Interactive effects of internalizing and externalizing problem behaviors on recurrent pain in children

J Pediatr Psychol. 2002 Apr-May;27(3):245-57. doi: 10.1093/jpepsy/27.3.245.

Abstract

Objective: To examine, in children, relationships between self-reported recurrent pain and emotion regulation indicated by rated internalizing and externalizing problem behaviors and adjustment.

Method: Finnish 11-12-year-old schoolchildren (N = 414) completed a questionnaire measuring recurrent pain. Emotion regulation was assessed by a Multidimensional Peer Nomination Inventory, Teacher Rating Form. Relationships between recurrent pain and emotion regulation were examined in logistic regression analyses, after controlling for past injuries and chronic illnesses.

Results: Independent of injuries and chronic illnesses, externalizing and internalizing problem behaviors related to recurrent pain, and more so together than separately. Gender differences were found; constructive behavior associated with recurrent pain only in girls.

Conclusions: Low self-control of emotions, indicated by internalizing and externalizing problem behaviors, was related to pain in both boys and girls; high self-control of emotions, indicated by constructive behavior, associated with pain only in girls.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.
  • Twin Study

MeSH terms

  • Child
  • Child Behavior Disorders / diagnosis
  • Child Behavior Disorders / psychology*
  • Cohort Studies
  • Diseases in Twins
  • Female
  • Finland
  • Humans
  • Internal-External Control*
  • Longitudinal Studies
  • Male
  • Pain / psychology*
  • Personality Assessment
  • Recurrence