ArticleThe journal of pain2019
The (Parental) Whole Is Greater Than the Sum of Its Parts: A Multifactorial Model of Parent Factors in Pediatric Chronic Pain.
Article in The journal of pain, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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Who cites it
29 citing papers in PubMed, 1 synthesis or guideline pooled it, 65 citations in OpenAlex.
- Family-Related Factors in Children and Adolescents With Chronic Pain: A Systematic Review.European journal of pain (London, England) · 2025Pooled it
- Maternal Health Matters: Exploring the Links Between Parental Health and Illness Factors and Adolescent Functional Somatic Symptoms.JAACAP open · 2026Article
- Supporting Parents of Youth with Chronic Pain: A Mixed Methods Evaluation of a Supportive Educational Intervention.Children (Basel, Switzerland) · 2025Article
- Balancing Care and Sacrifice: Lived Experiences and Support Needs of Primary Caregivers in Pediatric Chronic Pain Across Canada and Australia.Children (Basel, Switzerland) · 2025Article
- Mapping the Gaps: A Scoping Review of Virtual Care Solutions for Caregivers of Children with Chronic Illnesses.Children (Basel, Switzerland) · 2025Review
- The Role of Family Functioning and Socioeconomic Context in Multisite and Chronic Musculoskeletal Pain in Adolescents: Generation XXI Cohort Study.International journal of public health · 2025Article
- Clinical and maternal factors associated with pain and quality of life in children with cerebral palsy.African journal of disability · 2025Article
- Back Pain in Adolescents and Young Adults with Idiopathic Scoliosis-Identifying Factors Associated with Significant Pain-A Multivariate Logistic Regression Analysis.Journal of clinical medicine · 2024Article
- Article
- Evolution of Parent-Targeted Interventions for Pain-Predominant Disorders of Gut-Brain Interactions: Research and Clinical Practice Considerations.Clinical practice in pediatric psychology · 2023Article
- Predicting the Need for Transition from Pediatric to Adult Pain Services: A Retrospective, Longitudinal Study Using the Electronic Persistent Pain Outcome Collaboration (ePPOC) Databases.Children (Basel, Switzerland) · 2023Article
- Associations between Chronic Pain and Attention-Deficit Hyperactivity Disorder (ADHD) in Youth: A Scoping Review.Children (Basel, Switzerland) · 2023Article
- Sensory processing sensitivity in adolescents reporting chronic pain: an exploratory study.Pain reports · 2023Article
- "We survived the pandemic together": The impact of the COVID-19 pandemic on Canadian families living with chronic pain.Canadian journal of pain = Revue canadienne de la douleur · 2023Article
- The Impact of the COVID-19 Pandemic on Youth with Chronic Pain and Their Parents: A Longitudinal Examination of Who Are Most at Risk.Children (Basel, Switzerland) · 2022Article
- How back pain intensity relates to clinical and psychosocial factors in patients with idiopathic scoliosis.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2022Article
- [Parental responses to child pain : The role of parental and child somatic and anxiety symptoms].Schmerz (Berlin, Germany) · 2022Article
- Extending the Biopsychosocial Conceptualisation of Chronic Post Surgical Pain in Children and Adolescents: The Family Systems Perspective.Canadian journal of pain = Revue canadienne de la douleur · 2022Article
- Chronic pain in children and adolescents in Manitoba: A retrospective chart review to inform the development of a provincial service for pediatric chronic pain.Canadian journal of pain = Revue canadienne de la douleur · 2022Article
- Examining Parent Adverse Childhood Experiences as a Distal Risk Factor in Pediatric Chronic Pain.The Clinical journal of pain · 2021Article
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 4 institutions in 2 countries.
Funding
Abstract
Parents play a critical role in children's experience of, and recovery from, chronic pain. Although several parental factors have been linked to child pain and functioning, these factors are typically examined in isolation or as moderators or mediators. Structural equation modeling affords the opportunity to examine the extent to which parental factors are interrelated, and if there are differential associations among parental factors and child outcomes. Based on extant literature, a unified model of parental factors, including chronic pain status, physical functioning, responses to child pain, and psychological factors, and their effect on child pain and functioning, was conceptualized. This model was evaluated using structural equation modeling based on data from 146 dyads recruited from a multidisciplinary pain clinic. Modifications to model iterations were made based on theoretical and statistical justification. The final model revealed associations among all parental factors, with significant loadings on child pain and functioning. Findings indicated the conceptual model was supported, with the exception of parent responses to child pain. Findings support the inclusion of parent chronic pain status and physical and psychological functioning as part of a comprehensive assessment of youth with chronic pain and may inform new parental intervention targets to improve child outcomes. PERSPECTIVE: A unified structural equation model indicated parents' own chronic pain characteristics and physical and psychological functioning represent important factors associated with child pain and functioning. Current family-based interventions that often primarily focus on parent responses to child pain may need to be adapted to more comprehensively address parental factors.
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What OpenQuestion holds
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.