TY - JOUR
T1 - Distinct influences of anxiety and pain catastrophizing on functional outcomes in children and adolescents with chronic pain
AU - Tran, Susan T.
AU - Jastrowski Mano, Kristen E.
AU - Hainsworth, Keri R.
AU - Medrano, Gustavo R.
AU - Khan, Kimberly Anderson
AU - Weisman, Steven J.
AU - Davies, W. Hobart
N1 - Publisher Copyright:
© 2015, Oxford University Press. All rights reserved.
PY - 2015/9
Y1 - 2015/9
N2 - OBJECTIVES: Examine whether anxiety and pain catastrophizing are distinct constructs in relation to functional outcomes in pediatric chronic pain, and whether they differentially predict functional outcomes based on age.METHODS: In all, 725 youth (191 children, 534 adolescents) with chronic pain completed measures of pain characteristics, anxiety, pain catastrophizing, functional disability, and health-related quality of life (HRQOL). Structural equation modeling was used to examine interrelationships.RESULTS: Anxiety and pain catastrophizing were distinct. For both children and adolescents, pain catastrophizing predicted pain, functional disability, and HRQOL, and was a stronger predictor of pain intensity. For children, anxiety predicted HRQOL, and pain catastrophizing was a stronger predictor of functional disability. For adolescents, anxiety predicted functional disability and HRQOL, and anxiety was a stronger predictor of HRQOL.CONCLUSIONS: There were age-related differences regarding whether anxiety or pain catastrophizing more strongly predicted specific functional outcomes. Assessment and intervention efforts should emphasize both anxiety and pain catastrophizing.
AB - OBJECTIVES: Examine whether anxiety and pain catastrophizing are distinct constructs in relation to functional outcomes in pediatric chronic pain, and whether they differentially predict functional outcomes based on age.METHODS: In all, 725 youth (191 children, 534 adolescents) with chronic pain completed measures of pain characteristics, anxiety, pain catastrophizing, functional disability, and health-related quality of life (HRQOL). Structural equation modeling was used to examine interrelationships.RESULTS: Anxiety and pain catastrophizing were distinct. For both children and adolescents, pain catastrophizing predicted pain, functional disability, and HRQOL, and was a stronger predictor of pain intensity. For children, anxiety predicted HRQOL, and pain catastrophizing was a stronger predictor of functional disability. For adolescents, anxiety predicted functional disability and HRQOL, and anxiety was a stronger predictor of HRQOL.CONCLUSIONS: There were age-related differences regarding whether anxiety or pain catastrophizing more strongly predicted specific functional outcomes. Assessment and intervention efforts should emphasize both anxiety and pain catastrophizing.
KW - Anxiety
KW - Functional disability
KW - Pain catastrophizing
KW - Pediatric chronic pain
UR - https://www.scopus.com/pages/publications/84943156639
UR - https://www.scopus.com/pages/publications/84943156639#tab=citedBy
U2 - 10.1093/jpepsy/jsv029
DO - 10.1093/jpepsy/jsv029
M3 - Article
C2 - 25840447
SN - 0146-8693
VL - 40
SP - 744
EP - 755
JO - Journal of Pediatric Psychology
JF - Journal of Pediatric Psychology
IS - 8
ER -