1. Latent variable analysis of coping, anxiety/depression, and somatic symptoms in adolescents with chronic pain.
- Author
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Compas BE, Boyer MC, Stanger C, Colletti RB, Thomsen AH, Dufton LM, and Cole DA
- Subjects
- Abdominal Pain etiology, Adolescent, Anxiety diagnosis, Child, Chronic Disease, Defense Mechanisms, Depression diagnosis, Female, Humans, Internal-External Control, Male, Personality Assessment statistics & numerical data, Personality Inventory statistics & numerical data, Psychometrics, Recurrence, Sick Role, Somatoform Disorders diagnosis, Abdominal Pain psychology, Adaptation, Psychological, Anxiety psychology, Depression psychology, Somatoform Disorders psychology
- Abstract
Reports of adolescents' coping with recurrent pain, symptoms of anxiety/depression, and somatic complaints were obtained from a sample of 164 adolescents with recurrent abdominal pain and their parents. Confirmatory factor analysis revealed that coping consisted of 3 nonorthogonal factors: Primary Control Engagement Coping (problem solving, emotional expression, and emotional regulation), Secondary Control Engagement Coping (positive thinking, cognitive restructuring, acceptance, and distraction), and Disengagement Coping (denial, avoidance, and wishful thinking). Structural equation modeling using latent variables revealed that secondary control engagement coping predicted lower levels of anxiety/depression symptoms and somatic complaints, and disengagement coping was related to higher levels of anxiety/depression and somatic complaints. Implications for understanding child and adolescent coping with pain are highlighted., (((c) 2006 APA, all rights reserved).)
- Published
- 2006
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