Journal Article

Acceptance of Pain: Associations With Depression, Catastrophizing, and Functional Disability Among Children and Adolescents in an Interdisciplinary Chronic Pain Rehabilitation Program

Karen E. Weiss, Amy Hahn, Dustin P. Wallace, Bridget Biggs, Barbara K. Bruce and Tracy E. Harrison

in Journal of Pediatric Psychology

Volume 38, issue 7, pages 756-765
Published in print August 2013 | ISSN: 0146-8693
Published online May 2013 | e-ISSN: 1465-735X | DOI: http://dx.doi.org/10.1093/jpepsy/jst028
Acceptance of Pain: Associations With Depression, Catastrophizing, and Functional Disability Among Children and Adolescents in an Interdisciplinary Chronic Pain Rehabilitation Program

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Objectives The aims of this study were: (1) investigate relations between pain acceptance, depressive symptoms, catastrophizing, and functional disability in pediatric patients in an interdisciplinary chronic pain rehabilitation program, (2) examine changes in acceptance from pre- to posttreatment, and (3) test if changes in acceptance predict changes in depressive symptoms, catastrophizing, and functional disability from pre- to posttreatment. Methods 112 participants, ages 11–18 years, completed the Chronic Pain Acceptance Questionnaire, Adolescent Version, Center for Epidemiological Studies-Depression-Children’s Scale, Pain Catastrophizing Scale for Children, and Functional Disability Inventory on admission to and completion of the program. Results Significant and strong relations between acceptance, depression, catastrophizing, and functional disability were demonstrated. Participants demonstrated significant increases in acceptance and decreases in depression, catastrophizing, and functional disability. Finally, changes in acceptance significantly predicted changes in depressive symptoms, catastrophizing, and functional disability. Conclusions Pain acceptance is an important variable in the treatment of pediatric chronic pain.

Keywords: acceptance; chronic pain; functional disability; rehabilitation

Journal Article.  5707 words. 

Subjects: Child and Adolescent Psychiatry ; Psychology

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