Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/31898
Appears in Collections:Psychology Journal Articles
Peer Review Status: Refereed
Title: The cyclical relation between chronic pain, executive functioning, emotional regulation, and self-management
Author(s): Caes, Line
Dick, Bruce
Duncan, Christina
Allan, Julia
Contact Email: line.caes@stir.ac.uk
Keywords: Chronic and Recurrent Pain
Coping Skills and Adjustment
Developmental Perspectives
Parents
Psychosocial Functioning
Issue Date: Apr-2021
Date Deposited: 3-Nov-2020
Citation: Caes L, Dick B, Duncan C & Allan J (2021) The cyclical relation between chronic pain, executive functioning, emotional regulation, and self-management. Journal of Pediatric Psychology, 46 (3), pp. 286-292. https://doi.org/10.1093/jpepsy/jsaa114
Abstract: Objective: To propose a new model outlining a hypothesized cyclical relation between executive functioning, emotional regulation and chronic pain in adolescence and to highlight the likely importance of such a relation for self-management behavior and pain-related disability. Methods: A review of the existing literature that critically explores the role of executive functioning in understanding chronic pain experiences and self-management in adolescence in order to develop the Cyclical model Of Pain, Executive function, emotion regulation and Self-management (COPES). Results: Growing evidence points towards a potential cyclical relation between chronic pain and impaired executive functioning, which forms the basis of COPES. The COPES model proposes that the relative immaturity of executive functioning in adolescence negatively influences their ability to engage with self-management, which in turn increases adolescents’ disability due to pain and contributes to the maintenance of chronic pain, which perpetuates the reduced capacity of executive functioning. The moderating influence of flexible parental support is hypothesized to offset some of these influences. However, the available evidence is limited due to methodological shortcomings such as large variety in executive functioning operationalization, reliance on self-report and cross-sectional designs. Conclusions: It is anticipated that the COPES model will stimulate more systematic, theory-driven research to further our understanding of the links between executive functioning, chronic pain, self-management and wellbeing. Such enhanced understanding has the potential to drive forward intervention development and refinement aimed at improving self-management uptake and adherence amongst adolescents with chronic pain.
DOI Link: 10.1093/jpepsy/jsaa114
Rights: This item has been embargoed for a period. During the embargo please use the Request a Copy feature at the foot of the Repository record to request a copy directly from the author. You can only request a copy if you wish to use this work for your own research or private study. This is a pre-copyedited, author-produced PDF of an article accepted for publication in Journal of Pediatric Psychology following peer review. The version of record Caes L, Dick B, Duncan C & Allan J (2021) The cyclical relation between chronic pain, executive functioning, emotional regulation, and self-management. Journal of Pediatric Psychology, 46 (3), pp. 286-292 is available online at: https://doi.org/10.1093/jpepsy/jsaa114
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