3.9 Article

Psychosocial factors and adjustment to chronic pain in spinal cord injury: Replication and cross-validation

期刊

出版社

JOURNAL REHAB RES & DEV
DOI: 10.1682/JRRD.2008.03.0044

关键词

adjustment; attributions; biopsychosocial model; catastrophizing; chronic pain; coping; CPCI; pain interference; rehabilitation; SOPA; spinal cord injury

资金

  1. NICHD NIH HHS [P01 HD033988, P01 HD033988-10, P01 HD33988] Funding Source: Medline
  2. EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH &HUMAN DEVELOPMENT [P01HD033988] Funding Source: NIH RePORTER

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Recent studies have documented the importance of psychological Factors in the experience of chronic pain in persons With spinal cord injury (SCI). The current study sought to replicate and extend previous work demonstrating associations among specific pain-related beliefs, coping, mental health, and pain outcomes in persons With SCI. A return-by-mail survey assessing psychological functioning and pain was completed by 130 individuals with SCI. Measures included short forms of the Survey of Pain Attitudes and the Chronic Pain Coping, Inventory. After factor analysis, multiple regression Was used to predict pain outcomes (psychological functioning and pain interference) after controlling for pain intensity. Results indicated that psychological factors, particularly beliefs about pain (including catastrophizing) and pain-related coping strategies (including passive coping), were significant predictors of pain outcomes and accounted for 21% to 25%, of unique variance. Zero-order corrections suggested that the specific variables most closely associated with negative pain outcomes were perception of oneself as disabled, perceptions of low control over pain, and tendency to catastrophize. In general, negative attributions and coping were stronger predictors of pain adjustment than were positive ones. Results highlight the importance of psychological factors in understanding chronic pain in persons with SCI and provide further support for the biopsychosocial model.

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