Relationship Between Biopsychosocial Factors and School Functioning in Children and Adolescents with Chronic Pain: Are these Mediated by Parental Mental Health?
Date
2019
Authors
Bleckly, Linda
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Thesis
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Abstract
Background: Research has identified that paediatric chronic pain reduces their quality of life. Childhood and adolescent developmental changes and parental influence throughout childhood differentiate the experience of paediatric chronic pain to adulthood chronic pain. The purpose of this study was to: (1) extend our knowledge of the effect of paediatric chronic pain on functional disability, sleep problems, emotional wellbeing and school performance; (2) assess the effect of parental mental ill-health on children and adolescents with chronic pain ; and (3) assess the effectiveness of a multidisciplinary team therapeutic intervention. Methods: South Australian Women’s and Children’s Paediatric Chronic Pain Unit patients between March 2018 and December 2019 were invited to participate. Eighty-two participated in the study. Results: Increased functional disability and sleep problems, and reduced emotional wellbeing reduced participants school performance. Parental depression mediated the associations between functional disability; sleep problems; emotional wellbeing; and school performance, whereas parental self-blame and feelings of helplessness mediated the association between sleep problems; emotional wellbeing; and school performance. Multidisciplinary team therapeutic intervention was effective in reducing functional disability and increasing emotional wellbeing. Discussion: The findings are discussed in terms of factors that will increase children and adolescent’s with chronic pain’s quality of life.
Keywords: paediatric chronic pain, school performance, parental mental ill-health, multidisciplinary team intervention
School/Discipline
School of Psychology
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Thesis (B.PsychSc(Hons)) -- University of Adelaide, School of Psychology, 2019
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