The Measurement and Conceptualization of Coping Responses in Pediatric Chronic Pain Populations: A Scoping Review

Background: Pediatric chronic pain is a prevalent condition that requires significant coping to encourage optimal functioning; however, relevant research is vast, heterogeneous, and difficult to interpret. To date, no attempt has been made to map and summarize the measurement and conceptualization o...

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Main Authors: A. Natisha Nabbijohn, Rachel M. Tomlinson, Soeun Lee, Barbara A. Morrongiello, C. Meghan McMurtry
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-10-01
Series:Frontiers in Psychology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpsyg.2021.680277/full
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author A. Natisha Nabbijohn
Rachel M. Tomlinson
Soeun Lee
Barbara A. Morrongiello
C. Meghan McMurtry
C. Meghan McMurtry
C. Meghan McMurtry
author_facet A. Natisha Nabbijohn
Rachel M. Tomlinson
Soeun Lee
Barbara A. Morrongiello
C. Meghan McMurtry
C. Meghan McMurtry
C. Meghan McMurtry
author_sort A. Natisha Nabbijohn
collection DOAJ
description Background: Pediatric chronic pain is a prevalent condition that requires significant coping to encourage optimal functioning; however, relevant research is vast, heterogeneous, and difficult to interpret. To date, no attempt has been made to map and summarize the measurement and conceptualization of coping responses in the context of pediatric chronic pain.Objectives: A scoping review was conducted to map and summarize the participant characteristics, methodologies, theoretical frameworks, and measures used to assess coping responses in youth with chronic pain. The extent to which authors used definitions and examples of coping responses (conceptual clarity) as well as consistently used measures (measurement consistency) and their corresponding conceptualizations (conceptual consistency) relative to how they were intended to be used were assessed.Methods: Searches were conducted through MEDLINE (PubMed) and PsycINFO. Following title/abstract screening, full-text extractions were performed on 125 English-language publications on coping in youth with chronic pain.Results: Of the 125 studies, only 12.8% used a theoretical framework to explain the coping responses assessed, and even fewer (7.2%) used theory to guide measure selection. Conceptual clarity was rated “low/very low” (i.e., no definitions and/or examples) for 47.2% of studies. The majority of studies were conducted in the United States (67%) and a preponderance of White and female participants was sampled. The research primarily used quantitative methods (85%) and cross-sectional designs (67%). Parent- or self-report questionnaires were the most common methods for assessing coping (86%). Of the 95 studies that utilized one of the 14 questionnaires with known psychometric properties, 33.7 and 55.8% had one or more discrepancies for conceptual and measurement consistency, respectively.Conclusions: This review highlights the lack of clear descriptions and theoretical frameworks of coping responses for pediatric chronic pain. Inconsistencies in the measurement and conceptualization of coping responses limit research and clinical advancements. As a field, we need to strive toward using well-developed theory to create fewer, more well-established standardized measures with clearly defined coping responses. Opportunities for qualitative and observational research in more diverse patient populations should be considered for theory construction and measure validation.Clinical Trial Registration:https://osf.io/xvn2a/?view_only=eff04e0c0b9649be89d403b10e9ff082.
