród osób zdrowych a wartościowanie siebie i świata w kontekście zdrowia psychicznego. Próba walidacji skróconej skali schizotypii Oxford–Liverpool Inventory of Feelings and Experiences w warunkach polskich

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