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. 2007 Mar;32(2):206-16.
doi: 10.1093/jpepsy/jsj124. Epub 2006 May 22.

Appraisal and coping with daily stressors by pediatric patients with chronic abdominal pain

Lynn S Walker  1 , Craig A Smith, Judy Garber, Robyn Lewis Claar
Affiliations

Appraisal and coping with daily stressors by pediatric patients with chronic abdominal pain

Lynn S Walker et al. J Pediatr Psychol. 2007 Mar.

Abstract

Objective: To test the hypothesis that pain patients differ from well children in their appraisal and coping with daily stressors and to test a model of the relation of stress appraisal and coping to symptoms and disability.

Methods: Pediatric patients with chronic abdominal pain (n = 143) and well children (n = 104) completed a 5-day diary study regarding their appraisal and coping with daily stressors. Somatic symptoms, depressive symptoms, and functional disability were assessed 2 months later.

Results: Compared to well children, pain patients were less confident of their ability either to change or to adapt to stress and were less likely to use accommodative coping strategies. Different patterns of stress appraisal were associated with active, passive, and accommodative coping. Both appraisals and coping were significantly related to symptoms and disability.

Conclusions: The relation between stress and symptoms in pediatric pain patients may be explained in part by their appraisal and coping with stressors. The relation between appraisal and coping was consistent with Lazarus, R. S., & Folkman, S. (1984). Stress, Appraisal, and Coping. New York: Springer.

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Figures

Figure 1
Figure 1
Hypothesized relations of appraised problem-focused coping potential (PFCP) and emotion-focused coping potential (EFCP) to active, passive, and accommodative coping.
See this image and copyright information in PMC

References

    1. American Academy of Pediatrics and North American Society for Pediatric Gastroenterology, & Hepatology, and Nutrition, Subcommittee on Chronic Abdominal Pain. Technical report: chronic abdominal pain in children. Pediatrics. 2005;115:370–385. - PubMed
    1. Apley J. The Child with Abdominal Pains. London: Blackwell; 1975.
    1. Apley J, Naish N. Recurrent abdominal pains: A field survey of 1000 school children. Archives of Diseases in Childhood. 1958;33:165–170. - PMC - PubMed
    1. Baron RM, Kenny DA. The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology. 1986;51(6):1173–1182. - PubMed
    1. Barrett LF, Barrett DJ. An introduction to computerized experience sampling in psychology. Social Science Computer Review. 2001;19:175–185.

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