{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T20:08:05Z","timestamp":1778875685779,"version":"3.51.4"},"reference-count":36,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2020,6,1]],"date-time":"2020-06-01T00:00:00Z","timestamp":1590969600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"DOI":"10.13039\/100000056","name":"National Institute of Nursing Research","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000056","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000118","name":"Office of Behavioral and Social Sciences Research","doi-asserted-by":"publisher","award":["R01 NR016235"],"award-info":[{"award-number":["R01 NR016235"]}],"id":[{"id":"10.13039\/100000118","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000071","name":"National Institute of Child Health and Human Development","doi-asserted-by":"publisher","award":["R01 HD048629"],"award-info":[{"award-number":["R01 HD048629"]}],"id":[{"id":"10.13039\/100000071","id-type":"DOI","asserted-by":"publisher"}]},{"name":"March of Dimes Birth Defects Foundation","award":["12-FY13-271"],"award-info":[{"award-number":["12-FY13-271"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,7,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>This study examined: (a) the nature and prevalence of pain in youth with spina bifida (SB) (b) common coping responses to pain, and (c) longitudinal, bi-directional associations between internalizing symptoms and pain characteristics.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Data were collected from youth (N\u2009=\u2009140, 53.6% female, ages 8\u201315 at Time 1) and their parents and teachers at two time points spaced 2\u2009years apart. Youth reported on several pain characteristics and coping responses. Multiple informants reported on child internalizing symptoms. Evaluation of Aims 1\u20133 was based on descriptive analyses, bivariate correlations, and linear and logistic regressions.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>About 25% of the sample reported chronic pain (e.g., experiencing pain one or more times per week over the past 3\u2009months) at Time 1 or 2, with roughly one-third of this chronic pain subsample reporting chronic pain both time points. Pain was usually rated as mild in intensity for the full sample and most commonly experienced in the head, abdomen, and back, and described as \u201caching.\u201d Youth with chronic pain reported significantly higher pain intensity and tended to use condition-specific methods to cope with pain (e.g., taking off braces). In 2 of 10 analyses, internalizing symptoms at Time 1 were associated with chronic pain and pain intensity at Time 2.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Roughly one-fourth of youth with SB are at risk for experiencing chronic pain, highlighting the need for increased assessment and treatment of pain in this population. Youth psychological functioning appears to more often precede, rather than being a consequence of pain symptoms.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/jpepsy\/jsaa037","type":"journal-article","created":{"date-parts":[[2020,4,30]],"date-time":"2020-04-30T03:49:02Z","timestamp":1588218542000},"page":"673-684","source":"Crossref","is-referenced-by-count":3,"title":["Longitudinal Associations Between Pain and Psychosocial Adjustment in Youth With Spina Bifida"],"prefix":"10.1093","volume":"45","author":[{"given":"Diana M","family":"Ohanian","sequence":"first","affiliation":[{"name":"Psychology Department, Loyola University Chicago"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Caitlin B","family":"Murray","sequence":"first","affiliation":[{"name":"Center of Child Health, Behavior, & Development, Seattle Children\u2019s Research Institute"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kezia C","family":"Shirkey","sequence":"first","affiliation":[{"name":"Psychology Department, North Park University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elicia C","family":"Wartman","sequence":"first","affiliation":[{"name":"Psychology Department, Loyola University Chicago"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adrien M","family":"Winning","sequence":"first","affiliation":[{"name":"Psychology Department, Loyola University Chicago"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Colleen","family":"Stiles-Shields","sequence":"first","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences, Rush University Medical Center"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sonia B","family":"Ramirez","sequence":"first","affiliation":[{"name":"Psychology Department, Loyola University Chicago"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Grayson N","family":"Holmbeck","sequence":"first","affiliation":[{"name":"Psychology Department, Loyola University Chicago"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2020,6,1]]},"reference":[{"key":"2020062203540489400_jsaa037-B1","volume-title":"Manual for the ASEBA school-age forms and profiles","author":"Achenbach","year":"2001"},{"key":"2020062203540489400_jsaa037-B2","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1093\/bja\/aen103","article-title":"Assessment of pain","volume":"101","author":"Breivik","year":"2008","journal-title":"British Journal of Anaesthesia"},{"key":"2020062203540489400_jsaa037-B3","doi-asserted-by":"crossref","first-page":"1219","DOI":"10.1001\/archpedi.157.12.1219","article-title":"The incidence of pain in children with severe cognitive impairments","volume":"157","author":"Breau","year":"2003","journal-title":"Archives of Pediatrics & Adolescent 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