Sex Differences in Pain-Coping Strategies Among Spine Injury Chronic Pain Patients

2011 ◽  
Author(s):  
Jane Anastos ◽  
Natalie Porter
Keyword(s):  
Chronic Pain ◽  
Sex Differences ◽  
Coping Strategies ◽  
Spine Injury ◽  
Pain Coping ◽  
Chronic Pain Patients ◽  
Pain Patients

scholarly journals The Classification of Patients with Chronic Pain: Age and Sex Differences

2001 ◽  
Vol 6 (3) ◽  
pp. 142-151 ◽  
Author(s):  
Andrew J Cook ◽  
Dania C Chastain
Keyword(s):  
Chronic Pain ◽  
Sex Differences ◽  
Perceived Disability ◽  
Pain Disability ◽  
Clinical Presentations ◽  
Chronic Pain Patients ◽  
Pain Duration ◽  
Pain Patients ◽  
Age And Sex

OBJECTIVE: To further develop an empirically based classification system for chronic pain patients through the examination of age and sex differences, and incorporation of pain duration in the grouping algorithm.SUBJECTS: Three hundred seventy-four chronic pain patients (300 aged 13 to 59 years; 74 aged 60 to 89 years) assessed at an outpatient, multidisciplinary pain management centre.METHODS: Patients completed measures of demographic and descriptive information, pain intensity (box rating scale), perceived disability (modified Pain Disability Index) and affective distress (Symptom Checklist-90 Revised) before multidisciplinary treatment. Standardized scores from the assessment measures were entered into a series of hierarchical, multivariate cluster analyses to identify underlying patient subgroups.RESULTS: Age-based patient groupings from prior research were partially replicated. Significant differences in clinical presentations were observed across age and sex groups. Pain duration was found to make an important contribution to the patient groupings. 'Good control' (low pain, disability, distress) and variants of 'chronic pain syndrome' (elevated pain, disability, distress) groupings were identified across all analyses. Two variants of a 'stoic' profile were identified among older patients, with low levels of distress relative to pain and perceived disability. One of these profiles was associated with long pain duration and was found only among males. Several unique clinical profiles were identified for female patients.CONCLUSIONS: There are important age and sex differences in the clinical presentations of chronic pain patients. Some older patients present with unique clinical profiles that may reflect cohort differences, and/or physiological or psychological adjustment processes. There appears to be a greater number of distinct chronic pain presentations among females. Research on the classification of chronic pain patients within homogeneous diagnostic subgroups is needed.

Illness behavior and pain coping in chronic pain patients

1994 ◽  
Vol 23 ◽  
pp. S12-S13
Author(s):  
A.-F. Allaz ◽  
S. Binyet ◽  
J. Desmeules ◽  
P. Dayer
Keyword(s):  
Chronic Pain ◽  
Illness Behavior ◽  
Pain Coping ◽  
Chronic Pain Patients ◽  
Pain Patients

Coping strategies of chronic pain patients: Relationship to patient characteristics and functioning

Pain ◽  
1987 ◽  
Vol 30 ◽  
pp. S416 ◽  
Author(s):  
J. M. Romano ◽  
J. A. Turner ◽  
K. L. Svriala ◽  
R. L. Levy
Keyword(s):  
Chronic Pain ◽  
Coping Strategies ◽  
Patient Characteristics ◽  
Chronic Pain Patients ◽  
Pain Patients

The Role of Optimism and Pessimism in Chronic Pain Patients Adjustment

2012 ◽  
Vol 15 (1) ◽  
pp. 286-294 ◽  
Author(s):  
Carmen Ramírez-Maestre ◽  
Rosa Esteve ◽  
Alicia E. López
Keyword(s):  
Chronic Pain ◽  
Coping Strategies ◽  
Hypothetical Model ◽  
Passive Coping ◽  
Pain Anxiety ◽  
Chronic Pain Patients ◽  
Low Levels ◽  
Levels Of Functioning ◽  
Anxiety Depression ◽  
Pain Patients

This study analyses the relationships between patients' dispositional optimism and pessimism and the coping strategies they use. In addition, the coping strategies repercussions on adjustment to chronic pain were studied. Ninety-eight patients with heterogeneous chronic pain participated. The assessment tools were as follows: Life Orientation Test (LOT), the Vanderbilt Pain Management Inventory (VPMI), the McGill Pain Questionnaire (MPQ), Hospital Anxiety and Depression Scale (HADS), and the Impairment and Functioning Inventory for Chronic Pain Patients (IFI). The hypothetical model establishes positive relationships between optimism and the use of active coping strategies, whereas pessimism is related to the use of passive coping. Active coping is associated with low levels of pain, anxiety, depression and impairment and high levels of functioning. However, passive coping is related to high levels of pain, anxiety, depression and impairment and low levels of functioning. The hypothetical model was empirically tested using the LISREL 8.20 software package and the unweighted least squares method. The results support the hypotheses formulated regarding the relations among optimism, pessimism, coping and adjust of chronic pain patients. By analysing optimism among chronic pain patients, clinicians could make better predictions regarding coping and adjustment.

Active and passive coping strategies in chronic pain patients

Pain ◽  
1996 ◽  
Vol 64 (3) ◽  
pp. 455-462 ◽  
Author(s):  
Lynn A. Snow-Turek ◽  
Margaret P. Norris ◽  
Gabriel Tan
Keyword(s):  
Chronic Pain ◽  
Coping Strategies ◽  
Passive Coping ◽  
Chronic Pain Patients ◽  
Pain Patients
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