Journal Article

“Pain Can’t Stop Me”: Examining Pain Self-Efficacy and Acceptance as Resilience Processes Among Youth With Chronic Headache

Sreeja Kalapurakkel, Elizabeth A. Carpino, Alyssa Lebel and Laura E. Simons

in Journal of Pediatric Psychology

Volume 40, issue 9, pages 926-933
Published in print October 2015 | ISSN: 0146-8693
Published online October 2014 | e-ISSN: 1465-735X | DOI: http://dx.doi.org/10.1093/jpepsy/jsu091
“Pain Can’t Stop Me”: Examining Pain Self-Efficacy and Acceptance as Resilience Processes Among Youth With Chronic Headache

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Objective To examine pain self-efficacy and pain acceptance in relation to functioning in pediatric patients with chronic headache. Methods Participants were 209 youth aged 8–17 years who presented for a multidisciplinary pediatric headache clinic evaluation. They completed measures of pain self-efficacy and pain acceptance and a standard battery of clinical measures including indicators of emotional functioning. Results Pain self-efficacy and acceptance were associated with less disability, better school functioning, and fewer depressive symptoms. While taking into account several demographic and pain-related variables, pain self-efficacy had a greater association with less functional disability, while pain acceptance had a greater association with less depressive symptoms and better school functioning. Conclusions These findings indicate that both resilience processes can serve to positively interact with functioning and symptoms of depression. Ultimately, this study suggests that higher levels of pain self-efficacy and pain acceptance in an individual experiencing pain are associated with more positive outcomes.

Keywords: chronic and recurrent pain; headache; psychological functioning; resilience

Journal Article.  5137 words. 

Subjects: Child and Adolescent Psychiatry ; Psychology

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