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Parent Pain Cognitions and Treatment Adherence in Juvenile Idiopathic Arthritis.

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Title: Parent Pain Cognitions and Treatment Adherence in Juvenile Idiopathic Arthritis.
Authors: Brandelli, Yvonne N (AUTHOR), Chambers, Christine T (AUTHOR), Tutelman, Perri R (AUTHOR), Stinson, Jennifer N (AUTHOR), Huber, Adam M (AUTHOR), Wilson, Jennifer P (AUTHOR)
Source: Journal of Pediatric Psychology. Oct2019, Vol. 44 Issue 9, p1111-1119. 9p. 2 Diagrams, 3 Charts.
Subjects: Juvenile idiopathic arthritis, Pain management, Pain catastrophizing, Parents, Evaluation research, Pain, Research methodology, Research, Comparative studies
Abstract: Objective: Given the high levels of pain and low rates of treatment adherence in children with juvenile idiopathic arthritis (JIA) and their families, this study sought to examine the relationship between parent pain cognitions (i.e., pain catastrophizing, fear of pain) and treatment adherence, and how barriers to treatment (e.g., forgetting treatments, children resisting injections) may be implicated in this relationship.Methods: Parents of children under 18 years of age who have been diagnosed with JIA were recruited to complete an online survey. In total, 221 parents (93% mothers) of children aged 2-17 years (M = 11.10, SD = 4.25) took part, completing questions regarding their pain cognitions, perceived barriers to treatment, and their child's arthritis treatment adherence ability.Results: Hierarchical regressions demonstrated that both pain cognitions (i.e., pain catastrophizing and fear of pain) were related to a decrease in parent-reported treatment adherence, however, pain catastrophizing was no longer significant when fear of pain was added to the model. The presence of treatment barriers partially mediated the relationship between fear of pain and treatment adherence, above and beyond the alternate model proposed.Conclusion: These results suggest that parent pain catastrophizing and fears of pain are related to a greater difficulty following treatment plans, possibly in part because of barriers parents experience that preclude adherence. Given these findings, the identification and management of parent pain cognitions is critical to improving treatment adherence and outcomes for children with JIA and their families. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Pediatric Psychology is the property of Oxford University Press / USA and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Parent Pain Cognitions and Treatment Adherence in Juvenile Idiopathic Arthritis.
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  Data: <searchLink fieldCode="AR" term="%22Brandelli%2C+Yvonne+N%22">Brandelli, Yvonne N</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Chambers%2C+Christine+T%22">Chambers, Christine T</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Tutelman%2C+Perri+R%22">Tutelman, Perri R</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Stinson%2C+Jennifer+N%22">Stinson, Jennifer N</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Huber%2C+Adam+M%22">Huber, Adam M</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Wilson%2C+Jennifer+P%22">Wilson, Jennifer P</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Pediatric+Psychology%22">Journal of Pediatric Psychology</searchLink>. Oct2019, Vol. 44 Issue 9, p1111-1119. 9p. 2 Diagrams, 3 Charts.
– Name: Subject
  Label: Subjects
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  Data: <searchLink fieldCode="DE" term="%22Juvenile+idiopathic+arthritis%22">Juvenile idiopathic arthritis</searchLink><br /><searchLink fieldCode="DE" term="%22Pain+management%22">Pain management</searchLink><br /><searchLink fieldCode="DE" term="%22Pain+catastrophizing%22">Pain catastrophizing</searchLink><br /><searchLink fieldCode="DE" term="%22Parents%22">Parents</searchLink><br /><searchLink fieldCode="DE" term="%22Evaluation+research%22">Evaluation research</searchLink><br /><searchLink fieldCode="DE" term="%22Pain%22">Pain</searchLink><br /><searchLink fieldCode="DE" term="%22Research+methodology%22">Research methodology</searchLink><br /><searchLink fieldCode="DE" term="%22Research%22">Research</searchLink><br /><searchLink fieldCode="DE" term="%22Comparative+studies%22">Comparative studies</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: <bold>Objective: </bold>Given the high levels of pain and low rates of treatment adherence in children with juvenile idiopathic arthritis (JIA) and their families, this study sought to examine the relationship between parent pain cognitions (i.e., pain catastrophizing, fear of pain) and treatment adherence, and how barriers to treatment (e.g., forgetting treatments, children resisting injections) may be implicated in this relationship.<bold>Methods: </bold>Parents of children under 18 years of age who have been diagnosed with JIA were recruited to complete an online survey. In total, 221 parents (93% mothers) of children aged 2-17 years (M = 11.10, SD = 4.25) took part, completing questions regarding their pain cognitions, perceived barriers to treatment, and their child's arthritis treatment adherence ability.<bold>Results: </bold>Hierarchical regressions demonstrated that both pain cognitions (i.e., pain catastrophizing and fear of pain) were related to a decrease in parent-reported treatment adherence, however, pain catastrophizing was no longer significant when fear of pain was added to the model. The presence of treatment barriers partially mediated the relationship between fear of pain and treatment adherence, above and beyond the alternate model proposed.<bold>Conclusion: </bold>These results suggest that parent pain catastrophizing and fears of pain are related to a greater difficulty following treatment plans, possibly in part because of barriers parents experience that preclude adherence. Given these findings, the identification and management of parent pain cognitions is critical to improving treatment adherence and outcomes for children with JIA and their families. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Journal of Pediatric Psychology is the property of Oxford University Press / USA and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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    Identifiers:
      – Type: doi
        Value: 10.1093/jpepsy/jsz067
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      – Code: eng
        Text: English
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        PageCount: 9
        StartPage: 1111
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      – SubjectFull: Juvenile idiopathic arthritis
        Type: general
      – SubjectFull: Pain management
        Type: general
      – SubjectFull: Pain catastrophizing
        Type: general
      – SubjectFull: Parents
        Type: general
      – SubjectFull: Evaluation research
        Type: general
      – SubjectFull: Pain
        Type: general
      – SubjectFull: Research methodology
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      – SubjectFull: Research
        Type: general
      – SubjectFull: Comparative studies
        Type: general
    Titles:
      – TitleFull: Parent Pain Cognitions and Treatment Adherence in Juvenile Idiopathic Arthritis.
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            NameFull: Brandelli, Yvonne N
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            NameFull: Chambers, Christine T
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            NameFull: Tutelman, Perri R
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            NameFull: Stinson, Jennifer N
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            NameFull: Huber, Adam M
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              M: 10
              Text: Oct2019
              Type: published
              Y: 2019
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              Value: 01468693
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              Value: 44
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