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Published in: BMC Public Health 1/2015

Open Access 01-12-2015 | Research article

Associations between parental chronic pain and self-esteem, social competence, and family cohesion in adolescent girls and boys – family linkage data from the HUNT study

Authors: Jannike Kaasbøll, Ingunn Ranøyen, Wendy Nilsen, Stian Lydersen, Marit S. Indredavik

Published in: BMC Public Health | Issue 1/2015

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Abstract

Background

Parental chronic pain has been associated with adverse outcomes in offspring. However, knowledge on individual and family resilience factors in adolescent offspring of chronic pain sufferers is scarce. This study thus aimed to investigate the associations between parental chronic pain and self-esteem, social competence, and family cohesion levels reported by adolescent girls and boys.

Methods

Based on cross-sectional surveys from the Nord Trøndelag Health Study (the HUNT 3 study), the study used independent self-reports from adolescents aged 13 to 18 years (n = 3227) and their parents and conducted separate linear regression analyses for girls and boys.

Results

Concurrent maternal and paternal chronic pain was associated with reduced self-esteem, social competence, and family cohesion in girls. Moreover, maternal chronic pain was associated with higher social competence in boys and reduced self-esteem in girls. The majority of the observed associations were significantly different between girls and boys. Paternal chronic pain was not found to be associated with child outcomes.

