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Cross-Sectional Associations among Components of Injustice Appraisals and Functioning in Adolescents With Chronic Pain.

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Title: Cross-Sectional Associations among Components of Injustice Appraisals and Functioning in Adolescents With Chronic Pain.
Authors: Milder, Mary K Lynch (AUTHOR), Miller, Megan M (AUTHOR), Williams, Amy E (AUTHOR), Michel, Martha A (AUTHOR), Tolley, James (AUTHOR), Scott, Eric L (AUTHOR), Hirsh, Adam T (AUTHOR), Lynch Milder, Mary K (AUTHOR)
Source: Journal of Pediatric Psychology. Jan/Feb2022, Vol. 47 Issue 1, p99-110. 12p. 4 Charts.
Subjects: Chronic pain, Pain clinics, Pain catastrophizing, Psychosocial functioning, Child patients, Teenagers, Pain
Abstract: Objective: Pain-related appraisals, including pain-related injustice, impact the development and maintenance of chronic pain. This cross-sectional study aimed to examine the relationship between the cognitive-emotional components of pain-related injustice-blame/unfairness and severity/irreparability of loss-and functioning in a mixed sample of adolescents with chronic pain.Methods: Pediatric patients age 11-18 years (N = 408) completed forms assessing pain-related injustice, pain intensity, and physical and psychosocial functioning as part of their routine assessment in a pediatric chronic pain clinic between January 2014 and January 2019. A series of hierarchical regressions were used to evaluate the relationships among the separate components of pain-related injustice appraisals and functioning.Results: Pain intensity and blame/unfairness appraisals were significantly associated with emotional functioning with blame/unfairness being the stronger association (β = -.27). Blame/unfairness appraisals, severity/irreparability appraisals, and pain intensity were significantly associated with physical functioning with pain intensity being the strongest association (β = .36). Pain intensity, blame/unfairness appraisals, and severity/irreparability appraisals were significantly associated with social functioning with blame/unfairness being the strongest association (β = -.34). Pain intensity and severity/irreparability appraisals were significantly associated with school functioning with severity/irreparability being the stronger association (β = -.19).Conclusions: These results lend further support to incorporating pain-related injustice appraisals in standard clinical pain assessments. Treatment practices should target the specific injustice appraisals and domains of functioning impacted for each pediatric patient with chronic pain. [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: Cross-Sectional Associations among Components of Injustice Appraisals and Functioning in Adolescents With Chronic Pain.
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  Data: <searchLink fieldCode="AR" term="%22Milder%2C+Mary+K+Lynch%22">Milder, Mary K Lynch</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Miller%2C+Megan+M%22">Miller, Megan M</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Williams%2C+Amy+E%22">Williams, Amy E</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Michel%2C+Martha+A%22">Michel, Martha A</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Tolley%2C+James%22">Tolley, James</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Scott%2C+Eric+L%22">Scott, Eric L</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Hirsh%2C+Adam+T%22">Hirsh, Adam T</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Lynch+Milder%2C+Mary+K%22">Lynch Milder, Mary K</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Pediatric+Psychology%22">Journal of Pediatric Psychology</searchLink>. Jan/Feb2022, Vol. 47 Issue 1, p99-110. 12p. 4 Charts.
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  Data: <searchLink fieldCode="DE" term="%22Chronic+pain%22">Chronic pain</searchLink><br /><searchLink fieldCode="DE" term="%22Pain+clinics%22">Pain clinics</searchLink><br /><searchLink fieldCode="DE" term="%22Pain+catastrophizing%22">Pain catastrophizing</searchLink><br /><searchLink fieldCode="DE" term="%22Psychosocial+functioning%22">Psychosocial functioning</searchLink><br /><searchLink fieldCode="DE" term="%22Child+patients%22">Child patients</searchLink><br /><searchLink fieldCode="DE" term="%22Teenagers%22">Teenagers</searchLink><br /><searchLink fieldCode="DE" term="%22Pain%22">Pain</searchLink>
– Name: Abstract
  Label: Abstract
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  Data: <bold>Objective: </bold>Pain-related appraisals, including pain-related injustice, impact the development and maintenance of chronic pain. This cross-sectional study aimed to examine the relationship between the cognitive-emotional components of pain-related injustice-blame/unfairness and severity/irreparability of loss-and functioning in a mixed sample of adolescents with chronic pain.<bold>Methods: </bold>Pediatric patients age 11-18 years (N = 408) completed forms assessing pain-related injustice, pain intensity, and physical and psychosocial functioning as part of their routine assessment in a pediatric chronic pain clinic between January 2014 and January 2019. A series of hierarchical regressions were used to evaluate the relationships among the separate components of pain-related injustice appraisals and functioning.<bold>Results: </bold>Pain intensity and blame/unfairness appraisals were significantly associated with emotional functioning with blame/unfairness being the stronger association (β = -.27). Blame/unfairness appraisals, severity/irreparability appraisals, and pain intensity were significantly associated with physical functioning with pain intensity being the strongest association (β = .36). Pain intensity, blame/unfairness appraisals, and severity/irreparability appraisals were significantly associated with social functioning with blame/unfairness being the strongest association (β = -.34). Pain intensity and severity/irreparability appraisals were significantly associated with school functioning with severity/irreparability being the stronger association (β = -.19).<bold>Conclusions: </bold>These results lend further support to incorporating pain-related injustice appraisals in standard clinical pain assessments. Treatment practices should target the specific injustice appraisals and domains of functioning impacted for each pediatric patient with chronic pain. [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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        Value: 10.1093/jpepsy/jsab083
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        Text: English
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      – SubjectFull: Chronic pain
        Type: general
      – SubjectFull: Pain clinics
        Type: general
      – SubjectFull: Pain catastrophizing
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      – SubjectFull: Psychosocial functioning
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      – SubjectFull: Child patients
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      – SubjectFull: Teenagers
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      – SubjectFull: Pain
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              Text: Jan/Feb2022
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