ArticleThe Clinical journal of pain2015
Attachment and adjustment in adolescents and young adults with a history of pediatric functional abdominal pain.
Article in The Clinical journal of pain, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed.
- Alert to Hurt: Threat Appraisal Mediates the Association Between Attachment Anxiety and Perceptions of Pain Burden Among Healthy Young Adults.Behavioral sciences (Basel, Switzerland) · 2026Article
- Identifying Prognostic Factors Implicated in Chronic Functional Abdominal Pain in Children: A Systematic Review.Gastroenterology research · 2026Review
- A fearful adult attachment style is associated with double the presence of chronic pain compared to secure attachment: A national survey of a South African population.British journal of health psychology · 2025Article
- Associations Between Parent-Child Attachment and Psychosocial- and Health-Related Symptoms in Children with Functional Abdominal Pain Disorders.Children (Basel, Switzerland) · 2025Article
- Attachment in Young Adults With Chronic Pain: The Mediating Role of Cognitive Appraisals in the Relationship Between Attachment Security, Pain Coping and Functioning.European journal of pain (London, England) · 2025Article
- Are We Any Closer to Understanding How Chronic Pain Develops? A Systematic Search and Critical Narrative Review of Existing Chronic Pain Vulnerability Models.Journal of pain research · 2023Review
- A scoping review of chronic pain in emerging adults.Pain reports · 2021Article
- Psychobiological factors of resilience and depression in late life.Translational psychiatry · 2019Review
- Article
- Evaluating psychosocial contributions to chronic pain outcomes.Progress in neuro-psychopharmacology & biological psychiatry · 2018Review
- Parental Bonding in Adolescents With and Without Chronic Pain.Journal of pediatric psychology · 2018Article
- Transmission of risk from parents with chronic pain to offspring: an integrative conceptual model.Pain · 2016Review
- Attachment and Chronic Pain in Children and Adolescents.Children (Basel, Switzerland) · 2016Review
- [Impact of attachment behavior on chronic and somatoform pain].Schmerz (Berlin, Germany) · 2016Review
- The Role of Psychosocial Processes in the Development and Maintenance of Chronic Pain.The journal of pain · 2016Review
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
objectivesThis study tested predictions of the Attachment-Diathesis Model (ADM) of Chronic Pain in a cross-sectional sample of adolescents and young adults with a history of childhood functional abdominal pain (FAP). ADM posits that attachment anxiety is a diathesis for poor adjustment (physical health, mental health, and functioning) in the context of chronic pain and that pain self-efficacy, pain threat appraisal, and passive coping mediate this effect.
methodsParticipants (N=261) were recruited from a database of consecutive new patients evaluated for abdominal pain at a pediatric gastroenterology clinic. Participants' mean age at the follow-up assessment was 21 years. Structural equation modeling was used to test the fit of our conceptual model to the data.
resultsModel fit was good (comparative fit index=0.971, the Tucker-Lewis index=0.940, root mean square error of approximation=0.067). Attachment anxiety significantly predicted poorer health in both the mental and physical domains. Model fit was consistent with our hypothesis that pain self-efficacy mediates the effect of attachment anxiety on passive coping and that passive coping, in turn, mediates the effect of pain self-efficacy and pain threat appraisal on mental and physical health. DISCUSSION: Among individuals with a childhood history of FAP, those with anxious attachment may be at higher risk for poor physical and mental health. Pain beliefs and coping may mediate the relation between anxious attachment and health outcomes and may serve as effective targets for intervention in chronic pain.
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