Conclusions

The findings indicate that the presence of both maternal and paternal chronic pain could be a potential risk factor for lower levels of individual and family resilience factors reported by girls. Further research on the relationship between parental pain and sex-specific offspring characteristics, including positive resilience factors, is warranted. The study demonstrates the importance of targeting the entire family in chronic pain care.
Literature
1.
Breivik H, Collett B, Ventafridda V, Cohen R, Gallacher D. Survey of chronic pain in Europe: prevalence, impact on daily life, and treatment. Eur J Pain. 2006;10(4):287–333.CrossRefPubMed
2.
Roy R. Chronic pain and family: a clinical perspective. New York: Springer; 2006.
3.
Silver JK. Chronic pain and the family: a new guide. Cambridge: Harvard University Press; 2004.
4.
Romano J, Turner J, Jensen M. The family environment in chronic pain patients: comparison to controls and relationship to patient functioning. J Clin Psychol Med Settings. 1997;4(4):383–95.CrossRef
5.
Hoftun GB, Romundstad PR, Rygg M. Association of parental chronic pain with chronic pain in the adolescent and young adult: family linkage data from the HUNT study. JAMA Pediatrics. 2013;167(1):61–9.CrossRefPubMed
6.
Sherman AL, Bruehl S, Smith CA, Walker LS. Individual and additive effects of mothers’ and fathers’ chronic pain on health outcomes in young adults with a childhood history of functional abdominal pain. J Pediatr Psychol. 2013;38(4):365–75.CrossRefPubMedPubMedCentral
7.
Barkmann C, Romer G, Watson M, Schulte-Markwort M. Parental physical illness as a risk for psychosocial maladjustment in children and adolescents: epidemiological findings from a national survey in Germany. Psychosomatics. 2007;48(6):476–81.CrossRefPubMed
8.
Sieh DS, Meijer AM, Oort FJ, Visser-Meily JMA, Leij DAV. Problem behavior in children of chronically Ill parents: a meta-analysis. Clin Child Fam Psychol Rev. 2010;13(4):384–97.CrossRefPubMedPubMedCentral
9.
Kaasbøll J, Lydersen S, Indredavik MS. Psychological symptoms in children of parents with chronic pain—the HUNT study. Pain. 2012;153(5):1054–62.CrossRefPubMed
10.
11.
Pedersen S, Revenson TA. Parental illness, family functioning, and adolescent well-being: a family ecology framework to guide research. J Fam Psychol. 2005;19(3):404–9.CrossRef
12.
Rutter M. Implications of resilience concepts for scientific understanding. Ann N Y Acad Sci. 2006;1094(1):1–12.CrossRefPubMed
13.
Goldstein S, Brooks RB. Handbook of resilience in children. New York, NY: Springer; 2006.
14.
Costello DM, Swendsen J, Rose JS, Dierker LC. Risk and protective factors associated with trajectories of depressed mood from adolescence to early adulthood. J Consult Clin Psychol. 2008;76(2):173–83.CrossRefPubMedPubMedCentral
15.
Dumont M, Provost M. Resilience in adolescents: protective role of social support, coping strategies, self-esteem, and social activities on experience of stress and depression. J Youth Adolesc. 1999;28(3):343–63.CrossRef
16.
Obradović J, Hipwell A. Psychopathology and social competence during the transition to adolescence: the role of family adversity and pubertal development. Dev Psychopathol. 2010;22(Special Issue 03):621–34.CrossRefPubMedPubMedCentral
17.
Patterson J. Integrating family resilience and family stress theory. J Marriage Fam. 2002;64(2):349–60.CrossRef
18.
Cumsille PE, Epstein N. Family cohesion, family adaptability, social support, and adolescent depressive symptoms in outpatient clinic families. J Fam Psychol. 1994;8(2):202–14.CrossRef
19.
Rosenberg M, Schooler C, Schoenbach C, Rosenberg F. Global self-esteem and specific self-esteem: different concepts, different outcomes. Am Sociol Rev. 1995;60(1):141–56.CrossRef
20.
Buckner JC, Mezzacappa E, Beardslee WR. Characteristics of resilient youths living in poverty: the role of self-regulatory processes. Dev Psychopathol. 2003;15(1):139–62.CrossRefPubMed
21.
Burt KB, Obradović J, Long JD, Masten AS. The interplay of social competence and psychopathology over 20 years: testing transactional and cascade models. Child Dev. 2008;79(2):359–74.CrossRefPubMed
22.
Semrud-Clikeman M: Social Competence in Children. In. New York: Springer US; 2007.
23.
Hjemdal O, Aune T, Reinfjell T, Stiles TC, Friborg O. Resilience as a predictor of depressive symptoms: a correlational study with young adolescents. Clin Child Psychol Psychiatry. 2007;12(1):91–104.CrossRefPubMed
24.
Bandura A. Self-efficacy: toward a unifying theory of behavioral change. Psychol Rev. 1977;84(2):191–215.CrossRefPubMed
25.
Evans S, Keenan TR. Parents with chronic pain: are children equally affected by fathers as mothers in pain? A pilot study. J Child Health Care. 2007;11(2):143–57.CrossRefPubMed
