Back to Search
Start Over
Anger as a Mechanism of Injustice Appraisals in Pediatric Chronic Pain
- Source :
- The Journal of Pain. 23:212-222
- Publication Year :
- 2022
- Publisher :
- Elsevier BV, 2022.
-
Abstract
- Mechanisms explaining the relationship between pain-related injustice appraisals and functional outcomes in youth with chronic pain have yet to be examined. In studies of adults, greater pain-related injustice is associated with worse depressive symptoms and greater pain through greater anger. No study to date has examined anger expression as a mediator in the relationships between pain-related injustice appraisals and physical and psychosocial functioning in youth with chronic pain. The current sample consisted of 385 youth with varied pain conditions (75% female, 88% White, Mage=14.4 years) presenting to a university-affiliated pain clinic. Patients completed self-report measures assessing anger expression (anger-out and anger-in), pain-related injustice, pain intensity, functional disability, and emotional, social, and school functioning. Bootstrapped mediation analyses indicated that only anger-out (indirect effect= -.12, 95% CI: -.21, -.05) mediated the relationship between pain-related injustice and emotional functioning, whereas both anger-out (indirect effect= -.17, 95% CI: -.27, -.09) and anger-in (indirect effect= -.13, 95% CI: -.09, -.001) mediated the relationship between pain-related injustice and social functioning. Neither mode of anger expression mediated the relationship between pain-related injustice and pain intensity, functional disability, or school functioning. Collectively, these findings implicate anger as one mechanism by which pain-related injustice impacts psychosocial outcomes for youth with chronic pain. Perspective: Anger expression plays a mediating role in the relationship between pain-related injustice appraisals and psychosocial outcomes for youth with chronic pain. Anger represents one target for clinical care to decrease the deleterious impact of pain-related injustice on emotional and social functioning.
- Subjects :
- Male
Mediation (statistics)
Adolescent
media_common.quotation_subject
Anger
behavioral disciplines and activities
Injustice
medicine
Humans
media_common
business.industry
Mechanism (biology)
Perspective (graphical)
Chronic pain
medicine.disease
Psychosocial Functioning
Anesthesiology and Pain Medicine
Pain Clinics
Neurology
Adolescent Behavior
Female
Neurology (clinical)
Chronic Pain
business
Psychosocial
Clinical psychology
Subjects
Details
- ISSN :
- 15265900
- Volume :
- 23
- Database :
- OpenAIRE
- Journal :
- The Journal of Pain
- Accession number :
- edsair.doi.dedup.....a5cfef93db4312f51ff2a04e425740fe