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Item Injustice perceptions about pain: parent–child discordance is associated with worse functional outcomes(Wolters Kluwer, 2018-06) Miller, Megan M.; Wuest, David; Williams, Amy E.; Scott, Eric L.; Trost, Zina; Hirsh, Adam T.; Psychology, School of SciencePain is experienced within and influenced by social environments. For children with chronic pain, the child–parent relationship and parental beliefs about pain are particularly important and may influence pain outcomes. Pain-related injustice perceptions have recently been identified as an important cognitive–emotional factor for children with pain. The current study aimed to better understand the pain-related injustice perceptions of children with chronic pain and their parents. The sample consisted of 253 pediatric chronic pain patients (mean age = 14.1 years, 74% female) presenting to a tertiary pain clinic. Patients completed measures of pain intensity, pain-related injustice perceptions, stress, functional disability, and quality of life. Parents completed a measure of pain-related injustice perceptions about their child's pain. Child–parent dyads were categorized into 1 of 4 categories based on the degree of concordance or discordance between their scores on the injustice measures. One-way analysis of variances examined differences in pain intensity, stress, functional disability, and quality of life across the 4 dyad categories. Our findings indicated that both the degree (concordant vs discordant) and direction (discordant low child–high parent vs discordant high child–low parent) of similarity between child and parent injustice perceptions were associated with child-reported pain intensity, stress, functional disability, and quality of life. The poorest outcomes were reported when children considered their pain as highly unjust, but their parents did not. These findings highlight the important role of parents in the context of pain-related injustice perceptions in pediatric chronic pain.Item The Impact of Parental Incarceration on Children’s Health & Development(Richard M. Fairbanks School of Public Health, 2018-12) Balio, Casey; Greene, MarionThe incarceration boom in the United States has resulted in high rates of parents serving time. According to recent estimates, one in 10 Hoosier children has a parent who is or has been in prison or jail. Though incarceration is often treated as a discrete event, it is important to note that the time period extends both prior to and beyond the incarcerated phase (pre- and post-incarceration). Evidence on the relationship between parental incarceration and various children’s outcomes is inconsistent across the literature and often disappears when controlling for demographic and family characteristics. However, whether the relationship between parental incarceration and children’s health and development is causal or simply correlational, this population is at high risk for adverse outcomes and should be the target of interventions.