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Parent Psychological Flexibility in Pediatric Chronic Pain
Joan W Hanania1,2,3, Jessica B Edwards George4, Christie Rizzo4
1Department of Applied Psychology, Northeastern University, Bouvé College of Health Sciences, Boston, MA, USA. joanw_hanania@dfci.harvard.edu.
Child Psychiatry and Human Development
|April 19, 2025
Summary
Parental psychological flexibility is key for children with chronic pain. Higher parent flexibility is linked to better youth functioning, suggesting parents should be included in pain treatment.
Area of Science:
- Pediatric Psychology
- Pain Management
- Family Health
Background:
- Pediatric chronic pain significantly impacts youth and is intertwined with parent-youth dynamics.
- Parental factors are associated with poorer functional outcomes in children with chronic pain.
- Limited research exists on parental psychological flexibility in pediatric chronic pain.
Purpose of the Study:
- To investigate the influence of parental responses on youth's functional outcomes in chronic pain.
- To examine the association between parent psychological flexibility and youth's functional interference.
Main Methods:
- 127 youth (ages 8-17) with chronic pain and their parents participated.
- Data collected included demographics, pain characteristics, youth functional interference, pain acceptance, and parent psychological flexibility.
- Regression analyses were used to examine associations.
Main Results:
- Youth's reported pain intensity was associated with functional interference.
- Parent psychological flexibility was independently associated with reduced youth functional interference.
- Higher parent psychological flexibility correlated with better youth pain-related functioning.
Conclusions:
- Parent psychological flexibility is a significant factor in improving functional outcomes for youth with chronic pain.
- Clinical interventions should consider including parents as targets for change.
- Addressing parent psychological flexibility may optimize treatments for pediatric chronic pain.
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