26.
Hudziak JJ, Copeland W, Rudiger LP, Achenbach TM, Heath AC, Todd RD. Genetic influences on childhood competencies: a twin study. J Am Acad Child Adolesc Psychiatry. 2003;42(3):357–63.CrossRefPubMed
27.
Korhonen M, Luoma I, Salmelin R, Tamminen T. Maternal depressive symptoms: associations with adolescents’ internalizing and externalizing problems and social competence. Nord J Psychiatry. 2014;68(5):323–32.CrossRefPubMed
28.
Evans S, Shipton EA, Keenan T. The relationship between maternal chronic pain and child adjustment: the role of parenting as a mediator. J Pain. 2006;7(4):236–43.CrossRefPubMed
29.
Demo DH, Small SA, Savin-Williams RC. Family relations and the self-esteem of adolescents and their parents. J Marriage Fam. 1987;49(4):705–15.CrossRef
30.
Polce-Lynch M, Myers B, Kliewer W, Kilmartin C. Adolescent self-esteem and gender: exploring relations to sexual harassment, body image, media influence, and emotional expression. J Youth Adolesc. 2001;30(2):225–44.CrossRef
31.
Quatman T, Watson CM. Gender differences in adolescent self-esteem: an exploration of domains. J Genet Psychol. 2001;162(1):93–117.CrossRefPubMed
32.
Kling KC, Hyde JS, Showers CJ, Buswell BN. Gender differences in self-esteem: a meta-analysis. Psychol Bull. 1999;125(4):470–500.CrossRefPubMed
33.
Zahn-Waxler C, Shirtcliff EA, Marceau K. Disorders of childhood and adolescence: gender and psychopathology. Annu Rev Clin Psychol. 2008;4(1):275–303.CrossRefPubMed
34.
Nilsen W, Karevold E, Røysamb E, Gustavson K, Mathiesen KS. Social skills and depressive symptoms across adolescence: social support as a mediator in girls versus boys. J Adolesc. 2013;36(1):11–20.CrossRefPubMed
35.
Skrove M, Romundstad P, Indredavik M. Resilience, lifestyle and symptoms of anxiety and depression in adolescence: the Young-HUNT study. Soc Psychiatry Psychiatr Epidemiol. 2013;48(3):407–16.CrossRefPubMed
36.
von Soest T, Mossige S, Stefansen K, Hjemdal O. A validation study of the resilience scale for adolescents (READ). J Psychopathol Behav Assess. 2010;32(2):215–25.CrossRef
37.
Forehand R, Neighbors B, Wierson M. The transition to adolescence: the role of gender and stress in problem behavior and competence. J Child Psychol Psychiatry. 1991;32(6):929–37.CrossRefPubMed
38.
Hirsch BJ, Moos RH, Reischl TM. Psychosocial adjustment of adolescent children of a depressed, arthritic, or normal parent. J Abnorm Psychol. 1985;94(2):154–64.CrossRefPubMed
39.
Chun DY, Turner JA, Romano JM. Children of chronic pain patients: risk factors for maladjustment. Pain. 1993;52(3):311–7.CrossRefPubMed
40.
Dura JR, Beck SJ. A comparison of family functioning when mothers have chronic pain. Pain. 1988;35(1):79–89.CrossRefPubMed
41.
Smith KB, Chambers CT. Psychological and family functioning among children of parents with recurrent headaches. J Pain. 2006;7(9):635–43.CrossRefPubMed
42.
Masten AS, Burt KB, Coatsworth JD. Competence and psychopathology in development. In: Cicchetti D, Cohen DJ, editors. Developmental psychopathology, vol. 3. 2nd ed. New York: Wiley; 2006. p. 696–738.
43.
Leino-Arjas P, Hänninen K, Puska P. Socioeconomic variation in back and joint pain in Finland. Eur J Epidemiol. 1998;14(1):79–87.CrossRefPubMed
44.
Goodman SH, Brogan D, Lynch ME, Fielding B. Social and emotional competence in children of depressed mothers. Child Dev. 1993;64(2):516–31.CrossRefPubMed
45.
Evans S, Shipton EA, Keenan T. Psychosocial adjustment and physical health of children living with maternal chronic pain. J Paediatr Child Health. 2007;43(4):271–9.CrossRef
46.
Holmen TL, Bratberg G, Krokstad S, Langhammer A, Hveem K, Midthjell K, Heggland J, Holmen J: Cohort profile of the Young-HUNT Study, Norway: A population-based study of adolescents. Int J Epidemiol. 2013; 1-9.
47.
Langhammer A, Krokstad S, Romundstad P, Heggland J, Holmen J. The HUNT study: participation is associated with survival and depends on socioeconomic status, diseases and symptoms. BMC Med Res Methodol. 2012;12(1):143.CrossRefPubMedPubMedCentral
48.
Von Korff M, Jensen MP, Karoly P. Assessing global pain severity by self-report in clinical and health services research. Spine (Phila Pa 1976). 2000;25(24):3140–51.CrossRef
49.
Jensen MK, Sjøgren P, Ekholm O, Rasmussen NK, Eriksen J. Identifying a long-term/chronic, non-cancer pain population using a one-dimensional verbal pain rating scale: an epidemiological study. Eur J Pain. 2004;8(2):145–52.CrossRefPubMed
50.
Rosenberg M. Society and adolescent self-image. Princeton, NJ: Princeton University Press; 1965.CrossRef
51.
