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 Chronic Pain Assessment: A Seven-Factor Model

2008 ◽  
Vol 13 (4) ◽  
pp. 299-308 ◽  
Author(s):  
Megan A Davidson ◽  
Dean A Tripp ◽  
Leandre R Fabrigar ◽  
Paul R Davidson
Keyword(s):  
Chronic Pain ◽  
Coping Strategies ◽  
Factor Model ◽  
Pain Catastrophizing ◽  
Short Form ◽  
Activity Level ◽  
Mcgill Pain Questionnaire ◽  
Pain Coping ◽  
Pain Experience ◽  
The Core

BACKGROUND: There are many measures assessing related dimensions of the chronic pain experience (eg, pain severity, pain coping, depression, activity level), but the relationships among them have not been systematically established.OBJECTIVE: The present study set out to determine the core dimensions requiring assessment in individuals with chronic pain.METHODS: Individuals with chronic pain (n=126) completed the Beck Anxiety Inventory, Beck Depression Inventory, Beck Hopelessness Scale, Chronic Pain Coping Index, Multidimensional Pain Inventory, Pain Catastrophizing Scale, McGill Pain Questionnaire – Short Form, Pain Disability Index and the Tampa Scale of Kinesiophobia.RESULTS: Before an exploratory factor analysis (EFA) of the nine chronic pain measures, EFAs were conducted on each of the individual measures, and the derived factors (subscales) from each measure were submitted together for a single EFA. A seven-factor model best fit the data, representing the core factors of pain and disability, pain description, affective distress, support, positive coping strategies, negative coping strategies and activity.CONCLUSIONS: Seven meaningful dimensions of the pain experience were reliably and systematically extracted. Implications and future directions for this work are discussed.

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.

scholarly journals Correlation of digital health use and chronic pain coping strategies

mHealth ◽  
2016 ◽  
Vol 2 ◽  
pp. 35-35 ◽  
Author(s):  
Megan L. Ranney ◽  
Cassandra Duarte ◽  
Janette Baird ◽  
Emily J. Patry ◽  
Traci C. Green
Keyword(s):  
Chronic Pain ◽  
Coping Strategies ◽  
Digital Health ◽  
Pain Coping

Self-efficacy and outcome expectancies: relationship to chronic pain coping strategies and adjustment

Pain ◽  
1991 ◽  
Vol 44 (3) ◽  
pp. 263-269 ◽  
Author(s):  
Mark P. Jensen ◽  
Judith A. Turner ◽  
Joan M. Romano
Keyword(s):  
Chronic Pain ◽  
Coping Strategies ◽  
Self Efficacy ◽  
Outcome Expectancies ◽  
Pain Coping

Relationship between pain-coping strategies, catastrophizing to pain and severity of depression

2017 ◽  
Vol 41 (S1) ◽  
pp. S522-S522
Author(s):  
B. Batinic ◽  
J. Nesvanulica ◽  
I. Stankovic
Keyword(s):  
Coping Strategies ◽  
Pain Catastrophizing ◽  
Short Form ◽  
Brief Pain Inventory ◽  
Average Score ◽  
Coping Mechanism ◽  
Pain Coping ◽  
Passive Coping ◽  
Somatic Pain ◽  
Severity Of Depression

IntroductionStudies have shown that somatic pain influences the severity of major depressive disorder (MDD), and could be moderated through pain coping strategies and not catastrophizing to pain.ObjectivesThe aim of the study was to ascertain the correlation between pain coping strategies, catastrophizing to pain and severity of depression.MethodsThe study sample consisted of 82 patients diagnosed with MDD, aged between 18 and 65 years old (M = 46.21). Assessment instruments included The Beck Depression Inventory-II (BDI-II), The Brief Pain Inventory-Short Form-BPISF (consisting of two subscales: BPI1-intensity of pain, and BPI2-interference with daily functioning), The Vanderbilt Pain Management Inventory-VPMI (consisting of active-VPMIAC and passive pain coping mechanism subscales-VPMIPC) and The Pain Catastrophizing Scale-PCS (consisting of subscales of rumination, exaggeration and helplessness).ResultsThe average BDI-II score was 27.21 (SD = 11.53); the average score at BPI1 was 2.99 (SD = 2.83) and 3.35 (SD = 3.26) at BPI2; the average scores on the active coping mechanism subscale was 20.72 (SD = 4.87), and on the passive coping mechanism subscale 34.05 (SD = 7.86); the average catastrophizing scale score was 28.78 (SD = 10.72). Active mechanism of pain coping has shown significant negative correlation with depression (r = –0.227, P > 0.05) while passive mechanism of pain coping has shown significant positive correlation with depression (r = 0.269, P > 0.05). Intensity of depression was significantly positively correlated with intensity of catastrophizing to pain (r = 0.358, P > 0.01) and its derivatives: rumination, exaggeration and helplessness.ConclusionInterventions focusing on targeting catastrophizing to pain and pain coping mechanisms should be considered in the treatment of patients with MDD with somatic pain.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Pilot study of a 4-week Pain Coping Strategies (PCS) programme for the chronic pain patient

