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Resilience factors in children with juvenile idiopathic arthritis and their parents : the role of child and parent psychological flexibility

Melanie Beeckman (UGent) , Sean Joseph Hughes (UGent) , Dimitri Van Ryckeghem (UGent) , Eline Van Hoecke (UGent) , Jo Dehoorne (UGent) , Rik Joos and Liesbet Goubert (UGent)
(2019) PAIN MEDICINE. 20(6). p.1120-1131
Author
Organization
Abstract
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.
Keywords
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

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Citation

Please use this url to cite or link to this publication:

MLA
Beeckman, Melanie, et al. “Resilience Factors in Children with Juvenile Idiopathic Arthritis and Their Parents : The Role of Child and Parent Psychological Flexibility.” PAIN MEDICINE, vol. 20, no. 6, 2019, pp. 1120–31.
APA
Beeckman, M., Hughes, S. J., Van Ryckeghem, D., Van Hoecke, E., Dehoorne, J., Joos, R., & Goubert, L. (2019). Resilience factors in children with juvenile idiopathic arthritis and their parents : the role of child and parent psychological flexibility. PAIN MEDICINE, 20(6), 1120–1131.
Chicago author-date
Beeckman, Melanie, Sean Joseph Hughes, Dimitri Van Ryckeghem, Eline Van Hoecke, Jo Dehoorne, Rik Joos, and Liesbet Goubert. 2019. “Resilience Factors in Children with Juvenile Idiopathic Arthritis and Their Parents : The Role of Child and Parent Psychological Flexibility.” PAIN MEDICINE 20 (6): 1120–31.
Chicago author-date (all authors)
Beeckman, Melanie, Sean Joseph Hughes, Dimitri Van Ryckeghem, Eline Van Hoecke, Jo Dehoorne, Rik Joos, and Liesbet Goubert. 2019. “Resilience Factors in Children with Juvenile Idiopathic Arthritis and Their Parents : The Role of Child and Parent Psychological Flexibility.” PAIN MEDICINE 20 (6): 1120–1131.
Vancouver
1.
Beeckman M, Hughes SJ, Van Ryckeghem D, Van Hoecke E, Dehoorne J, Joos R, et al. Resilience factors in children with juvenile idiopathic arthritis and their parents : the role of child and parent psychological flexibility. PAIN MEDICINE. 2019;20(6):1120–31.
IEEE
[1]
M. Beeckman et al., “Resilience factors in children with juvenile idiopathic arthritis and their parents : the role of child and parent psychological flexibility,” PAIN MEDICINE, vol. 20, no. 6, pp. 1120–1131, 2019.
@article{8573181,
  abstract     = {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.},
  author       = {Beeckman, Melanie and Hughes, Sean Joseph and Van Ryckeghem, Dimitri and Van Hoecke, Eline and Dehoorne, Jo and Joos, Rik and Goubert, Liesbet},
  issn         = {1526-2375},
  journal      = {PAIN MEDICINE},
  keywords     = {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},
  language     = {eng},
  number       = {6},
  pages        = {1120--1131},
  title        = {Resilience factors in children with juvenile idiopathic arthritis and their parents : the role of child and parent psychological flexibility},
  url          = {http://dx.doi.org/10.1093/pm/pny181},
  volume       = {20},
  year         = {2019},
}

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