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Published in: Journal of Clinical Psychology in Medical Settings 4/2009

01-12-2009

Parent–Teen Interactions as Predictors of Depressive Symptoms in Adolescents with Headache

Authors: Amy S. Lewandowski, Tonya M. Palermo

Published in: Journal of Clinical Psychology in Medical Settings | Issue 4/2009

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Abstract

This study investigated parent–adolescent conflict, family functioning, and adolescent autonomy as predictors of depressive symptoms in adolescents with primary headache. Frequent headaches during adolescence can have a negative impact on activity levels and psychological functioning. Depression is particularly prevalent in adolescents with headache but little research has examined the role of parent–teen interactions in predicting depressive symptoms. Thirty adolescents diagnosed with migraine or chronic daily headache completed self-report measures of pain intensity, parent–adolescent conflict, family functioning, and depression. Adolescents and their parents also participated in three videotaped interaction tasks, scored by independent raters to assess adolescent autonomy. Regression models revealed that pain intensity, parent–adolescent conflict, and autonomy predicted depressive symptoms. Higher levels of conflict, poorer family functioning and lower levels of autonomy were associated with more depressive symptoms. This study highlights the association between parent–teen interactions and psychological functioning in adolescents with primary headache. Implications for intervention are discussed.
Literature
go back to reference Allen, J. P., Insabella, G., Porter, M. R., Smith, F. D., Land, D., & Phillips, N. (2006). A social-interactional model of the development of depressive symptoms in adolescence. Journal of Consulting and Clinical Psychology, 74, 55–65.PubMedCrossRef Allen, J. P., Insabella, G., Porter, M. R., Smith, F. D., Land, D., & Phillips, N. (2006). A social-interactional model of the development of depressive symptoms in adolescence. Journal of Consulting and Clinical Psychology, 74, 55–65.PubMedCrossRef
go back to reference Allen, K. D., & Shriver, M. D. (1998). Role of parent-mediated pain behavior management strategies in biofeedback treatment of childhood migraines. Behavior Therapy, 29, 477–490.CrossRef Allen, K. D., & Shriver, M. D. (1998). Role of parent-mediated pain behavior management strategies in biofeedback treatment of childhood migraines. Behavior Therapy, 29, 477–490.CrossRef
go back to reference Anttila, P., Sourander, A., Metsahonkala, L., Aromaa, M., Helenius, H., & Sillanpaa, M. (2004). Psychiatric symptoms in children with primary headache. Journal of the American Academy of Child and Adolescent Psychiatry, 43, 412–419.PubMedCrossRef Anttila, P., Sourander, A., Metsahonkala, L., Aromaa, M., Helenius, H., & Sillanpaa, M. (2004). Psychiatric symptoms in children with primary headache. Journal of the American Academy of Child and Adolescent Psychiatry, 43, 412–419.PubMedCrossRef
go back to reference Bair, M. J., Robinson, R. L., Katon, W., & Kroenke, K. (2003). Depression and pain comorbidity: A literature review. Archives of Internal Medicine, 163, 2433–2445.PubMedCrossRef Bair, M. J., Robinson, R. L., Katon, W., & Kroenke, K. (2003). Depression and pain comorbidity: A literature review. Archives of Internal Medicine, 163, 2433–2445.PubMedCrossRef
go back to reference Carlsson, J., Larsson, B., & Mark, A. (1996). Psychosocial functioning in schoolchildren with recurrent headaches. Headache, 36, 77–82.PubMedCrossRef Carlsson, J., Larsson, B., & Mark, A. (1996). Psychosocial functioning in schoolchildren with recurrent headaches. Headache, 36, 77–82.PubMedCrossRef
go back to reference Chorpita, B. F., Moffitt, C. E., & Gray, J. (2005). Psychometric properties of the Revised Child Anxiety and Depression Scale in a clinical sample. Behaviour Research and Therapy, 43, 309–322.PubMedCrossRef Chorpita, B. F., Moffitt, C. E., & Gray, J. (2005). Psychometric properties of the Revised Child Anxiety and Depression Scale in a clinical sample. Behaviour Research and Therapy, 43, 309–322.PubMedCrossRef
go back to reference Chorpita, B. F., Yim, L., Moffitt, C., Umemoto, L. A., & Francis, S. E. (2000). Assessment of symptoms of DSM-IV anxiety and depression in children: A Revised Child Anxiety and Depression Scale. Behaviour Research and Therapy, 38, 835–855.PubMedCrossRef Chorpita, B. F., Yim, L., Moffitt, C., Umemoto, L. A., & Francis, S. E. (2000). Assessment of symptoms of DSM-IV anxiety and depression in children: A Revised Child Anxiety and Depression Scale. Behaviour Research and Therapy, 38, 835–855.PubMedCrossRef
