Trial reportPain2018
Social learning pathways in the relation between parental chronic pain and daily pain severity and functional impairment in adolescents with functional abdominal pain.
Trial report in Pain, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
26 citing papers in PubMed, 1 synthesis or guideline pooled it, 54 citations in OpenAlex.
- Family-Related Factors in Children and Adolescents With Chronic Pain: A Systematic Review.European journal of pain (London, England) · 2025Pooled it
- The effect of anti-nausea wristbands and STW-5 in children suffering from dyspepsia - a randomized double-blind placebo-controlled pilot-study.Klinische Padiatrie · 2026Trial
- Trial
- Somatic Symptoms Before Menarche: The Role of Parents and Pain Sensitivity.The Journal of early adolescence · 2026Article
- Parental distress and symptom severity in referred youths with functional abdominal pain disorders: a cross-sectional study prior to internet-based cognitive behavioral therapy.Therapeutic advances in gastroenterology · 2025Article
- Psycho-Neuroendocrinology in the Rehabilitation Field: Focus on the Complex Interplay between Stress and Pain.Medicina (Kaunas, Lithuania) · 2024Review
- Twenty-year Outcomes of a Pediatric Chronic Abdominal Pain Cohort: Early Adulthood Health Status and Offspring Physical and Behavioral Health.The journal of pain · 2023Article
- Examining Parent Adverse Childhood Experiences as a Distal Risk Factor in Pediatric Chronic Pain.The Clinical journal of pain · 2021Article
- What is pain: Are cognitive and social features core components?Paediatric & neonatal pain · 2021Review
- The Parent Version of the Sensitivity to Pain Traumatization Scale (SPTS-P): A Preliminary Validation.Children (Basel, Switzerland) · 2021Article
- A High Psychological and Somatic Symptom Profile and Family Health Factors Predict New or Persistent Pain During Early Adolescence.The Clinical journal of pain · 2021Article
- Subgroups of Pediatric Patients With Functional Abdominal Pain: Replication, Parental Characteristics, and Health Service Use.The Clinical journal of pain · 2020Article
- Baseline Characteristics of a Dyadic Cohort of Mothers With Chronic Pain and Their Children.The Clinical journal of pain · 2020Article
- A child in pain: A psychologist's perspective on changing priorities in scientific understanding and clinical care.Paediatric & neonatal pain · 2020Review
- Child catastrophizing about parent chronic pain: A potential child vulnerability factor.British journal of health psychology · 2020Article
- The relation between parental chronic pain, pain-related attention and interpretation biases in pain-free adolescents.European journal of pain (London, England) · 2019Article
- Commentary: Understanding Somatic Symptoms: From Dualism to Systems, Diagnosis to Dimensions, Clinical Judgement to Clinical Science.Journal of pediatric psychology · 2019Article
- The (Parental) Whole Is Greater Than the Sum of Its Parts: A Multifactorial Model of Parent Factors in Pediatric Chronic Pain.The journal of pain · 2019Article
- Parenting in the Context of Children's Chronic Pain: Balancing Care and Burden.Children (Basel, Switzerland) · 2018Article
- Analgesic Effect of Valerian Root and Turnip Extracts.World journal of plastic surgery · 2018Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 2 institutions in 1 country.
Funding
Abstract
Having a parent with chronic pain (CP) may confer greater risk of persistence of CP from childhood into young adulthood. Social learning, such as parental modeling and reinforcement, represents one plausible mechanism for the transmission of risk of CP from parents to offspring. Based on a 7-day pain diary in 154 pediatric patients with functional abdominal CP, we tested a model in which parental CP predicted adolescents' daily average CP severity and functional impairment (distal outcomes) via parental modeling of pain behaviors and parental reinforcement of adolescent's pain behaviors (mediators) and adolescents' cognitive appraisals of pain threat (proximal outcome representing adolescents' encoding of parents' behaviors). Results indicated significant indirect pathways from parental CP status to adolescent average daily pain severity (b = 0.18, SE = 0.08, 95% confidence interval: 0.04-0.31, P = 0.03) and functional impairment (b = 0.08, SE = 0.04, 95% confidence interval: 0.02-0.15, P = 0.03) over the 7-day diary period via adolescents' observations of parent pain behaviors and adolescent pain threat appraisal. The indirect pathway through parental reinforcing responses to adolescents' pain did not reach significance for either adolescent pain severity or functional impairment. Identifying mechanisms of increased risk of pain and functional impairment in children of parents with CP ultimately could lead to targeted interventions aimed at improving functioning and quality of life in families with CP. Parental modeling of pain behaviors represents a potentially promising target for family-based interventions to ameliorate pediatric CP.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.