title: Chronic pain in adolescence: parental responses, adolescent coping, and their impact on adolescent's pain behaviors.
abstract: OBJECTIVE
  The aim of this study was to examine relations among parental responses, adolescent pain coping, and pain behaviors in adolescents with chronic pain.
  
  
  METHODS
  This study included 217 adolescents (12-17 years) evaluated at a multidisciplinary pain clinic and their parents. Adolescents completed measures assessing their pain, pain coping responses, functional disability, and somatic symptoms. Parents reported on their responses to their adolescent's pain.
  
  
  RESULTS
  Passive and active coping interacted with parental protective behavior to predict adolescents' pain behaviors. Contrary to expectations, among adolescents who reported infrequent use of passive or active coping strategies, higher levels of parental protective behavior were associated with higher levels of disability and somatic symptoms. Discussion Among adolescents who report infrequent use of passive and active coping responses, parental protective responses to pain may inadvertently promote greater disability and symptom complaints. Parental responses to pain may be an important target to treat adolescent chronic pain.
authors: Department of Psychiatry, Children's Hospital Boston, 333 Longwood Avenue, Boston, MA 02115, USA. laura.simons@childrens.harvard.edu
authors: Laura E
authors: LE
authors: Simons
authors: Robyn Lewis
authors: RL
authors: Claar
authors: Deirdre L
authors: DL
authors: Logan
mesh_terms: D000223:Adaptation, Psychological; D000293:Adolescent; D002648:Child; D002908:Chronic Disease; D004493:Education; D005260:Female; D006801:Humans; D055809:Illness Behavior; D008297:Male; D010146:Pain / Q000523:psychology*; D010287:Parent-Child Relations; D010290:Parents / Q000523:psychology*