The role of coping flexibility in chronic pain adjustment: Preliminary analysis

2016 ◽  
Vol 33 (S1) ◽  
pp. S208-S209
Author(s):  
W. Wong ◽  
Y. Chow ◽  
S. Wong ◽  
P. Chen ◽  
H. Lim ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Hierarchical Model ◽  
Pain Catastrophizing ◽  
Equation Modeling ◽  
Need For Closure ◽  
Pain Coping ◽  
Research Attention ◽  
Coping Flexibility ◽  
Pain Adjustment

IntroductionWhile a body of research has evidenced the role of pain coping in chronic pain adjustment, the role of coping flexibility in chronic pain adjustment has received little research attention. Coping flexibility can be conceptualized with two dimensions, cognitive and behavioral. The cognitive dimension of coping flexibility (or coping appraisal flexibility) refers to one's appraisal of pain experience when changing coping strategies whereas the behavioral dimension of coping flexibility denotes the variety of coping responses individuals use in dealing with stressful demands.ObjectiveThe aim of this paper is to present preliminary findings on the role of coping flexibility in chronic pain adjustment by assessing 3 competing models of pain coping flexibility (see Figs. 1–3).MethodsPatients with chronic pain (n = 300) completed a battery of questionnaire assessing pain disability, discriminative facility, need for closure, pain coping behavior, coping flexibility, and pain catastrophizing. The 3 hypothesized models were tested using structural equation modeling (SEM). In all models tested, need for closure and discriminative facility were fitted as the dispositional cognitive and motivational factors respectively underlying the coping mechanism, whereas pain catastrophizing and pain intensity were included as covariates.ResultsResults of SEM showed that the hierarchical model obtained the best data-model fit (CFI = 0.96) whereas the other two models did not attain an accept fit (CFI ranging from 0.70–0.72).ConclusionOur results lend tentative support for the hierarchical model of pain coping flexibility that coping variability mediated the effects of coping appraisal flexibility on disability.Disclosure of interestThe authors have not supplied their declaration of competing interest.

The relationship between pain coping variability and committed action in chronic pain adjustment

2016 ◽  
Vol 33 (S1) ◽  
pp. S209-S209
Author(s):  
W. Wong ◽  
P. Chen ◽  
Y. Chow ◽  
H. Lim ◽  
S. Wong ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Coping Strategies ◽  
Independent Predictor ◽  
Pain Catastrophizing ◽  
Chinese Patients ◽  
Pain Coping ◽  
Significant Independent Predictor ◽  
Competing Interest ◽  
Pain Adjustment ◽  
Independent Effects

IntroductionResearch evidenced the association of pain coping strategies with short-term and long-term adjustments to chronic pain. Yet, previous studies mainly assessed the frequency of coping strategies when pain occurs whilst no data is available on one's flexibility/rigidity in using different pain coping strategies, i.e., pain coping variability, in dealing with different situations.ObjectivesThis study aimed to examine the multivariate association between pain coping variability and committed action in predicting concurrent pain-related disability. Specifically, we examined the independent effects of pain coping variability and committed action in predicting concurrent pain-related disability in a sample of Chinese patients with chronic pain.MethodsChronic pain patients (n = 287) completed a test battery assessing pain intensity/disability, pain coping strategies and variability, committed action, and pain catastrophizing. Multiple regression modeling compared the association of individual pain coping strategies and pain coping variability with disability (Models 1–2), and examined the independent effects of committed action and pain coping variability on disability (Model 3).ResultsOf the 8 coping strategies assessed, only guarding (std β = 0.17) was emerged as significant independent predictor of disability (Model 1). Pain coping variability (std β = −0.10) was associated with disability after controlling for guarding and other covariates (Model 2) and was emerged as independent predictor of disability (Model 3: std β = −0.11) (all P < 0.05) (Tables 1 and 2).ConclusionsOur data offers preliminary support for the multivariate association between pain coping variability and committed action in predicting concurrent pain-related disability, which supplements the existing pain coping data that are largely based on assessing frequency of coping.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals The relationship between psychosocial factors and reported disability: The role of pain self-efficacy

2021 ◽  
Author(s):  
Antonio Varela
Keyword(s):  
Physical Activity ◽  
Chronic Pain ◽  
Low Back Pain ◽  
Psychosocial Factors ◽  
Self Efficacy ◽  
Pain Catastrophizing ◽  
Low Back ◽  
Mediating Role ◽  
The Relationship

Abstract Background Chronic pain in all its forms and the accompanying level of disability is a healthcare crisis that reaches epidemic proportions and is considered a world level crisis. Chronic non-specific low back pain contributes a significant proportion of chronic pain. Specific psychosocial factors and their influence on reported disability in a chronic non-specific low back pain (CNLBP) population was researched. Methods Psychosocial factors examined include fear, catastrophizing, depression, and pain self-efficacy. This cross-sectional correlational study examined the mediating role between pain self-efficacy and the specific psychosocial factors with reported disability. The study included 90 participants with CNLBP between 20 and 60 years of age. Participants completed the Fear Avoidance Belief Questionnaire, The Pain Catastrophizing Scale, The Patient Health Questionnaire-9, The Pain Self-Efficacy Questionnaire, and The Lumbar Oswestry Disability Index to measure fear of physical activity, pain catastrophizing, depression, pain self-efficacy, and reported disability, respectively. The study used multivariate regression and mediation analyses. Results The principal finding of the study was a strong inverse relationship between pain self-efficacy and reported disability. Further, pain self-efficacy was considered a statistic mediator for all psychosocial factors investigated within this data set. Pain self-efficacy was strongly considered to have a mediating role between reported fear of physical activity and disability, reported pain catastrophizing and disability, and reported depression and disability. Additionally, adjusting for age and reported pain levels proved to be statistically significant, and it did not alter the role of pain self-efficacy. Conclusion The results identified that pain self-efficacy had a mediating role in the relationship between the specific psychosocial factors of fear, catastrophizing, and depression and reported disability. Pain self-efficacy plays a more significant role in the relationships between specific psychosocial factors and reported disability with CNLBP than previously considered.

