{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,21]],"date-time":"2026-04-21T06:12:10Z","timestamp":1776751930291,"version":"3.51.2"},"reference-count":63,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2022,3,3]],"date-time":"2022-03-03T00:00:00Z","timestamp":1646265600000},"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\/501100001659","name":"German Research Foundation","doi-asserted-by":"crossref","award":["WA1143\/9-1"],"award-info":[{"award-number":["WA1143\/9-1"]}],"id":[{"id":"10.13039\/501100001659","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,4,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>While cross-sectional studies underline that child and parent factors in pediatric chronic pain are reciprocally related, so far, little is known on their prospective relationship, especially in treatment contexts. This study aims to analyze directions of influence between child and parental outcomes using data from an intervention study.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>The sample covered 109 families with children aged 7\u201313\u2009years diagnosed with functional abdominal pain (FAP). Child outcomes included pain and impairment, and parental outcomes covered caregiver-specific distress including both parental personal time burden (i.e., less time available for personal needs) and emotional burden due to child\u2019s pain (i.e., increased worries). Cross-lagged panel analyses examined the directions of the relations between child and parental outcomes across time (pretreatment T1, post-treatment T2, and 3-month follow-up and 12-month follow-up T3\/T4).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>First, a significant improvement over time in all measures was observed. Cross-lagged effects were found for less parental personal time burden at T2, predicting both less pain (\u03b2 = \u22120.254, p = .004) and less impairment (\u03b2 = \u22120.150, p = .039) at T3. Higher baseline pain was predictive for higher parental emotional burden after treatment (\u03b2 = \u22120.130, p = .049) and, reversely, for less emotional burden at 12-month follow-up (\u03b2 = 0.261, p = .004).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Addressing parental personal time burden in FAP treatment might possibly support the improvement on the child level. Replication of results in larger samples is warranted to gain more insight into the directions of influence and, in that way, to optimize treatment for pediatric FAP.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/jpepsy\/jsac011","type":"journal-article","created":{"date-parts":[[2022,2,7]],"date-time":"2022-02-07T12:10:13Z","timestamp":1644235813000},"page":"483-496","source":"Crossref","is-referenced-by-count":4,"title":["Treatment for Pediatric Functional Abdominal Pain: An Initial Examination of Reciprocal Associations Between Pain, Functional Impairment, and Parental Distress"],"prefix":"10.1093","volume":"47","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2423-9174","authenticated-orcid":false,"given":"Claudia","family":"Calvano","sequence":"first","affiliation":[{"name":"University of Potsdam, Department Psychology, Counseling Psychology, Germany"},{"name":"Freie Universit\u00e4t Berlin, Department of Education and Psychology, Clinical Child and Adolescent Psychology and Psychotherapy, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7979-7451","authenticated-orcid":false,"given":"Petra","family":"Warschburger","sequence":"additional","affiliation":[{"name":"University of Potsdam, Department Psychology, Counseling Psychology, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2022,3,3]]},"reference":[{"issue":"3","key":"2022040813463346300_jsac011-B1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD010971.pub2","article-title":"Psychosocial interventions for recurrent abdominal pain in childhood","volume":"2017","author":"Abbott","year":"2017","journal-title":"Cochrane Database of Systematic Reviews"},{"key":"2022040813463346300_jsac011-B2","volume-title":"Discovering structural equation modeling using Stata","author":"Acock","year":"2013"},{"issue":"2","key":"2022040813463346300_jsac011-B3","doi-asserted-by":"publisher","first-page":"238","DOI":"10.1037\/0033-2909.107.2.238","article-title":"Comparative fit indexes in structural models","volume":"107","author":"Bentler","year":"1990","journal-title":"Psychological Bulletin"},{"issue":"17","key":"2022040813463346300_jsac011-B4","doi-asserted-by":"publisher","first-page":"295","DOI":"10.3238\/arztebl.2011.0295","article-title":"Recurrent abdominal pain in childhood","volume":"108","author":"Bufler","year":"2011","journal-title":"Deutsches Arzteblatt International"},{"issue":"11","key":"2022040813463346300_jsac011-B5","doi-asserted-by":"publisher","first-page":"2393","DOI":"10.1097\/j.pain.0000000000000696","article-title":"Mechanisms, mechanisms, mechanisms: It really does all boil down to mechanisms","volume":"157","author":"Burns","year":"2016","journal-title":"Pain"},{"issue":"10","key":"2022040813463346300_jsac011-B6","doi-asserted-by":"crossref","first-page":"2557","DOI":"10.1007\/s11136-018-1916-2","article-title":"Quality of life among parents seeking treatment for their child's functional abdominal pain","volume":"27","author":"Calvano","year":"2018","journal-title":"Quality of Life Research"},{"issue":"2","key":"2022040813463346300_jsac011-B7","doi-asserted-by":"publisher","first-page":"13","DOI":"10.3390\/children4020013","article-title":"Do mothers benefit from a child-focused cognitive behavioral treatment (CBT) for childhood functional abdominal pain? 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