Journal
JOURNAL OF PEDIATRIC PSYCHOLOGY
Volume 36, Issue 1, Pages 74-83Publisher
OXFORD UNIV PRESS INC
DOI: 10.1093/jpepsy/jsq058
Keywords
chronic and recurrent pain; coping; gastroenterology; pain
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Funding
- NCRR NIH HHS [1 UL1 RR024975] Funding Source: Medline
- NICHD NIH HHS [P30 HD15052, R01 HD023264, R01 HD23264] Funding Source: Medline
- NIDDK NIH HHS [DK058404] Funding Source: Medline
- EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH & HUMAN DEVELOPMENT [P30HD015052] Funding Source: NIH RePORTER
- EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH &HUMAN DEVELOPMENT [R01HD023264] Funding Source: NIH RePORTER
- NATIONAL CENTER FOR RESEARCH RESOURCES [UL1RR024975] Funding Source: NIH RePORTER
- NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND KIDNEY DISEASES [P30DK058404] Funding Source: NIH RePORTER
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Objective To evaluate the relation between dispositional and episode-specific pain coping measures, the variability of episode-specific pain coping over time, and the utility of dispositional versus episode-specific measures of pain coping in predicting outcomes in pediatric patients with chronic abdominal pain (CAP). Method Participants (N = 116) completed a clinic interview, a week of daily diary interviews, and 3-month follow-up questionnaires. Daily coping reports were averaged and compared to dispositional coping reports. Coping reports were used to predict depressive symptoms, somatic symptoms, and functional disability at follow-up. Results Dispositional pain coping measures significantly correlated with averaged episode-specific measures. Passive coping predicted higher levels of all outcome variables. The averaged episode-specific passive coping measure was a stronger predictor than a dispositional measure. Measures of active and accommodative coping were not significant predictors. Conclusions Assessment of coping with specific pain episodes may enhance understanding of pain coping.
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