Catastrophizing in Comorbid Chronic Pain and Mental Illness

2020 ◽  
pp. 234-248
Author(s):  
Cynthia O. Townsend ◽  
Donald R. Townsend
Keyword(s):  
Chronic Pain ◽  
Mental Illness ◽  
Prognostic Factor ◽  
Pain Catastrophizing ◽  
Psychological Interventions ◽  
Clinical Implications ◽  
Specific Situation ◽  
Negative Consequences ◽  
Pain Chronification

Catastrophizing, or the tendency to emphasize and exaggerate the occurrence of negative consequences in a specific situation, has been shown to play an important role in the development and maintenance of chronic pain. Dynamically viewed as a contributor, mediator, and result of chronic pain suffering, catastrophizing has notable importance for clinicians treating patients’ comorbid chronic pain and mental illness. Exciting research on catastrophizing and neuroplasticity in persons with chronic pain promises to expand our understanding of pain catastrophizing, pain chronification, and cortical structural neuroplasticity in response to psychological interventions. This chapter provides a selective review of the assessment and neural correlates of pain catastrophizing as well as the role of catastrophizing as a prognostic factor for pain-related outcomes. The interactions between catastrophizing and chronic pain are also explored in the context of key comorbid mental conditions: depression and insomnia. Clinical implications for the practicing clinician are discussed.

Gender-dependent difference in the relationship between pain aspects and pain catastrophizing

2019 ◽  
Vol 47 (2) ◽  
pp. 1-11 ◽  
Author(s):  
ChongNak Son ◽  
Daegu Son ◽  
Jeongwi An ◽  
Sungkun Cho
Keyword(s):  
Chronic Pain ◽  
Pain Catastrophizing ◽  
Republic Of Korea ◽  
Pain Clinic ◽  
Affective Pain ◽  
High Level ◽  
Gender Dependence ◽  
Study Participants ◽  
The Relationship

We examined the gender dependence of the relationships between sensory and affective pain and pain catastrophizing. Study participants were 170 people who were receiving treatment for chronic pain at a university pain clinic in Daegu, Republic of Korea. For men, higher levels of sensory pain were associated with greater pain catastrophizing at low and average levels of affective pain, but not at a high level of affective pain. For women, higher levels of affective pain were associated with greater pain catastrophizing, regardless of the degree of sensory pain. These results suggest that sensory pain, affective pain, and their combination may have gender-dependent effects on pain catastrophizing in people who are experiencing chronic pain. Most importantly, affective pain appears to play a major role in pain catastrophizing, regardless of gender and, for men, the role of sensory pain in pain catastrophizing requires consideration.

scholarly journals Exercise Performance and Chronic Pain in Chronic Fatigue Syndrome: The Role of Pain Catastrophizing

Pain Medicine ◽  
2008 ◽  
Vol 9 (8) ◽  
pp. 1164-1172 ◽  
Author(s):  
Jo Nijs ◽  
Karen Van de Putte ◽  
Fred Louckx ◽  
Steven Truijen ◽  
Kenny De Meirleir
Keyword(s):  
Chronic Pain ◽  
Chronic Fatigue Syndrome ◽  
Exercise Performance ◽  
Pain Catastrophizing ◽  
Chronic Fatigue ◽  
Fatigue Syndrome

scholarly journals The Role of Spirituality in Pain, Function, and Coping in Individuals with Chronic Pain

Pain Medicine ◽  
2019 ◽  
Vol 21 (3) ◽  
pp. 448-457 ◽  
Author(s):  
Alexandra Ferreira-Valente ◽  
Cátia Damião ◽  
José Pais-Ribeiro ◽  
Mark P Jensen
Keyword(s):  
Chronic Pain ◽  
Pain Coping ◽  
Task Persistence ◽  
Psychological Function ◽  
Pain Experience ◽  
Coping Responses ◽  
Positive Perspective ◽  
And Function ◽  
And Coping

Abstract Objective Chronic pain is a multidimensional experience associated with psychosocial (e.g., pain-related beliefs and pain coping responses) and spiritual factors. Spirituality is a universal aspect of the human experience that has been hypothesized to impact pain experience via its effects on pain, physical/psychological function, resilience and pain-related beliefs, and pain coping responses. However, research evaluating the associations between measures of spirituality and measures of pain and function in individuals with chronic pain is limited. This study seeks to address this limitation. Methods Participants were 62 Portuguese adults with chronic musculoskeletal pain. Participants completed measures of spirituality, pain intensity, physical and psychological function, and pain coping responses. Results Spirituality as hope and a positive perspective toward life was positively and moderately associated with better psychological function and coping responses of ignoring pain sensations and coping self-statements. Spirituality as a search for meaning and sense of purpose was positively and moderately associated with the coping response of task persistence. Conclusions These findings suggest the possibility that spirituality may be a useful resource for facilitating psychological adjustment, potentially promoting the use of some adaptive pain coping responses.

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