go back to reference Cook, W. L., & Kenny, D. A. (2005). The Actor–Partner Interdependence Model: A model of bidirectional effects in developmental studies. International Journal of Behavioral Development, 29, 101–109.CrossRef Cook, W. L., & Kenny, D. A. (2005). The Actor–Partner Interdependence Model: A model of bidirectional effects in developmental studies. International Journal of Behavioral Development, 29, 101–109.CrossRef
go back to reference Drotar, D. (1997). Relating parent and family functioning to the psychological adjustment of children with chronic health conditions: What have we learned? What do we need to know? Journal of Pediatric Psychology, 22, 149–165.PubMedCrossRef Drotar, D. (1997). Relating parent and family functioning to the psychological adjustment of children with chronic health conditions: What have we learned? What do we need to know? Journal of Pediatric Psychology, 22, 149–165.PubMedCrossRef
go back to reference Dura, J. R., & Beck, S. J. (1988). A comparison of family functioning when mothers have chronic pain. Pain, 35, 79–89.PubMedCrossRef Dura, J. R., & Beck, S. J. (1988). A comparison of family functioning when mothers have chronic pain. Pain, 35, 79–89.PubMedCrossRef
go back to reference Eccleston, C., Malleson, P. N., Clinch, J., Connell, H., & Sourbut, C. (2003). Chronic pain in adolescents: Evaluation of a programme of interdisciplinary cognitive behaviour therapy. Archives of Disease in Childhood, 88, 881–885.PubMedCrossRef Eccleston, C., Malleson, P. N., Clinch, J., Connell, H., & Sourbut, C. (2003). Chronic pain in adolescents: Evaluation of a programme of interdisciplinary cognitive behaviour therapy. Archives of Disease in Childhood, 88, 881–885.PubMedCrossRef
go back to reference Egger, H. L., Angold, A., & Costello, E. J. (1998). Headaches and psychopathology in children and adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 37, 951–958.PubMedCrossRef Egger, H. L., Angold, A., & Costello, E. J. (1998). Headaches and psychopathology in children and adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 37, 951–958.PubMedCrossRef
go back to reference Epstein, N. B., Baldwin, L. M., & Bishop, D. S. (1983). The McMaster Family Assessment Device. Journal of Marital and Family Therapy, 9, 171–180.CrossRef Epstein, N. B., Baldwin, L. M., & Bishop, D. S. (1983). The McMaster Family Assessment Device. Journal of Marital and Family Therapy, 9, 171–180.CrossRef
go back to reference Fichtel, A., & Larsson, B. (2002a). Psychosocial impact of headache and comorbidity with other pains among Swedish school adolescents. Headache: The Journal of Head and Face Pain, 42, 766–775.CrossRef Fichtel, A., & Larsson, B. (2002a). Psychosocial impact of headache and comorbidity with other pains among Swedish school adolescents. Headache: The Journal of Head and Face Pain, 42, 766–775.CrossRef
go back to reference Fichtel, A., & Larsson, B. (2002b). Psychosocial impact of headache and comorbidity with other pains among Swedish school adolescents. Headache, 42, 766–775.PubMedCrossRef Fichtel, A., & Larsson, B. (2002b). Psychosocial impact of headache and comorbidity with other pains among Swedish school adolescents. Headache, 42, 766–775.PubMedCrossRef
go back to reference Guidetti, V., Galli, F., Fabrizi, P., Giannantoni, A. S., Napoli, L., Bruni, O., et al. (1998). Headache and psychological comorbidity: Clinical aspects and outcome in an 8-year follow-up study. Cephalalgia, 18, 455–462.PubMedCrossRef Guidetti, V., Galli, F., Fabrizi, P., Giannantoni, A. S., Napoli, L., Bruni, O., et al. (1998). Headache and psychological comorbidity: Clinical aspects and outcome in an 8-year follow-up study. Cephalalgia, 18, 455–462.PubMedCrossRef
go back to reference Holmbeck, G. N. (1996). A model of family relational transformations during the transition to adolescence: Parent–adolescent conflict and adaptation. In J. Graber, J. Brooks-Gunn, & A. C. Petersen (Eds.), Transitions through adolescence: Interpersonal domains and context. Mahwah, N.J.: Lawrence Erlbaum. Holmbeck, G. N. (1996). A model of family relational transformations during the transition to adolescence: Parent–adolescent conflict and adaptation. In J. Graber, J. Brooks-Gunn, & A. C. Petersen (Eds.), Transitions through adolescence: Interpersonal domains and context. Mahwah, N.J.: Lawrence Erlbaum.
