Adaptive Versus Maladaptive Coping and Beliefs and Their Relation to Chronic Pain Adjustment

Tan, Gabriel; Teo, Irene; Anderson, Karen O.; Jensen, Mark P.

doi:10.1097/ajp.0b013e31821d8f5a

Cited by 63 publications

(62 citation statements)

References 38 publications

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“…38 Furthermore, patients with CP with active coping strategies experience lower pain intensity than patients with CP with maladaptive coping strategies. 39 In contrast to our expectations, resilience and coping resources have no predictive value for pain generalization. Ramírez-Maestre et al did a parsimonious model of the relationship between the parameter resilience, acceptance, active coping, pain intensity, functional status, functional impairment, anxiety, and depression.…”

Section: Discussioncontrasting

confidence: 42%

Even Worse — Risk Factors and Protective Factors for Transition from Chronic Localized Low Back Pain to Chronic Widespread Pain in General Practice

Viniol

Jegan

Brügger

et al. 2015

Spine

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STUDY DESIGN: Prospective cohort study with patients with chronic low back pain (CLBP) at primary care setting. OBJECTIVE: The aim of our study was to identify predictors for transition from localized CLBP to chronic widespread pain in general practice. In contrast to the typically investigated risk factors, this study also focuses intensively on protective factors, which decrease the probability of chronic widespread pain. For this, we investigated the resources resilience and coping strategies, which are suspected as potential protective factors for incident chronic pain syndromes. SUMMARY OF BACKGROUND DATA: In primary care, about a quarter of patients with CLBP experience chronic widespread pain (CWP). METHODS: Patients experiencing localized CLBP were included and evaluated after a 6-and 12-month follow-up period regarding the development of CWP. Potential risk factors (sociodemographic data, pain characteristics, depression, anxiety, somatization), protective factors (resilience, coping strategies), and sample characteristics were assessed at baseline. Predictor identification was done by multivariate logistic regression analysis. RESULTS: The 1-year incidence for the onset of CWP among patients with CLBP was 23.8%. We identified the 3 risk factors, female sex, long duration of back pain, and a high rate of psychosomatic symptoms, for the onset of CWP among patients with CLBP. Coping resources and resilience had no impact on the transition from CLBP to CWP. CONCLUSION: The results suggest that CWP is no independent entity but rather a particularly negative occurrence on a continuum of chronic pain. Processes of somatization play a major role in the development of this extreme. LEVEL OF EVIDENCE: 2. Originally published at: Viniol, Annika; Jegan, Nikita; Brugger, Markus; Leonhardt, Corinna; Barth, Jürgen; Baum, Erika; Becker, Annette; Strauch, Konstantin (2015). Even worse -risk factors and protective factors for transition from chronic localized low back pain to chronic widespread pain in general practice. Spine, 40(15):E890-E899.

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Section: Discussioncontrasting

confidence: 42%

Even Worse — Risk Factors and Protective Factors for Transition from Chronic Localized Low Back Pain to Chronic Widespread Pain in General Practice

Viniol

Jegan

Brügger

et al. 2015

Spine

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“…This study expands upon previous work in pain-PTSD comorbidity by considering pain-related cognitive patterns; although cognition has been shown to be relevant to chronic pain [49][50], this has not been fully examined in the context of PTSD comorbidity. Specifically, pain catastrophizing, self-efficacy, and centrality were examined.…”

Section: Outcalt Et Al Veterans With Comorbid Chronic Pain and Ptsdmentioning

confidence: 81%

Pain experience of Iraq and Afghanistan Veterans with comorbid chronic pain and posttraumatic stress

Outcalt

Ang

et al. 2014

J Rehabil Res Dev

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Abstract-Chronic pain and posttraumatic stress disorder (PTSD) co-occur at high rates, and Veterans from recent wars in Iraq and Afghanistan may be particularly vulnerable to both conditions. The objective of this study was to identify key aspects of chronic pain, cognitions, and psychological distress associated with comorbid PTSD among this sample of Veterans. Baseline data were analyzed from a randomized controlled trial testing a stepped-care intervention for chronic musculoskeletal pain. Operation Iraqi Freedom/Operation Enduring Freedom (OIF/OEF) Veterans with chronic pain only (n = 173) were compared with those with chronic pain and clinically significant posttraumatic stress symptoms (n = 68). Group differences on pain characteristics, pain cognitions, and psychological distress were evaluated. Results demonstrated that OIF/OEF Veterans with comorbid chronic musculoskeletal pain and PTSD experienced higher pain severity, greater painrelated disability and increased pain interference, more maladaptive pain cognitions (e.g., catastrophizing, self-efficacy, pain centrality), and higher affective distress than those with chronic pain alone. Veterans of recent military conflicts in Iraq and Afghanistan may be particularly vulnerable to the compounded adverse effects of chronic pain and PTSD. These results highlight a more intense and disabling pain and psychological experience for those with chronic pain and PTSD than for those without PTSD. Clinical

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“…Their research has generally supported the conclusion that passive coping is associated with poor outcomes. [83][84][85][86] It is plausible to anticipate that a patient's beliefs are related to his coping strategies. Thus, for example, one would expect a patient with catastrophic beliefs about the significance of his condition to avoid physical activity, whereas one who perceives himself Psychological Perspectives on Chronic Pain as able to control his pain would be more likely to engage in physical activity.…”

Section: The Psychological Perspectivementioning

confidence: 99%

Psychiatric and Psychological Perspectives on Chronic Pain

Howe

Robinson

Sullivan

2015

Physical Medicine and Rehabilitation Clinics of North America

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Adaptive Versus Maladaptive Coping and Beliefs and Their Relation to Chronic Pain Adjustment

Cited by 63 publications

References 38 publications

Even Worse — Risk Factors and Protective Factors for Transition from Chronic Localized Low Back Pain to Chronic Widespread Pain in General Practice

Even Worse — Risk Factors and Protective Factors for Transition from Chronic Localized Low Back Pain to Chronic Widespread Pain in General Practice

Pain experience of Iraq and Afghanistan Veterans with comorbid chronic pain and posttraumatic stress

Psychiatric and Psychological Perspectives on Chronic Pain

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