When helping hurts: Miscarried helping in families of youth with chronic pain

Jessica L. Fales, Bonnie S. Essner, Michael Harris, Tonya M. Palermo

Research output: Contribution to journalArticle

29 Scopus citations

Abstract

ObjectiveTo examine "miscarried helping" as a maladaptive dyadic process in families of youth with chronic pain using the Actor-Partner Interdependence Model.210 adolescents with chronic pain (mean = 14.23 years; 73.9% female) and their parents participating in a multicenter study completed measures assessing pain characteristics, miscarried helping, family functioning, parental protectiveness, and child depressive symptoms.Multilevel modeling revealed significant actor effects of miscarried helping on family functioning for both parents and teens, but not partner effects. Individual-level factors, including child pain characteristics, depressive symptoms, and parental protectiveness, uniquely contributed to miscarried helping.Higher perceptions of miscarried helping contribute to worse family functioning and may be a useful target for psychological intervention in parents of children with chronic pain. Parents who exhibit more protective responses to pain and youth with more depressive symptoms may be at increased risk for a miscarried helping process to develop.

Original languageEnglish (US)
Pages (from-to)427-437
Number of pages11
JournalJournal of Pediatric Psychology
Volume39
Issue number4
DOIs
Publication statusPublished - 2014

    Fingerprint

Keywords

  • adolescents
  • chronic and recurrent pain
  • family functioning
  • parent-adolescent communication
  • social support

ASJC Scopus subject areas

  • Developmental and Educational Psychology
  • Pediatrics, Perinatology, and Child Health
  • Medicine(all)

Cite this