Self-Reported and Laboratory-Based Responses to Stress in Children with Recurrent Pain and Anxiety

被引:45
作者
Dufton, Lynette M. [1 ]
Dunn, Madeleine J. [1 ]
Slosky, Laura S. [1 ]
Compas, Bruce E. [1 ]
机构
[1] Vanderbilt Univ, Dept Psychol & Human Dev, Nashville, TN 37203 USA
关键词
adolescents; anxiety; children; chronic and recurrent pain; stress; coping; IRRITABLE-BOWEL-SYNDROME; ABDOMINAL-PAIN; SOMATIC COMPLAINTS; PARENTAL DEPRESSION; ADOLESCENTS; CHILDHOOD; REACTIVITY; SYMPTOMS; HEALTH; COMORBIDITY;
D O I
10.1093/jpepsy/jsq070
中图分类号
B844 [发展心理学(人类心理学)];
学科分类号
040202 ;
摘要
Objective To examine heart rate (HR) responses to and coping with stress in children with recurrent abdominal pain (RAP), anxiety, and healthy controls. Methods A clinical sample (children with RAP and children with anxiety) was compared to control children on self-reported and HR responses to stress and a laboratory test of pain tolerance and intensity (cold pressor). Results Children in the clinical sample had elevated HRs compared to healthy controls before, during, and after laboratory tasks. Self-reported stress reactivity to social stress was positively correlated with HR at all study time intervals. Secondary control coping with social stress was negatively correlated with HR at most study time intervals. Internalizing symptoms were positively correlated with HR and self-reported stress reactivity. Conclusions Stress reactivity, as reflected in both self-reported and HR responses to laboratory stressors, is related to the presence of both RAP and anxiety in children.
引用
收藏
页码:95 / 105
页数:11
相关论文
共 49 条
[1]  
Achenbach TM, 2001, Manual for the ASEBA school-age forms and profiles
[2]   THE PRESSURE PAIN THRESHOLD (PPT) OF CERTAIN MUSCLES IN CHILDREN SUFFERING FROM RECURRENT ABDOMINAL-PAIN OF NONORGANIC ORIGIN - AN ALGOMETRIC STUDY [J].
ALFVEN, G .
ACTA PAEDIATRICA, 1993, 82 (05) :481-483
[3]  
Apley J., 1975, CHILD ABDOMINAL PAIN, V2nd
[4]   Psychosocial aspects of assessment and treatment of irritable bowel syndrome in adults and recurrent abdominal pain in children [J].
Blanchard, EB ;
Scharff, L .
JOURNAL OF CONSULTING AND CLINICAL PSYCHOLOGY, 2002, 70 (03) :725-738
[5]   SOMATIZATION IN CHILDREN AND ADOLESCENTS [J].
CAMPO, JV ;
FRITSCH, SL .
JOURNAL OF THE AMERICAN ACADEMY OF CHILD AND ADOLESCENT PSYCHIATRY, 1994, 33 (09) :1223-1235
[6]   Recurrent abdominal pain, anxiety, and depression in primary care [J].
Campo, JV ;
Bridge, J ;
Ehmann, M ;
Altman, S ;
Lucas, A ;
Birmaher, B ;
Di Lorenzo, C ;
Iyengar, S ;
Brent, DA .
PEDIATRICS, 2004, 113 (04) :817-824
[7]  
Cohen J., 1988, Statistical power analysis for the behavioral sciences, VSecond
[8]   Coping with stress during childhood and adolescence: Problems, progress, and potential in theory and research [J].
Compas, BE ;
Connor-Smith, JK ;
Saltzman, H ;
Thomsen, AH ;
Wadsworth, ME .
PSYCHOLOGICAL BULLETIN, 2001, 127 (01) :87-127
[9]   Coping and attention: Implications for child health and pediatric conditions [J].
Compas, BE ;
Boyer, MC .
JOURNAL OF DEVELOPMENTAL AND BEHAVIORAL PEDIATRICS, 2001, 22 (05) :323-333
[10]  
COMPAS BE, J CONSULTIN IN PRESS