Hjemdal O, Friborg O, Stiles TC, Martinussen M, Rosenvinge JH. A new rating scale for adolescent resilience: grasping the central protective resources behind healthy development. Meas Eval Couns Dev. 2006;39:84–96.
52.
Friborg O, Barlaug D, Martinussen M, Rosenvinge JH, Hjemdal O. Resilience in relation to personality and intelligence. Int J Methods Psychiatr Res. 2005;14(14):29–40.CrossRefPubMed
53.
Friborg O, Hjemdal O. Resilience as a measure of adaptive capacity. J Norwegian Psychol Assoc. 2004;41:206–8.
54.
55.
Scoloveno R. A theoretical model of health-related outcomes of resilience in middle adolescents. West J Nurs Res. 2014.
56.
57.
Hernan MA, Hernandez-Diaz S, Werler MM, Mitchell AA. Causal knowledge as a prerequisite for confounding evaluation: an application to birth defects epidemiology. Am J Epidemiol. 2002;155(2):176–84.CrossRefPubMed
58.
van Buuren S. Flexible imputation of missing data. Boca Raton, FL: Chapman & Hall/CRC Press; 2012.CrossRef
59.
Cree VE. Worries and problems of young carers: issues for mental health. Child Fam Soc Work. 2003;8(4):301–9.CrossRef
60.
Jacobson S, Wood FG. Contributions of children to the care of adults with diabetes. Diabetes Educ. 2004;30(5):820–6.CrossRefPubMed
61.
Compas BE, Worsham NL, Epping-Jordan JE, Grant KE, Mireault G, Howell DC, et al. When Mom or Dad has cancer: Markers of psychological distress in cancer patients, spouses, and children. Health Psychol. 1994;13:507–15.CrossRefPubMed
62.
Rudolph KD, Hammen C. Age and gender as determinants of stress exposure, generation, and reactions in youngsters: a transactional perspective. Child Dev. 1999;70(3):660–77.CrossRefPubMed
63.
Goodman R, Scott S. Child psychiatry. 3rd ed. Oxford: Wiley-Blackwell; 2005.
64.
Rubin KH, Bukowski WM, Parker JG: Peer Interactions, Relationships, and Groups. In: Damon W, Lerner RM, editors. Handbook of Child Psychology. edn.: John Wiley & Sons, Inc.; 2007.
65.
Rose AJ, Rudolph KD. A review of Sex differences in peer relationship processes: potential trade-offs for the emotional and behavioral development of girls and boys. Psychol Bull. 2006;132(1):98–131.CrossRefPubMedPubMedCentral
66.
Evans S, de Souza L. Dealing with chronic pain: giving voice to the experiences of mothers with chronic pain and their children. Qual Health Res. 2008;18(4):489–500.CrossRefPubMed
67.
Milkie M, Bianchi S, Mattingly M, Robinson J. Gendered division of childrearing: ideals, realities, and the relationship to parental well-being. Sex Roles. 2002;47(1–2):21–38.CrossRef
68.
Keefe FJ, Lefebvre JC, Egert JR, Affleck G, Sullivan MJ, Caldwell DS. The relationship of gender to pain, pain behavior, and disability in osteoarthritis patients: the role of catastrophizing. Pain. 2000;87(3):325–34.CrossRefPubMed
69.
Maxwell SE, Cole DA. Bias in cross-sectional analyses of longitudinal mediation. Psychol Methods. 2007;12(1):23–44.CrossRefPubMed
70.
Maxwell SE, Cole DA, Mitchell MA. Bias in cross-sectional analyses of longitudinal mediation: partial and complete mediation under an autoregressive model. Multivariate Behav Res. 2011;46(5):816–41.CrossRefPubMed
71.
Ranøyen I, Klöckner C, Wallander J, Jozefiak T. Associations between internalizing problems in adolescent daughters versus sons and mental health problems in mothers versus fathers (The HUNT Study). J Child Fam Stud. 2014;24:1–13.
72.
Bornstein MH, Hahn C-S, Haynes OM: Social competence, externalizing, and internalizing behavioral adjustment from early childhood through early adolescence: Developmental cascades. Dev Psychopathol.2010;22(4):717-35.
73.
Masten AS, Cicchetti D: Developmental cascades. Dev Psychopathol. 2010;22(3):491-95.
74.
Korhonen M, Luoma I, Salmelin RK, Helminen M, Kaltiala-Heino R, Tamminen T: The trajectories of child’s internalizing and externalizing problems, social competence and adolescent self-reported problemsin a Finnish normal population sample. Sch Psychol Int. 2014.
75.
Sturgeon JA, Zautra AJ: Psychological resilience, pain catastrophizing, and positive emotions: perspectives on comprehensive modeling of individual pain adaptation. Curr Pain Headache Rep. 2013;17(3):317.
76.
Benzies K, Mychasiuk R: Fostering family resiliency: a review of the key protective factors. Child Fam Soc Work. 2009;14(1):103-114.
Metadata
Title
Associations between parental chronic pain and self-esteem, social competence, and family cohesion in adolescent girls and boys – family linkage data from the HUNT study
Authors
Jannike Kaasbøll
Ingunn Ranøyen
Wendy Nilsen
Stian Lydersen
Marit S. Indredavik
Publication date
01-12-2015
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2015
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-015-2164-9

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