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

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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.

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Reed-Knight, B., Van Tilburg, M. A. L., Levy, R. L., Langer, S. L., Romano, J. M., Murphy, T. B., … Feld, A. D. (2018). Maladaptive Coping and Depressive Symptoms Partially Explain the Association between Family Stress and Pain-Related Distress in Youth with IBD. Journal of Pediatric Psychology, 43(1), 94–103. https://doi.org/10.1093/jpepsy/jsx082

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