ArticleFrontiers in psychology2019
Investigating How Parental Instructions and Protective Responses Mediate the Relationship Between Parental Psychological Flexibility and Pain-Related Behavior in Adolescents With Chronic Pain: A Daily Diary Study.
Article in Frontiers in psychology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.
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Who cites it
10 citing papers in PubMed, 2 syntheses or guidelines pooled it, 20 citations in OpenAlex.
- Beyond snapshots: A systematic review of dyadic and triadic parent-adolescent ecological momentary assessment studies across diverse and general populations.Journal of research on adolescence : the official journal of the Society for Research on Adolescence · 2026Pooled it
- Family-Related Factors in Children and Adolescents With Chronic Pain: A Systematic Review.European journal of pain (London, England) · 2025Pooled it
- Effects of resilience training for mothers on maternal resilience and children's pain in pediatric burn units in a randomized controlled trial.Scientific reports · 2025Trial
- Exploring Pain Adaptation in Youth With Juvenile Idiopathic Arthritis: Identifying Youth and Parent Resilience Resources and Mechanisms.Arthritis care & research · 2025Article
- Day-to-Day Risk and Resilience Factors in the Context of Pediatric Post-Surgical Recovery - A Network Analysis of Intensive Longitudinal Data From Adolescents Undergoing Spinal Fusion Surgery and Their Parents.Journal of pain research · 2025Article
- Broadening the Scope of Resilience in Chronic Pain: Methods, Social Context, and Development.Current rheumatology reports · 2024Review
- Development of a text message-based headache diary in adolescents and children.Cephalalgia : an international journal of headache · 2022Article
- Topical Review: Examining Multidomain Pain Resilience in Late Adolescents and Young Adults.Journal of pediatric psychology · 2021Article
- Parental Pain Catastrophizing, Communication Ability, and Post-surgical Pain Outcomes Following Intrathecal Baclofen Implant Surgery for Patients With Cerebral Palsy.Frontiers in pain research (Lausanne, Switzerland) · 2021Article
- Baseline Characteristics of a Dyadic Cohort of Mothers With Chronic Pain and Their Children.The Clinical journal of pain · 2020Article
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundParental behavior can influence how well adolescents cope with chronic pain. Previous research has largely focused on how parents negatively impact adolescent functioning. Yet more recent work suggests that parents - and particularly parental psychological flexibility - can foster better adolescent pain-related functioning. In this study we examined if parental protective responses and instructions to engage in activities in the presence of pain mediate the impact of parental psychological flexibility and acceptance of adolescent pain on adolescents' daily pain-related behavior.
methodFifty-six adolescents with chronic pain (
resultsPsychologically flexible parenting and acceptance of adolescent pain in parents were indirectly related to lower daily adolescent activity-avoidance, via their negative association with daily parental protective responses. Positive associations also emerged between baseline psychologically flexible parenting and overall levels of adolescent activity-engagement via its negative association with overall levels of parental protectiveness across the 14-day period. Psychologically flexible parenting and parental acceptance of adolescent pain were also indirectly related to daily decreases in adolescent activity-avoidance via their association with daily increases in parental activity-engagement instructions. These baseline parental resilience factors were also positively related to overall levels of parental engagement instructions, a route via which an indirect association with both higher overall activity-engagement as well as higher overall activity-avoidance in the adolescent was observed.
conclusionOur findings suggest an (indirect) adaptive role of parental psychological flexibility on adolescent daily pain-related behavior via its impact on parental protective behavior. If our findings replicate, they would suggest that these parental behaviors could be targeted in pain treatments that include both adolescents and their parents. Future research could further examine the impact of parental instructions on pain-related behavior in adolescents with chronic pain.
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