go back to reference International Headache Society. (2004). The International Classification of Headache Disorders: 2nd edition. Cephalalgia, 24(Suppl 1), 9–160. International Headache Society. (2004). The International Classification of Headache Disorders: 2nd edition. Cephalalgia, 24(Suppl 1), 9–160.
go back to reference Jackson, B., & Lurie, S. (2006). Adolescent depression: Challenges and opportunities: A review and current recommendations for clinical practice. Advances in Pediatrics, 53, 111–163.PubMedCrossRef Jackson, B., & Lurie, S. (2006). Adolescent depression: Challenges and opportunities: A review and current recommendations for clinical practice. Advances in Pediatrics, 53, 111–163.PubMedCrossRef
go back to reference Kashikar-Zuck, S., Goldschneider, K. R., Powers, S. W., Vaught, M. H., & Hershey, A. D. (2001). Depression and functional disability in chronic pediatric pain. Clinical Journal of Pain, 17, 341–349.PubMedCrossRef Kashikar-Zuck, S., Goldschneider, K. R., Powers, S. W., Vaught, M. H., & Hershey, A. D. (2001). Depression and functional disability in chronic pediatric pain. Clinical Journal of Pain, 17, 341–349.PubMedCrossRef
go back to reference Kroner-Herwig, B., Heinrich, M., & Morris, L. (2007). Headache in German children and adolescents: A population-based epidemiological study. Cephalalgia, 27, 519–527.PubMedCrossRef Kroner-Herwig, B., Heinrich, M., & Morris, L. (2007). Headache in German children and adolescents: A population-based epidemiological study. Cephalalgia, 27, 519–527.PubMedCrossRef
go back to reference Kroner-Herwig, B., Morris, L., & Heinrich, M. (2007). Biopsychosocial correlates of headache: What predicts pediatric headache occurrence? Headache, 48, 529–544.PubMedCrossRef Kroner-Herwig, B., Morris, L., & Heinrich, M. (2007). Biopsychosocial correlates of headache: What predicts pediatric headache occurrence? Headache, 48, 529–544.PubMedCrossRef
go back to reference Lewandowski, A., & Drotar, D. (2007). The relationship between parent-reported social support and adherence to medical treatment in families of adolescents with type 1 diabetes. Journal of Pediatric Psychology, 32, 427–436.PubMedCrossRef Lewandowski, A., & Drotar, D. (2007). The relationship between parent-reported social support and adherence to medical treatment in families of adolescents with type 1 diabetes. Journal of Pediatric Psychology, 32, 427–436.PubMedCrossRef
go back to reference Logan, D. E., & Scharff, L. (2005). Relationships between family and parent characteristics and functional abilities in children with recurrent pain syndromes: An investigation of moderating effects on the pathway from pain to disability. Journal of Pediatric Psychology, 30, 698–707.PubMedCrossRef Logan, D. E., & Scharff, L. (2005). Relationships between family and parent characteristics and functional abilities in children with recurrent pain syndromes: An investigation of moderating effects on the pathway from pain to disability. Journal of Pediatric Psychology, 30, 698–707.PubMedCrossRef
go back to reference Maharaj, S., Rodin, G., Connolly, J., Olmsted, M., & Daneman, D. (2001). Eating problems and the observed quality of mother–daughter interactions among girls with type 1 diabetes. Journal of Consulting and Clinical Psychology, 69, 950–958.PubMedCrossRef Maharaj, S., Rodin, G., Connolly, J., Olmsted, M., & Daneman, D. (2001). Eating problems and the observed quality of mother–daughter interactions among girls with type 1 diabetes. Journal of Consulting and Clinical Psychology, 69, 950–958.PubMedCrossRef
go back to reference Mazzone, L., Vitiello, B., Incorpora, G., & Mazzone, D. (2006). Behavioural and temperamental characteristics of children and adolescents suffering from primary headache. Cephalalgia, 26, 194–201.PubMedCrossRef Mazzone, L., Vitiello, B., Incorpora, G., & Mazzone, D. (2006). Behavioural and temperamental characteristics of children and adolescents suffering from primary headache. Cephalalgia, 26, 194–201.PubMedCrossRef
