Browsing by Subject "injustice"

Now showing 1 - 4 of 4
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    Intersectional Injustice
    (Advances in Social Work, 2023-08-16) Adamek, Margaret E.; Decker, Valerie D.
    In the Spring 2023 issue of Advances in Social Work, we are pleased to present 12 papers written by 44 authors from different regions of the U.S. and Finland. Ten empirical studies and two conceptual/advocacy pieces offer new perspectives and findings on emerging areas of social work practice, policy, and education. The title of this editorial, “Intersectional Injustice,” is borrowed from the lead article by Leotti, Sugrue, Itzkowitz, and Williams who point out the contradiction between social work’s core value of social justice and our complicity as a profession with state intervention in the lives of marginalized families through the current foster care system. Leotti and colleagues invite readers into a critical conversation about how to work collaboratively with families (as happened during the pandemic) with a focus on supportive and preventive interventions rather than relying so heavily on out-of-home placements.
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    "It all seems so unfair”: Pain-related injustice appraisals in youth with chronic pain and their caregivers
    (International Association for the Study of Pain, 2020-10) Logan, Deirdre E.; Jordan, Abbie L.; Pediatrics, School of Medicine
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    Perceived Injustice Is Associated With Pain and Functional Outcomes in Children and Adolescents With Chronic Pain: A Preliminary Examination
    (Elsevier, 2016-11) Miller, Megan M.; Scott, Eric L.; Trost, Zina; Hirsh, Adam T.; Department of Psychology, School of Science
    Chronic pain is prevalent in children/adolescents and contributes to high rates of healthcare utilization. Research suggests injustice perceptions about pain are important in adult patients and a possible treatment focus. We conducted a preliminary evaluation of the psychometric properties of the Injustice Experiences Questionnaire (IEQ) and the relationship between injustice perceptions, pain, and functioning in chronic pain patients (N = 139, mean age = 15 years, 72% female) presenting to a pediatric pain clinic. Patients completed measures assessing pain intensity, injustice perceptions about pain, catastrophizing, overall functional disability, emotional functioning, social functioning, and school functioning. The IEQ showed good reliability and validity. Higher levels of perceived injustice were associated with higher levels of pain intensity, catastrophizing, and functional disability, and with poorer emotional, social, and school functioning. Additionally, perceived injustice remained significantly associated with pain intensity, functional disability, emotional functioning, social functioning, and school functioning after accounting for relevant demographic and clinical factors. This is the first study to suggest that injustice perceptions are important in the experience of pediatric chronic pain patients. Future studies should more thoroughly examine the psychometric properties of the IEQ in children/adolescents and elucidate the causal nature of these relationships, which will inform treatment efforts to improve pediatric pain care. Perspective This initial investigation suggests that injustice perceptions about pain can be reliably and validly measured and are tied to important clinical outcomes in children/adolescents. Future studies that replicate and extend these preliminary results are necessary to determine the extent to which injustice perceptions are an important target for intervention.
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    Psychosocial aspects of chronic pain in a clinical pediatric sample
    (2015-04) Miller, Megan M.; Hirsh, Adam Todd; Rand, Kevin L.; Zapolski, Tamika C.; Grahame, Nicholas J.
    Chronic pain, defined as pain lasting more than 3 months, is a common and costly health condition. Thirty-three percent of adults and upwards of 35% of children report experiencing pain due to various diseases, disorders, or accidents. Recent research has identified perceived injustice and anger as important constructs in an adult’s pain experience and a possible focus for intervention efforts. The present study explored the extent to which perceived injustice and anger expression operate similarly in children with chronic pain as in adults. This was a retrospective analysis of data from 122 patients seeking treatment at a pediatric pain clinic. Results supported anger expression as a mediator in the relationship between perceived injustice and pain intensity but not psychological distress, suggesting that anger expression operates similarly in children as in adults with chronic pain. Unlike previous findings in adults with chronic pain, injustice did not moderate the relationship between pain intensity and psychological distress, suggesting that injustice operates differently in children with chronic pain compared to adults. The strong association between injustice and pain outcomes (i.e. pain intensity, quality of life, functional disability) suggests that injustice is an important construct to explore in the chronic pain experience of children.