Parental bonding in adolescents with and without chronic pain

Evans, Subhadra, Moloney, Claudia, Seidman, Laura C., Zeltzer, Lonnie K. and Tsao, Jennie C.I. 2018, Parental bonding in adolescents with and without chronic pain, Journal of pediatric psychology, vol. 43, no. 3, pp. 276-284, doi: 10.1093/jpepsy/jsx110.

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Title Parental bonding in adolescents with and without chronic pain
Author(s) Evans, SubhadraORCID iD for Evans, Subhadra orcid.org/0000-0002-1898-0030
Moloney, Claudia
Seidman, Laura C.
Zeltzer, Lonnie K.
Tsao, Jennie C.I.
Journal name Journal of pediatric psychology
Volume number 43
Issue number 3
Start page 276
End page 284
Total pages 9
Publisher Oxford University Press
Place of publication Oxford, Eng.
Publication date 2018-04
ISSN 1465-735X
Keyword(s) Social Sciences
Psychology, Developmental
Psychology
adolescents
chronic and recurrent pain
parenting
pediatric chronic pain
affectionless control
young-adults
risk-factor
depression
attachment
anxiety
instrument
personality
modulation
Summary Objective: Parental responses influence children's pain; however, the specific role of parental bonding in pediatric pain has not been examined. Depressive symptomology is frequently reported in children with chronic pain (CP) and may play a role in the relationship between parental bonding and pain. This study examined the connections between maternal/paternal bonding (perceived care and control) and symptoms of pain and depression in adolescents with CP and in healthy adolescents. Method: Participants included 116 adolescents (aged 12-17) with CP (n = 55) and without (n = 61). Adolescents completed the Parental Bonding Instrument separately for their mother and father, as well as measures of depression and pain. Results: Significant associations between parental bonding and adolescent pain and depression emerged in the pain group, but not in the healthy group. There were no differences in the impact of maternal versus paternal bonding on adolescent pain and depression. Mediation analyses revealed adolescent depression was a mediator of the relationship between maternal care and adolescent pain, and paternal control and adolescent pain in the group with CP. Conclusions: This study highlights the importance of considering parental bonding and adolescent depression in pediatric CP, suggesting that high paternal control and low maternal care contribute to increased pain in adolescents through heightened adolescent depressive symptoms. The findings emphasize the need for family-based treatment for CP that addresses parent behaviors and adolescent mental health.
Language eng
DOI 10.1093/jpepsy/jsx110
Field of Research 1701 Psychology
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2017, The Author
Persistent URL http://hdl.handle.net/10536/DRO/DU:30108607

Document type: Journal Article
Collections: Faculty of Health
School of Psychology
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