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spelling doaj.art-adf73b298c054a79b6706e1ed34c790f2022-12-21T20:14:05ZengFrontiers Media S.A.Frontiers in Psychology1664-10782021-10-011210.3389/fpsyg.2021.680277680277The Measurement and Conceptualization of Coping Responses in Pediatric Chronic Pain Populations: A Scoping ReviewA. Natisha Nabbijohn0Rachel M. Tomlinson1Soeun Lee2Barbara A. Morrongiello3C. Meghan McMurtry4C. Meghan McMurtry5C. Meghan McMurtry6Department of Psychology, University of Guelph, Guelph, ON, CanadaDepartment of Psychology, University of Guelph, Guelph, ON, CanadaDepartment of Psychology, University of Guelph, Guelph, ON, CanadaDepartment of Psychology, University of Guelph, Guelph, ON, CanadaDepartment of Psychology, University of Guelph, Guelph, ON, CanadaPediatric Chronic Pain Program, McMaster Children's Hospital, Hamilton, ON, CanadaChildren's Health Research Institute and Department of Paediatrics, Schulich School of Medicine and Dentistry, London, ON, CanadaBackground: Pediatric chronic pain is a prevalent condition that requires significant coping to encourage optimal functioning; however, relevant research is vast, heterogeneous, and difficult to interpret. To date, no attempt has been made to map and summarize the measurement and conceptualization of coping responses in the context of pediatric chronic pain.Objectives: A scoping review was conducted to map and summarize the participant characteristics, methodologies, theoretical frameworks, and measures used to assess coping responses in youth with chronic pain. The extent to which authors used definitions and examples of coping responses (conceptual clarity) as well as consistently used measures (measurement consistency) and their corresponding conceptualizations (conceptual consistency) relative to how they were intended to be used were assessed.Methods: Searches were conducted through MEDLINE (PubMed) and PsycINFO. Following title/abstract screening, full-text extractions were performed on 125 English-language publications on coping in youth with chronic pain.Results: Of the 125 studies, only 12.8% used a theoretical framework to explain the coping responses assessed, and even fewer (7.2%) used theory to guide measure selection. Conceptual clarity was rated “low/very low” (i.e., no definitions and/or examples) for 47.2% of studies. The majority of studies were conducted in the United States (67%) and a preponderance of White and female participants was sampled. The research primarily used quantitative methods (85%) and cross-sectional designs (67%). Parent- or self-report questionnaires were the most common methods for assessing coping (86%). Of the 95 studies that utilized one of the 14 questionnaires with known psychometric properties, 33.7 and 55.8% had one or more discrepancies for conceptual and measurement consistency, respectively.Conclusions: This review highlights the lack of clear descriptions and theoretical frameworks of coping responses for pediatric chronic pain. Inconsistencies in the measurement and conceptualization of coping responses limit research and clinical advancements. As a field, we need to strive toward using well-developed theory to create fewer, more well-established standardized measures with clearly defined coping responses. Opportunities for qualitative and observational research in more diverse patient populations should be considered for theory construction and measure validation.Clinical Trial Registration:https://osf.io/xvn2a/?view_only=eff04e0c0b9649be89d403b10e9ff082.https://www.frontiersin.org/articles/10.3389/fpsyg.2021.680277/fullcopingcoping responsespediatric chronic painscoping reviewconceptualization and measurement
spellingShingle A. Natisha Nabbijohn
Rachel M. Tomlinson
Soeun Lee
Barbara A. Morrongiello
C. Meghan McMurtry
C. Meghan McMurtry
C. Meghan McMurtry
The Measurement and Conceptualization of Coping Responses in Pediatric Chronic Pain Populations: A Scoping Review
Frontiers in Psychology
coping
coping responses
pediatric chronic pain
scoping review
conceptualization and measurement
title The Measurement and Conceptualization of Coping Responses in Pediatric Chronic Pain Populations: A Scoping Review
title_full The Measurement and Conceptualization of Coping Responses in Pediatric Chronic Pain Populations: A Scoping Review
title_fullStr The Measurement and Conceptualization of Coping Responses in Pediatric Chronic Pain Populations: A Scoping Review
title_full_unstemmed The Measurement and Conceptualization of Coping Responses in Pediatric Chronic Pain Populations: A Scoping Review
title_short The Measurement and Conceptualization of Coping Responses in Pediatric Chronic Pain Populations: A Scoping Review
title_sort measurement and conceptualization of coping responses in pediatric chronic pain populations a scoping review
topic coping
coping responses
pediatric chronic pain
scoping review
conceptualization and measurement
url https://www.frontiersin.org/articles/10.3389/fpsyg.2021.680277/full
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