go back to reference Miller, V. A., & Drotar, D. (2003). Discrepancies between mother and adolescent perceptions of diabetes-related decision-making autonomy and their relationship to diabetes-related conflict and adherence to treatment. Journal of Pediatric Psychology, 28, 265–274.PubMedCrossRef Miller, V. A., & Drotar, D. (2003). Discrepancies between mother and adolescent perceptions of diabetes-related decision-making autonomy and their relationship to diabetes-related conflict and adherence to treatment. Journal of Pediatric Psychology, 28, 265–274.PubMedCrossRef
go back to reference Miller, I. W., Epstein, N. B., Bishop, D. S., & Keitner, G. I. (1985). The McMaster Family Assessment Device: Reliability and validity. Journal of Marital and Family Therapy, 11, 345–356.CrossRef Miller, I. W., Epstein, N. B., Bishop, D. S., & Keitner, G. I. (1985). The McMaster Family Assessment Device: Reliability and validity. Journal of Marital and Family Therapy, 11, 345–356.CrossRef
go back to reference Millikan, E., Wamboldt, M. Z., & Bihun, J. T. (2002). Perceptions of the family, personality characteristics, and adolescent internalizing symptoms. Journal of the American Academy of Child and Adolescent Psychiatry, 41, 1486–1494.PubMedCrossRef Millikan, E., Wamboldt, M. Z., & Bihun, J. T. (2002). Perceptions of the family, personality characteristics, and adolescent internalizing symptoms. Journal of the American Academy of Child and Adolescent Psychiatry, 41, 1486–1494.PubMedCrossRef
go back to reference Palermo, T. M., & Chambers, C. T. (2005). Parent and family factors in pediatric chronic pain and disability: An integrative approach. Pain, 119, 1–4.PubMedCrossRef Palermo, T. M., & Chambers, C. T. (2005). Parent and family factors in pediatric chronic pain and disability: An integrative approach. Pain, 119, 1–4.PubMedCrossRef
go back to reference Palermo, T. M., Putnam, J., Armstrong, G., & Daily, S. (2007). Adolescent autonomy and family functioning are associated with headache-related disability. Clinical Journal of Pain, 23, 458–465.PubMedCrossRef Palermo, T. M., Putnam, J., Armstrong, G., & Daily, S. (2007). Adolescent autonomy and family functioning are associated with headache-related disability. Clinical Journal of Pain, 23, 458–465.PubMedCrossRef
go back to reference Perquin, C. W., Hazebroek-Kampschreur, A. A., Hunfeld, J. A., Bohnen, A. M., van Suijlekom-Smit, L. W., Passchier, J., et al. (2000). Pain in children and adolescents: A common experience. Pain, 87, 51–58.PubMedCrossRef Perquin, C. W., Hazebroek-Kampschreur, A. A., Hunfeld, J. A., Bohnen, A. M., van Suijlekom-Smit, L. W., Passchier, J., et al. (2000). Pain in children and adolescents: A common experience. Pain, 87, 51–58.PubMedCrossRef
go back to reference Powers, S. W., & Andrasik, F. (2005). Biobehavioral treatment, disability, and psychological effects of pediatric headache. Pediatric Annals, 34, 461–465.PubMed Powers, S. W., & Andrasik, F. (2005). Biobehavioral treatment, disability, and psychological effects of pediatric headache. Pediatric Annals, 34, 461–465.PubMed
go back to reference Powers, S. W., Gilman, D. K., & Hershey, A. D. (2006). Headache and psychological functioning in children and adolescents. Headache, 46, 1404–1415.PubMedCrossRef Powers, S. W., Gilman, D. K., & Hershey, A. D. (2006). Headache and psychological functioning in children and adolescents. Headache, 46, 1404–1415.PubMedCrossRef
go back to reference Powers, S. W., Patton, S. R., Hommel, K. A., & Hershey, A. D. (2004). Quality of life in paediatric migraine: Characterization of age-related effects using PedsQL 4.0. Cephalalgia, 24, 120–127.PubMedCrossRef Powers, S. W., Patton, S. R., Hommel, K. A., & Hershey, A. D. (2004). Quality of life in paediatric migraine: Characterization of age-related effects using PedsQL 4.0. Cephalalgia, 24, 120–127.PubMedCrossRef
go back to reference Robin, A., & Foster, S. (1989). Negotiating parent–adolescent conflict: A behavioral family systems approach. New York: Guilford Press. Robin, A., & Foster, S. (1989). Negotiating parent–adolescent conflict: A behavioral family systems approach. New York: Guilford Press.
go back to reference Robin, A., & Foster, S. (1998). Parent-adolescent conflict and relationship discord. In E. J. Mash & R. A. Barkley (Eds.), Treatment of childhood disorders (pp. 601–646). New York: The Guilford Press. Robin, A., & Foster, S. (1998). Parent-adolescent conflict and relationship discord. In E. J. Mash & R. A. Barkley (Eds.), Treatment of childhood disorders (pp. 601–646). New York: The Guilford Press.
go back to reference Robins, P. M., Smith, S. M., Glutting, J. J., & Bishop, C. T. (2005). A randomized controlled trial of a cognitive-behavioral family intervention for pediatric recurrent abdominal pain. Journal of Pediatric Psychology, 30, 397–408.PubMedCrossRef Robins, P. M., Smith, S. M., Glutting, J. J., & Bishop, C. T. (2005). A randomized controlled trial of a cognitive-behavioral family intervention for pediatric recurrent abdominal pain. Journal of Pediatric Psychology, 30, 397–408.PubMedCrossRef
go back to reference Sillars, A., Koerner, A., & Fitzpatrick, M. A. (2005). Communication and understanding in parent–adolescent relationships. Human Communication Research, 31, 102–128. Sillars, A., Koerner, A., & Fitzpatrick, M. A. (2005). Communication and understanding in parent–adolescent relationships. Human Communication Research, 31, 102–128.
go back to reference Siqueland, L., Kendall, P. C., & Steinberg, L. (1996). Anxiety in children: Perceived family environments and observed family interaction. Journal of Clinical Child Psychology, 25, 225–237.CrossRef Siqueland, L., Kendall, P. C., & Steinberg, L. (1996). Anxiety in children: Perceived family environments and observed family interaction. Journal of Clinical Child Psychology, 25, 225–237.CrossRef
go back to reference Smetana, J. G., Campione-Barr, N., & Daddis, C. (2004). Longitudinal development of family decision making: Defining healthy behavioral autonomy for middle class African American adolescents. Child Development, 75, 1418–1434.PubMedCrossRef Smetana, J. G., Campione-Barr, N., & Daddis, C. (2004). Longitudinal development of family decision making: Defining healthy behavioral autonomy for middle class African American adolescents. Child Development, 75, 1418–1434.PubMedCrossRef
go back to reference van den Brink, M., Bandell-Hoekstra, E. N., & Abu-Saad, H. H. (2001). The occurrence of recall bias in pediatric headache: A comparison of questionnaire and diary data. Headache, 41, 11–20.PubMedCrossRef van den Brink, M., Bandell-Hoekstra, E. N., & Abu-Saad, H. H. (2001). The occurrence of recall bias in pediatric headache: A comparison of questionnaire and diary data. Headache, 41, 11–20.PubMedCrossRef
go back to reference Wysocki, T., Greco, P., Harris, M. A., Bubb, J., & White, N. H. (2001). Behavior therapy for families of adolescents with diabetes: Maintenance of treatment effects. Diabetes Care, 24, 441–446.PubMedCrossRef Wysocki, T., Greco, P., Harris, M. A., Bubb, J., & White, N. H. (2001). Behavior therapy for families of adolescents with diabetes: Maintenance of treatment effects. Diabetes Care, 24, 441–446.PubMedCrossRef
go back to reference Wysocki, T., Harris, M. A., Greco, P., Bubb, J., Elder, C. L., et al. (2000). Randomized controlled trial of behavior therapy for families of adolescents with insulin-dependent diabetes mellitus. Journal of Pediatric Psychology, 25, 23–33.PubMedCrossRef Wysocki, T., Harris, M. A., Greco, P., Bubb, J., Elder, C. L., et al. (2000). Randomized controlled trial of behavior therapy for families of adolescents with insulin-dependent diabetes mellitus. Journal of Pediatric Psychology, 25, 23–33.PubMedCrossRef
Metadata
Title
Parent–Teen Interactions as Predictors of Depressive Symptoms in Adolescents with Headache
Authors
Amy S. Lewandowski
Tonya M. Palermo
Publication date
01-12-2009
Publisher
Springer US
Published in
Journal of Clinical Psychology in Medical Settings / Issue 4/2009
Print ISSN: 1068-9583
Electronic ISSN: 1573-3572
DOI
https://doi.org/10.1007/s10880-009-9173-8

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