When helping hurts: Miscarried helping in families of youth with chronic pain

Jessica L. Fales; Bonnie S. Essner; Michael A. Harris; Tonya M. Palermo

doi:10.1093/jpepsy/jsu003

When helping hurts: Miscarried helping in families of youth with chronic pain

Jessica L. Fales^*, Bonnie S. Essner, Michael A. Harris, Tonya M. Palermo

^*Corresponding author for this work

Psychiatry and Behavioral Sciences

Research output: Contribution to journal › Article › peer-review

43 Scopus citations

Abstract

ObjectiveTo examine "miscarried helping" as a maladaptive dyadic process in families of youth with chronic pain using the Actor-Partner Interdependence Model.210 adolescents with chronic pain (mean = 14.23 years; 73.9% female) and their parents participating in a multicenter study completed measures assessing pain characteristics, miscarried helping, family functioning, parental protectiveness, and child depressive symptoms.Multilevel modeling revealed significant actor effects of miscarried helping on family functioning for both parents and teens, but not partner effects. Individual-level factors, including child pain characteristics, depressive symptoms, and parental protectiveness, uniquely contributed to miscarried helping.Higher perceptions of miscarried helping contribute to worse family functioning and may be a useful target for psychological intervention in parents of children with chronic pain. Parents who exhibit more protective responses to pain and youth with more depressive symptoms may be at increased risk for a miscarried helping process to develop.

Original language	English (US)
Pages (from-to)	427-437
Number of pages	11
Journal	Journal of pediatric psychology
Volume	39
Issue number	4
DOIs	https://doi.org/10.1093/jpepsy/jsu003
State	Published - May 2014

Keywords

adolescents
chronic and recurrent pain
family functioning
parent-adolescent communication
social support

ASJC Scopus subject areas

Developmental and Educational Psychology
Pediatrics, Perinatology, and Child Health

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10.1093/jpepsy/jsu003

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title = "When helping hurts: Miscarried helping in families of youth with chronic pain",

abstract = "ObjectiveTo examine {"}miscarried helping{"} as a maladaptive dyadic process in families of youth with chronic pain using the Actor-Partner Interdependence Model.210 adolescents with chronic pain (mean = 14.23 years; 73.9% female) and their parents participating in a multicenter study completed measures assessing pain characteristics, miscarried helping, family functioning, parental protectiveness, and child depressive symptoms.Multilevel modeling revealed significant actor effects of miscarried helping on family functioning for both parents and teens, but not partner effects. Individual-level factors, including child pain characteristics, depressive symptoms, and parental protectiveness, uniquely contributed to miscarried helping.Higher perceptions of miscarried helping contribute to worse family functioning and may be a useful target for psychological intervention in parents of children with chronic pain. Parents who exhibit more protective responses to pain and youth with more depressive symptoms may be at increased risk for a miscarried helping process to develop.",

keywords = "adolescents, chronic and recurrent pain, family functioning, parent-adolescent communication, social support",

author = "Fales, {Jessica L.} and Essner, {Bonnie S.} and Harris, {Michael A.} and Palermo, {Tonya M.}",

note = "Funding Information: Research reported in this publication was supported by the Eunice Kennedy Shriver National Institute of Child Health & Human Development of the National Institutes of Health under Award Numbers R01HD062538-01A1 and K24HD060068-03 (PIs: Tonya M. Palermo). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.",

year = "2014",

month = may,

doi = "10.1093/jpepsy/jsu003",

language = "English (US)",

volume = "39",

pages = "427--437",

journal = "Journal of Pediatric Psychology",

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T2 - Miscarried helping in families of youth with chronic pain

AU - Fales, Jessica L.

AU - Essner, Bonnie S.

AU - Harris, Michael A.

AU - Palermo, Tonya M.

N1 - Funding Information: Research reported in this publication was supported by the Eunice Kennedy Shriver National Institute of Child Health & Human Development of the National Institutes of Health under Award Numbers R01HD062538-01A1 and K24HD060068-03 (PIs: Tonya M. Palermo). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.

PY - 2014/5

Y1 - 2014/5

N2 - ObjectiveTo examine "miscarried helping" as a maladaptive dyadic process in families of youth with chronic pain using the Actor-Partner Interdependence Model.210 adolescents with chronic pain (mean = 14.23 years; 73.9% female) and their parents participating in a multicenter study completed measures assessing pain characteristics, miscarried helping, family functioning, parental protectiveness, and child depressive symptoms.Multilevel modeling revealed significant actor effects of miscarried helping on family functioning for both parents and teens, but not partner effects. Individual-level factors, including child pain characteristics, depressive symptoms, and parental protectiveness, uniquely contributed to miscarried helping.Higher perceptions of miscarried helping contribute to worse family functioning and may be a useful target for psychological intervention in parents of children with chronic pain. Parents who exhibit more protective responses to pain and youth with more depressive symptoms may be at increased risk for a miscarried helping process to develop.

AB - ObjectiveTo examine "miscarried helping" as a maladaptive dyadic process in families of youth with chronic pain using the Actor-Partner Interdependence Model.210 adolescents with chronic pain (mean = 14.23 years; 73.9% female) and their parents participating in a multicenter study completed measures assessing pain characteristics, miscarried helping, family functioning, parental protectiveness, and child depressive symptoms.Multilevel modeling revealed significant actor effects of miscarried helping on family functioning for both parents and teens, but not partner effects. Individual-level factors, including child pain characteristics, depressive symptoms, and parental protectiveness, uniquely contributed to miscarried helping.Higher perceptions of miscarried helping contribute to worse family functioning and may be a useful target for psychological intervention in parents of children with chronic pain. Parents who exhibit more protective responses to pain and youth with more depressive symptoms may be at increased risk for a miscarried helping process to develop.

KW - adolescents

KW - chronic and recurrent pain

KW - family functioning

KW - parent-adolescent communication

KW - social support

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When helping hurts: Miscarried helping in families of youth with chronic pain

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