title: Adolescent pain catastrophizing mediates the relationship between protective parental responses to pain and disability over time.
abstract: OBJECTIVE
  Examine whether the relation between protective parenting responses to pain and functional disability is mediated by pain catastrophizing in adolescents with chronic musculoskeletal pain and their parents over time.
  
  
  METHODS
  Adolescents aged 11-18 years and their parents reported on parental protective responses to pain (PPRP), pain catastrophizing scale (PCS), and Functional Disability Inventory (FDI) before Time 1 (T1) and 2 months after Time 2 (T2) an initial interdisciplinary pain clinic evaluation.
  
  
  RESULTS
  PCS was a significant mediator of the PPRP-FDI relationship at T1 and T2 for the adolescents and T2 for their parents. A decrease in PPRP over time was associated with T2 PCS, which in turn was associated with T2 FDI for adolescents and their parents.
  
  
  CONCLUSIONS
  Parental protectiveness is associated with disability indirectly through pain catastrophizing at the initial visit and follow-up. Decreases in parent protectiveness, potentially initiated through the initial evaluation, were related to lower levels of disability at follow-up through pain catastrophizing.
authors.affiliation: Department of Child and Adolescent Psychiatry and Behavioral Sciences, The Children’s Hospital of Philadelphia, USA. jwelkom1@jhmi.edu
authors.forename: Josie S
authors.initials: JS
authors.lastname: Welkom
authors.forename: Wei-Ting
authors.initials: WT
authors.lastname: Hwang
authors.forename: Jessica W
authors.initials: JW
authors.lastname: Guite
mesh_terms: D000223:Adaptation, Psychological / Q000502:physiology; D000293:Adolescent; D000294:Adolescent Behavior / Q000523:psychology*; D001294:Attitude to Health; D058443:Catastrophization / Q000523:psychology*; D002648:Child; D004185:Disability Evaluation; D006233:Persons with Disabilities / Q000523:psychology*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D059352:Musculoskeletal Pain / Q000523:psychology*; D059408:Pain Management / Q000379:methods / Q000523:psychology; D010147:Pain Measurement / Q000379:methods / Q000523:psychology; D010287:Parent-Child Relations; D016487:Parenting / Q000523:psychology; D010290:Parents / Q000523:psychology*
keywords: adolescents; catastrophizing; disability; pain