Maladaptive Coping and Depressive Symptoms Partially Explain the Association Between Family Stress and Pain-Related Distress in Youth With IBD
Maladaptive Coping and Depressive Symptoms Partially Explain the Association Between Family Stress and Pain-Related Distress in Youth With IBD
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DOI：
10.1093/jpepsy/jsx082
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发表时间：
2018-01-01
影响因子：
3.6
通讯作者：
Feld, Andrew D.
中科院分区：
文献类型：
--
作者：
Reed-Knight, Bonney;van Tilburg, Miranda A. L.;Feld, Andrew D.
目的探讨与疼痛相关的心理社会因素的复杂性，以扩展现有关于炎症性肠病（IBD）青年患者疼痛负担的研究。方法父母完成家庭压力和他们的孩子的痛苦相关的痛苦和应对的表达措施。IBD青年评定了他们的抑郁症状（n=183对）。中介分析使用基于回归的技术和自举。结果家庭压力越大，儿童痛苦相关的苦恼表达和消极应对越多。通过父母报告的被动应对、抑郁症状以及被动应对和抑郁症状，家庭压力与疼痛相关苦恼之间的关系存在显着的间接影响。结论：结果表明，家庭压力可以通过对应对和抑郁症状的影响，使儿童处于更大的疼痛相关痛苦的风险中。解决心理社会困难对于缩小IBD青年残疾与健康之间的差距非常重要。
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.