Mental Defeat Predicts Distress and Disability in Hong Kong Chinese with Chronic Pain

Tang, Nicole K. Y.; Shum, S.L.F.; Leung, Patrick; Chen, Phoon-Ping; Šalkovskis, Paul M.

doi:10.1097/ajp.0b013e3182778153

Cited by 7 publications

(7 citation statements)

References 14 publications

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“…Psychological distress is associated with poor physical outcomes such as functional disability and pain [ 27 ] although the relationship is undoubtedly complex. Tang et al [ 28 ] found the presence of mental defeat was a significant predictor of functional disability and distress among individuals with CP. This may result in a cyclical experience of distress and pain, especially for CP patients who demonstrated increased distress when compared to RA patients.…”

Section: Discussionmentioning

confidence: 99%

Psychological Distress in Out-Patients Assessed for Chronic Pain Compared to Those with Rheumatoid Arthritis

Rice

Mehta

Shapiro

et al. 2016

Pain Research and Management

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Background. Patients diagnosed with chronic pain (CP) and rheumatoid arthritis (RA) represent two samples with overlapping symptoms, such as experiencing significant pain. Objectives. To compare the level of psychological distress among patients diagnosed CP attending a specialist pain clinic with those attending a specialist RA clinic. Measures. A cross-sectional study was conducted at an academic specialist chronic pain and rheumatology clinic. Participants. 330 participants included a CP group (n = 167) and a RA group (n = 163) completed a booklet of questionnaires regarding demographic characteristics, duration, and severity of their pain. Psychological and personality variables were compared between the CP and RA participants using a Multivariate Analysis of Covariance (MANCOVA). Results. Level of psychological distress based on the subscales of the DASS (depression, anxiety, and stress), PASS (escape avoidance, cognitive anxiety, fear of pain, and physiological anxiety), and PCS (rumination, magnification, and helplessness) was significantly higher in the CP group compared to the RA group. Categorization of individuals based on DASS severity resulted in significant differences in rates of depression and anxiety symptoms between groups, with a greater number of CP participants displaying more severe depressive and anxiety symptoms. Discussion and Conclusions. This study found greater levels of psychological distress among CP individuals referred to an academic pain clinic when compared to RA patients referred to an academic rheumatology clinic.

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Section: Discussionmentioning

confidence: 99%

Psychological Distress in Out-Patients Assessed for Chronic Pain Compared to Those with Rheumatoid Arthritis

Rice

Mehta

Shapiro

et al. 2016

Pain Research and Management

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“…Tang et al 10 reported a significant correlation between MD and pain interference, sleep disturbance, anxiety, depression, functional disability and psychosocial disability and in a later paper found MD was a significant predictor of both functioning and distress. 11 However, these papers did not examine whether there was a direct association between MD and pain symptomatology. Only one study has specifically examined this; García-Campayo et al 12 found a significant association between levels of MD and pain intensity in a Spanish sample of patients with fibromyalgia.…”

Section: Introductionmentioning

confidence: 99%

Understanding the link between feelings of mental defeat, self-efficacy and the experience of chronic pain

Hazeldine-Baker

Šalkovskis

Osborn

et al. 2018

British Journal of Pain

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Abstract:Objectives: 'Mental defeat' (MD) has been identified amongst people with chronic pain as a type of 'self-processing' related to social role and rank. Research has linked it to anxiety, pain interference and functional disability. The relationship between MD and other cognitive constructs, such as hopelessness and depression remains poorly understood. The present study considers the association between MD, pain symptomatology and self-efficacy in the context of other cognitive factors. Methods: Fifty-nine participants completed a questionnaire pack assessing anxiety, depression, hopelessness, pain catastrophizing, and mental defeat in order to examine the relationship with pain symptomatology and selfefficacy. Results: Linear multiple regression analyses showed that anxiety was most strongly associated with pain symptomatology, accounting for 26% of the variance, while catastrophizing showed the strongest association with sensory pain, and mental defeat the strongest association with affective pain. Finally, mental defeat was found to be strongly associated with painrelated self-efficacy, accounting for 47% of the variance. Conclusion: This research has demonstrated the potential importance of assessing mental defeat in chronic pain patients suggesting that targeting these cognitions during interventions and therapy could be valuable. This may have an impact on how well people feel cope with their pain. Further, the study indicates that mental defeat differs from related cognitive constructs involved in pain, such as depression, hopelessness and catastrophizing.https://mc.manuscriptcentral.com/bjpain British Journal of Pain 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 poorly understood. The present study considers the association between MD, pain 7 symptomatology and self-efficacy in the context of other cognitive factors. 8Methods: Fifty-nine participants completed a questionnaire pack assessing anxiety, 9 depression, hopelessness, pain catastrophising, and mental defeat in order to 10 examine the relationship with pain symptomatology and self-efficacy. 11

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“…Studies were excluded if no intervention was discussed. Patients were required to undergo treatment because many studies have shown that patients who do not seek treatment may differ from those who do (Hartzell et al., ; Tang, Goodchild, Hester, & Salkovskis, ; Tang, Shum, Leung, Chen, & Salkovskis, ; Watkins, Wollan, Melton, & Yawn, ). This bias was eliminated from the review by requiring intervention for CLBP.…”

Section: Methodsmentioning

confidence: 99%

Utility of Pain Drawings Rated for Non‐Organic Pain in Chronic Low Back Pain Populations: A Qualitative Systematic Review

Hartzell

Liegey-Dougall

Kishino³

et al. 2016

J Appl Biobehavioral Res

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Pain drawings are useful for comprehensively assessing chronic pain. They are brief to administer and score, easy to use, and provide information about patient outcomes. In the present study, pain drawings evaluating non‐organic pain were examined for utility and effectiveness. A qualitative systematic review revealed that non‐organic pain drawings, although diverse in nature, are highly reliable and valid and relate to many constructs. Pain drawing ratings may be a general screener for psychosocial distress, as they relate to demographics, medication use, personality, cognition, quality of life, self‐reported disability, and work outcomes. Although utilization of non‐organic pain scales has become less frequent, the concept of non‐organic pain remains relevant, despite new terminology usage, such as somatization and central sensitization.

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Mental Defeat Predicts Distress and Disability in Hong Kong Chinese with Chronic Pain

Abstract: These findings provide further evidence that MD is a factor that differentiates treatment-seeking from nontreatment-seeking individuals with CP. They also highlight the potential value of applying this psychological concept to the understanding and treatment of CP in HK Chinese.

Cited by 7 publications

References 14 publications

Psychological Distress in Out-Patients Assessed for Chronic Pain Compared to Those with Rheumatoid Arthritis

Psychological Distress in Out-Patients Assessed for Chronic Pain Compared to Those with Rheumatoid Arthritis

Understanding the link between feelings of mental defeat, self-efficacy and the experience of chronic pain

Utility of Pain Drawings Rated for Non‐Organic Pain in Chronic Low Back Pain Populations: A Qualitative Systematic Review

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