Reference : Resilience factors in children with juvenile idiopathic arthritis and their parents :...
Scientific journals : Article
Social & behavioral sciences, psychology : Theoretical & cognitive psychology
http://hdl.handle.net/10993/46450
Resilience factors in children with juvenile idiopathic arthritis and their parents : the role of child and parent psychological flexibility
English
Beeckman, Melanie [> >]
Hughes, Sean Joseph [> >]
van Ryckeghem, Dimitri mailto [University of Luxembourg > Faculty of Humanities, Education and Social Sciences (FHSE) > Department of Behavioural and Cognitive Sciences (DBCS)]
Van Hoecke, Eline [> >]
Dehoorne, Jo [> >]
Joos, Rik [> >]
Goubert, Liesbet [> >]
2019
PAIN MEDICINE
20
6
1120--1131
Yes (verified by ORBilu)
1526-2375
[en] Chronic Pain ; Children ; Parents ; Psychological Flexibility ; Pain Acceptance ; Functioning ; CONFIRMATORY FACTOR-ANALYSIS ; FEAR-AVOIDANCE MODEL ; CHRONIC PAIN GRADE ; QUALITY-OF-LIFE ; COMMITMENT THERAPY ; PEDIATRIC PAIN ; PSYCHOMETRIC PROPERTIES ; FUSION QUESTIONNAIRE ; NEGATIVE AFFECT ; ACCEPTANCE
[en] Objective. Chronic pain is central to juvenile idiopathic arthritis (JIA) and is predictive of impaired functioning. Whereas most work has focused on identifying psychosocial risk factors for maladaptive outcomes, we explored the idea that child and parental psychological flexibility (PF) represent resilience factors for adaptive functioning of the child. We also explored differences between general vs pain-specific PF in contributing to child outcomes. Methods. Children with JIA (age eight to 18 years) and (one of) their parents were recruited at the Department of Pediatric Rheumatology at the Ghent University Hospital in Belgium. They completed questionnaires assessing child and parent general and pain-specific PF and child psychosocial and emotional functioning and disability. Results. The final sample consisted of 59 children and 48 parents. Multiple regression analyses revealed that child PF contributed to better psychosocial functioning and less negative affect. Child pain acceptance contributed to better psychosocial functioning, lower levels of disability, and lower negative affect, and also buffered the negative influence of pain intensity on disability. Bootstrap mediation analyses demonstrated that parental (general) PF indirectly contributed to child psychosocial functioning and affect via the child's (general) PF. Parent pain-specific PF was indirectly linked to child psychosocial functioning, disability, and negative affect via child pain acceptance. Conclusions. Our findings indicate that child and parental PF are resilience factors and that pain acceptance buffers the negative impact of pain intensity. Implications for psychosocial interventions that target (pain-specific) PF in children and parents are discussed.
http://hdl.handle.net/10993/46450
http://dx.doi.org/10.1093/pm/pny181

File(s) associated to this reference

Fulltext file(s):

FileCommentaryVersionSizeAccess
Limited access
RG_BeeckmanHughesetalPAINMEDchildparentpsychflex.pdfAuthor preprint891.87 kBRequest a copy

Bookmark and Share SFX Query

All documents in ORBilu are protected by a user license.