• Alana Goldstein-Leever, Lindsey L Cohen, Carlton Dampier, and Soumitri Sil.
• Division of Pediatric Psychology and Neuropsychology, Nationwide Children's Hospital, Columbus, Ohio.
• Pediatr Blood Cancer. 2018 Jul 1; 65 (7): e27027.

BackgroundYouth with sickle cell disease (SCD) are at risk for recurrent pain and depressive symptoms, both of which contribute to poorer health outcomes. Furthermore, youth and family coping with child pain, including pain catastrophizing, is known to be associated with poorer psychosocial adjustment and greater functional disability among youth with SCD. In particular, child catastrophizing about pain and parent catastrophizing about their child's pain have been linked to increased pain and depressive symptoms in youth with chronic pain conditions. Despite this, the impact of child and parent pain catastrophizing on depressive symptoms remains unexplored in pediatric SCD.ProcedureThe current study evaluated the predictive value of child and parent pain catastrophizing on child depressive symptoms in a sample of 100 youth with SCD. Differences in child and parent pain catastrophizing across youth with and without clinically elevated depressive symptoms were also examined.ResultsPain frequency and parent and child pain catastrophizing accounted for 35.9% of variance in child depressive symptoms, with only pain frequency and parent pain catastrophizing emerging as unique predictors of clinically elevated depressive symptoms. Additionally, parents of youth with clinically elevated depressive symptoms showed increased helplessness relative to parents of youth with minimal to mild depressive symptoms.ConclusionsFindings support the value of depression screening and interventions to promote parent self-efficacy in managing childhood SCD pain.© 2018 Wiley Periodicals, Inc.

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