The Role of Emotion Regulation in Chronic Pain Self-Management

2018 ◽  
Vol 33 (6) ◽  
pp. 1-10 ◽  
Author(s):  
Beth S. Russell ◽  
Crystal L. Park
Author(s):  
Line Caes ◽  
Bruce Dick ◽  
Christina Duncan ◽  
Julia Allan

Abstract Objective  To propose a new model outlining a hypothesized cyclical relation between executive functioning, emotional regulation, and chronic pain in adolescence and to highlight the likely importance of such a relation for self-management behavior and pain-related disability. Methods  A review of the existing literature that critically explores the role of executive functioning in understanding chronic pain experiences and self-management in adolescence in order to develop the Cyclical model Of Pain, Executive function, emotion regulation, and Self-management (COPES). Results  Growing evidence points towards a potential cyclical relation between chronic pain and impaired executive functioning, which forms the basis of COPES. The COPES model proposes that the relative immaturity of executive functioning in adolescence negatively influences their ability to engage with self-management, which in turn increases adolescents’ disability due to pain and contributes to the maintenance of chronic pain, which perpetuates the reduced capacity of executive functioning. The moderating influence of flexible parental support is hypothesized to offset some of these influences. However, the available evidence is limited due to methodological shortcomings such as large variety in executive functioning operationalization, reliance on self-report and cross-sectional designs. Conclusions  It is anticipated that the COPES model will stimulate more systematic, theory-driven research to further our understanding of the links between executive functioning, chronic pain, self-management, and wellbeing. Such enhanced understanding has the potential to drive forward intervention development and refinement aimed at improving self-management uptake and adherence amongst adolescents with chronic pain.


2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Mina Karami ◽  
Zohreh Rafezi ◽  
Maryam Sadat Motavalli ◽  
Nader Ayadi

Background: Pain is a pervasive and disabling barrier for the injured athlete threatening his/her ability to participate in sporting events and professional goals. However, psychological factors in the treatment process of chronic diseases are an important factor in involving the patient in treatment and making treatment decisions. Objectives: This research aimed to investigate the relationship between emotion regulation and pain self-efficacy with psychosocial adjustment in athletes with chronic pain, considering the mediating role of mental fatigue. Methods: The statistical population of this descriptive correlational study was all athletes with chronic pain referred to the Iranian Sports Medicine Federation. Using the convenience sampling method, a total of 200 injured athletes were selected as the sample size. For data collection, Psychosocial Adjustment to Illness Scale (PAIS), Pain Self-Efficacy Questionnaire (PSEQ), Pain Fatigue Scale (PFS), and Cognitive Emotion Regulation Questionnaire (CERQ-short) were used. Descriptive statistics, correlation matrix, and path analysis (structural model) were used to analyze data. Also, SPSS (v21) and AMOS (v23) software were used to analyze the data. Results: According to the results, pain self-efficacy (β = 0.18), adaptive emotion regulation (β = 0.27), and mental fatigue (β = -0.19) had a direct positive and significant impact on psychosocial adjustment. Also, the direct effect of pain self-efficacy (β = -0.19), maladaptive emotion regulation (β = 0.17), and adaptive emotion regulation (β = -0.12) on mental fatigue was significant. In addition, the indirect effect of pain self-efficacy and maladaptive emotions on psychosocial adjustment via mental fatigue was significant. Conclusions: Mental fatigue plays a good mediating role between pain self-efficacy and emotion regulation with psychosocial adjustment of athletes with chronic pain.


2018 ◽  
Vol 107 ◽  
pp. 38-45 ◽  
Author(s):  
Helen Koechlin ◽  
Rachael Coakley ◽  
Neil Schechter ◽  
Christoph Werner ◽  
Joe Kossowsky

Author(s):  
Linda Ruehlman ◽  
Marian Wilson

This chapter focuses on internet-based pain self-management (IPSM) training for adults with chronic pain. Due to space limitations, it does not address programs directed toward children or adolescents or the burgeoning research on mobile technologies. The chapter discusses various definitions of self-management (SM) and proposes an organizing framework for the concept of SM. It examines barriers to traditional face-to-face pain SM training and the role of Internet-based training as a partial solution to the lack of care options for many. It does not reiterate the numerous excellent reviews of the efficacy of online pain SM programs. Those reviews provide support for the continued development and testing of such programs. The chapter’s focus is on the identification of strengths and weaknesses of extant technologies with an eye toward future improvements. The review of 27 IPSM programs reveals a number of important substantive and methodological issues.


2016 ◽  
Vol 20 (4) ◽  
pp. 291-306 ◽  
Author(s):  
Jill Edwards ◽  
Michelle Briggs ◽  
Jose Closs ◽  
Karl M. Atkin ◽  
Michael I. Bennett ◽  
...  

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