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A network analysis of potential antecedents and consequences of pain-related activity avoidance and activity engagement in adolescents

(2020) PAIN MEDICINE. 21(2). p.89-101
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Abstract
Objective This study sets out to identify potential daily antecedents and consequences of pain-related activity avoidance and engagement behavior in adolescents with chronic pain. Methods Adolescents (N = 65, Mage = 14.41) completed baseline self-reports and a diary for 14 days. Afternoon and evening reports were used to infer a network structure of within-day associations between pain intensity, pain-related fear, pain catastrophizing, affect, and pain-related activity avoidance and engagement behavior. Baseline psychological flexibility was examined as a potential resilience factor. Results Activity avoidance in the evening was predicted by pain-related fear and avoidance earlier that afternoon. Activity engagement was predicted by positive affect and activity engagement in the afternoon. Pain-related behavior in the afternoon was not related to subsequent changes in pain intensity, pain-related fear, pain catastrophizing, or affect. Pain-related fear in the afternoon was predictive of increased levels of pain and pain catastrophizing in the evening. Both pain-related fear and pain catastrophizing in the evening were predicted by negative affect in the afternoon. Psychological flexibility was associated with lower levels of daily activity avoidance and buffered the negative association between pain intensity and subsequent activity engagement. Conclusions This study provides insight into unique factors that trigger and maintain activity avoidance and engagement and into the role of psychological flexibility in pediatric pain. Future work should focus on both risk and resilience factors and examine the role of psychological flexibility in chronic pediatric pain in greater detail.
Keywords
Anesthesiology and Pain Medicine, Clinical Neurology, General Medicine

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Citation

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

MLA
Beeckman, Melanie, et al. “A Network Analysis of Potential Antecedents and Consequences of Pain-Related Activity Avoidance and Activity Engagement in Adolescents.” PAIN MEDICINE, vol. 21, no. 2, 2020, pp. 89–101.
APA
Beeckman, M., Simons, L. E., Hughes, S. J., Loeys, T., & Goubert, L. (2020). A network analysis of potential antecedents and consequences of pain-related activity avoidance and activity engagement in adolescents. PAIN MEDICINE, 21(2), 89–101.
Chicago author-date
Beeckman, Melanie, Laura E Simons, Sean Joseph Hughes, Tom Loeys, and Liesbet Goubert. 2020. “A Network Analysis of Potential Antecedents and Consequences of Pain-Related Activity Avoidance and Activity Engagement in Adolescents.” PAIN MEDICINE 21 (2): 89–101.
Chicago author-date (all authors)
Beeckman, Melanie, Laura E Simons, Sean Joseph Hughes, Tom Loeys, and Liesbet Goubert. 2020. “A Network Analysis of Potential Antecedents and Consequences of Pain-Related Activity Avoidance and Activity Engagement in Adolescents.” PAIN MEDICINE 21 (2): 89–101.
Vancouver
1.
Beeckman M, Simons LE, Hughes SJ, Loeys T, Goubert L. A network analysis of potential antecedents and consequences of pain-related activity avoidance and activity engagement in adolescents. PAIN MEDICINE. 2020;21(2):89–101.
IEEE
[1]
M. Beeckman, L. E. Simons, S. J. Hughes, T. Loeys, and L. Goubert, “A network analysis of potential antecedents and consequences of pain-related activity avoidance and activity engagement in adolescents,” PAIN MEDICINE, vol. 21, no. 2, pp. 89–101, 2020.
@article{8643679,
  abstract     = {Objective
This study sets out to identify potential daily antecedents and consequences of pain-related activity avoidance and engagement behavior in adolescents with chronic pain.

Methods
Adolescents (N = 65, Mage = 14.41) completed baseline self-reports and a diary for 14 days. Afternoon and evening reports were used to infer a network structure of within-day associations between pain intensity, pain-related fear, pain catastrophizing, affect, and pain-related activity avoidance and engagement behavior. Baseline psychological flexibility was examined as a potential resilience factor.

Results
Activity avoidance in the evening was predicted by pain-related fear and avoidance earlier that afternoon. Activity engagement was predicted by positive affect and activity engagement in the afternoon. Pain-related behavior in the afternoon was not related to subsequent changes in pain intensity, pain-related fear, pain catastrophizing, or affect. Pain-related fear in the afternoon was predictive of increased levels of pain and pain catastrophizing in the evening. Both pain-related fear and pain catastrophizing in the evening were predicted by negative affect in the afternoon. Psychological flexibility was associated with lower levels of daily activity avoidance and buffered the negative association between pain intensity and subsequent activity engagement.

Conclusions
This study provides insight into unique factors that trigger and maintain activity avoidance and engagement and into the role of psychological flexibility in pediatric pain. Future work should focus on both risk and resilience factors and examine the role of psychological flexibility in chronic pediatric pain in greater detail.},
  author       = {Beeckman, Melanie and Simons, Laura E and Hughes, Sean Joseph and Loeys, Tom and Goubert, Liesbet},
  issn         = {1526-2375},
  journal      = {PAIN MEDICINE},
  keywords     = {Anesthesiology and Pain Medicine,Clinical Neurology,General Medicine},
  language     = {eng},
  number       = {2},
  pages        = {89--101},
  title        = {A network analysis of potential antecedents and consequences of pain-related activity avoidance and activity engagement in adolescents},
  url          = {http://dx.doi.org/10.1093/pm/pnz211},
  volume       = {21},
  year         = {2020},
}

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