PMID- 34082155 OWN - NLM STAT- MEDLINE DCOM- 20211124 LR - 20211124 IS - 1879-1360 (Electronic) IS - 0022-3999 (Linking) VI - 147 DP - 2021 Aug TI - Health-related quality of life in youth with abdominal pain: An examination of optimism and pain self-efficacy. PG - 110531 LID - S0022-3999(21)00176-8 [pii] LID - 10.1016/j.jpsychores.2021.110531 [doi] AB - OBJECTIVES: Abdominal pain adversely impacts children with functional gastrointestinal disorders (FGIDs) or organic gastrointestinal disorders (OGIDs); findings are inconsistent regarding diagnosis and health-related quality of life (HRQoL). This study utilizes a positive psychology framework to understand the experience of youth with abdominal pain (i.e., do positive psychological factors, such as optimism and pain self-efficacy, relate to higher HRQoL?). Consistent with a protective factor model of resilience, in which personal assets may serve as buffers between risk factors and negative outcomes, optimism and pain self-efficacy were examined as they relate to HRQoL in youth with abdominal pain. Specifically, exploratory moderational analyses examined a) if optimism and pain self-efficacy moderate the relation between pain and HRQoL, and b) whether diagnostic status moderated the relation between optimism/pain self-efficacy and HRQoL. METHODS: In a cross-sectional, observational study, youth (n = 98; M(age) = 13, SD = 3) experiencing abdominal pain related to FGIDs or OGIDs and one of their parents participated. Measures included pain intensity, optimism, pain self-efficacy, and HRQoL. Analyses controlled for diagnosis, age, and gender. RESULTS: Higher pain and age related to lower HRQoL. Higher levels of optimism and pain self-efficacy associated with HRQoL beyond demographics. Optimism and pain self-efficacy did not moderate the relation between pain and HRQoL. Diagnostic status did not moderate the relation between optimism or pain self-efficacy and HRQoL. DISCUSSION: Our results suggest positive relations between positive psychological factors (optimism, pain self-efficacy) and HRQoL in youth with abdominal pain. Such factors could be further examined in intervention studies. CI - Copyright (c) 2021 Elsevier Inc. All rights reserved. FAU - Tomlinson, Rachel M AU - Tomlinson RM AD - Kitchener Psychology Centre, 715 Fischer Hallman Rd., Kitchener, ON N2E 4E9, Canada. Electronic address: rtomlinson@kitchenerpsych.com. FAU - Bax, Kevin C AU - Bax KC AD - Department of Paediatrics, Schulich School of Medicine and Dentistry, Western University, Children's Hospital of Western Ontario, 800 Commissioners Rd. E, London, Ontario N6A 5W9, Canada. Electronic address: kevin.bax@lhsc.on.ca. FAU - Ashok, Dhandapani AU - Ashok D AD - Department of Paediatrics, Schulich School of Medicine and Dentistry, Western University, Children's Hospital of Western Ontario, 800 Commissioners Rd. E, London, Ontario N6A 5W9, Canada. Electronic address: dhandapani.ashok@lhsc.on.ca. FAU - McMurtry, C Meghan AU - McMurtry CM AD - Department of Psychology, University of Guelph, Pediatric Chronic Pain Program, McMaster Children's Hospital, Department of Paediatrics, Western University, Children's Health Research Institute, Canada. Electronic address: cmcmurtr@uoguelph.ca. LA - eng PT - Journal Article PT - Observational Study PT - Research Support, Non-U.S. Gov't DEP - 20210524 PL - England TA - J Psychosom Res JT - Journal of psychosomatic research JID - 0376333 SB - IM MH - Abdominal Pain MH - Adolescent MH - Child MH - Cross-Sectional Studies MH - Humans MH - Optimism MH - *Quality of Life MH - *Self Efficacy OTO - NOTNLM OT - Abdominal pain OT - Gastrointestinal illness OT - Health-related quality of life OT - Optimism OT - Pain self-efficacy OT - Psychogastroenterology EDAT- 2021/06/04 06:00 MHDA- 2021/11/25 06:00 CRDT- 2021/06/03 20:17 PHST- 2020/11/01 00:00 [received] PHST- 2021/04/26 00:00 [revised] PHST- 2021/05/20 00:00 [accepted] PHST- 2021/06/04 06:00 [pubmed] PHST- 2021/11/25 06:00 [medline] PHST- 2021/06/03 20:17 [entrez] AID - S0022-3999(21)00176-8 [pii] AID - 10.1016/j.jpsychores.2021.110531 [doi] PST - ppublish SO - J Psychosom Res. 2021 Aug;147:110531. doi: 10.1016/j.jpsychores.2021.110531. Epub 2021 May 24.