2007 ◽  
Vol 29 (3) ◽  
pp. 199-203 ◽  
Author(s):  
Katharine Mead ◽  
Alice Theadom ◽  
Katherine Byron ◽  
Simon Dupont
Keyword(s):  
Chronic Pain ◽  
Pilot Study ◽  
Coping Strategies ◽  
Chronic Pain Patient ◽  
Pain Patient ◽  
Pain Coping

The Coping Strategies Questionnaire and Chronic Pain Adjustment

1994 ◽  
Vol 10 (2) ◽  
pp. 98-106 ◽  
Author(s):  
Michael E. Geisser ◽  
Michael E. Robinson ◽  
Connie D. Henson
Keyword(s):  
Chronic Pain ◽  
Coping Strategies ◽  
Pain Adjustment

Does validation and alliance during the multimodal investigation affect patients’ acceptance of chronic pain? An experimental single case study

2019 ◽  
Vol 19 (1) ◽  
pp. 73-82 ◽  
Author(s):  
Mikael Svanberg ◽  
Ann-Christin Johansson ◽  
Katja Boersma
Keyword(s):  
Chronic Pain ◽  
Therapeutic Effect ◽  
Pain Catastrophizing ◽  
Single Case ◽  
Rehabilitation Program ◽  
Self Report ◽  
Pain Coping ◽  
Chronic Pain Patients ◽  
Before And After ◽  
Pain Patients

Abstract Background and aims Among chronic pain patients who are referred to participation in a multimodal rehabilitation program (MMRP), pain catastrophizing and dysfunctional pain coping is common. In many cases it may have driven the patient to a range of unsuccessful searches for biomedical explanations and pain relief. Often these efforts have left patients feeling disappointed, hopeless and misunderstood. The MMRP process can be preceded by a multimodal investigation (MMI) where an important effort is to validate the patient to create a good alliance and begin a process of change towards acceptance of the pain. However, whether the MMI has such therapeutic effect is unclear. Using a repeated single case experimental design, the purpose of this study was to investigate the therapeutic effect of MMI by studying changes in patients’ experience of validation, alliance, acceptance of pain, coping, catastrophizing, and depression before and during the MMI process. Methods Participants were six chronic pain patients with high levels of pain catastrophizing (>25 on the Pain Catastrophizing Scale) and risk for long term disability (>105 on the Örebro Musculoskeletal Pain Screening Questionnaire) who were subjected to MMI before planned MMRP. For each patient, weekly self-report measures of validation, alliance and acceptance of pain were obtained during a 5–10-weeks baseline, before the MMI started. Subsequently, these measures were also obtained during a 6–8 weeks MMI process in order to enable comparative analyses. Additionally, pain coping, depression and pain catastrophizing were measured using standardized questionnaires before and after the MMI. Results Irrespective of experiences of validation and alliance before MMI, all six patients felt validated and experienced a good alliance during MMI. Acceptance of pain improved only in one patient during MMI. None of the patients showed clinically relevant improvement in pain coping, depression or catastrophizing after the MMI. Conclusions The patients did not change their acceptance and pain coping strategies despite of good alliance and experience of validation during the MMI process. Even if the design of this study precludes generalization to chronic pain patients in general, the results suggest that MMI may not have a therapeutic effect.

Sign in / Sign up

Export Citation Format

Share Document