caa a22 4500 445304650 CHVBK 20180317142609.0 cr unu---uuuuu 170323e20110901xx s 000 0 eng 10.1007/s10880-011-9243-6 doi (NATIONALLICENCE)springer-10.1007/s10880-011-9243-6 Pain Intensity, Psychological Inflexibility, and Acceptance of Pain as Predictors of Functioning in Adolescents with Juvenile Idiopathic Arthritis: A Preliminary Investigation [Elektronische Daten] [Amanda Feinstein, Evan Forman, Akihiko Masuda, Lindsey Cohen, James Herbert, L. Nandini Moorthy, Donald Goldsmith] Juvenile Idiopathic Arthritis (JIA) is a chronic rheumatic disease associated with pain and maladjustment. This study investigated whether pain, acceptance of pain, and psychological inflexibility uniquely predicted functional disability, anxiety, general quality of life (QOL), and health-related quality of life (HQOL) among adolescents with JIA. Twenty-three adolescents with JIA and pain were recruited from a pediatric rheumatology clinic. Participants completed self-report measures pertaining to the key study variables. A series of multiple regression analyses demonstrated that higher pain uniquely predicted higher functional disability. Greater psychological inflexibility uniquely predicted higher anxiety, lower general QOL, and lower HQOL. Increases in acceptance of pain were found to be uniquely related to increases in general QOL. These data confirm prior findings that pain impacts functioning, and provide preliminary findings that psychological inflexibility and acceptance may be important targets of psychological intervention for youth with JIA and pain to improve functioning and QOL. Springer Science+Business Media, LLC, 2011 Pain nationallicence Psychological flexibility nationallicence Acceptance nationallicence Juvenile idiopathic arthritis nationallicence Chronic illness nationallicence Feinstein Amanda Department of Psychology, Georgia State University, 30302-5010, Atlanta, GA, USA aut Forman Evan Department of Psychology, Drexel University, Philadelphia, PA, USA aut Masuda Akihiko Department of Psychology, Georgia State University, 30302-5010, Atlanta, GA, USA aut Cohen Lindsey Department of Psychology, Georgia State University, 30302-5010, Atlanta, GA, USA aut Herbert James Department of Psychology, Drexel University, Philadelphia, PA, USA aut Nandini Moorthy L. Department of Pediatrics, University of Medicine and Dentistry of NJ-Robert Wood Johnson Medical School, New Brunswick, NJ, USA aut Goldsmith Donald Department of Pediatrics, Drexel University College of Medicine, Philadelphia, PA, USA aut Journal of Clinical Psychology in Medical Settings Springer US; http://www.springer-ny.com 18/3(2011-09-01), 291-298 1068-9583 18:3<291 2011 18 10880 https://doi.org/10.1007/s10880-011-9243-6 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s10880-011-9243-6 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Feinstein Amanda Department of Psychology, Georgia State University, 30302-5010, Atlanta, GA, USA aut NATIONALLICENCE 700 1- Forman Evan Department of Psychology, Drexel University, Philadelphia, PA, USA aut NATIONALLICENCE 700 1- Masuda Akihiko Department of Psychology, Georgia State University, 30302-5010, Atlanta, GA, USA aut NATIONALLICENCE 700 1- Cohen Lindsey Department of Psychology, Georgia State University, 30302-5010, Atlanta, GA, USA aut NATIONALLICENCE 700 1- Herbert James Department of Psychology, Drexel University, Philadelphia, PA, USA aut NATIONALLICENCE 700 1- Nandini Moorthy L. Department of Pediatrics, University of Medicine and Dentistry of NJ-Robert Wood Johnson Medical School, New Brunswick, NJ, USA aut NATIONALLICENCE 700 1- Goldsmith Donald Department of Pediatrics, Drexel University College of Medicine, Philadelphia, PA, USA aut NATIONALLICENCE 773 0- Journal of Clinical Psychology in Medical Settings Springer US; http://www.springer-ny.com 18/3(2011-09-01), 291-298 1068-9583 18:3<291 2011 18 10880 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer