Chronic pain patient-spouse behavioral interactions predict patient disability

Romano, Joan M.; Turner, Judith A.; Jensen, Mark P.; Friedman, Larry S.; Bulcroft, Richard; Hops, Hyman; Wright, Steven F.

doi:10.1016/0304-3959(95)00062-3

Cited by 230 publications

(150 citation statements)

References 32 publications

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“…45 However, many other studies that assessed both variables did not report these correlations. 25,58,64,69,[71][72][73]77,85,86,96,100 Although it is unclear, it is likely that these researchers did not report the correlations because they were weak or not significant. Perceived spousal support is another marital variable that has been of particular interest to rheumatoid arthritis (RA) researchers.…”

Section: Pain Severitymentioning

confidence: 99%

Chronic Pain in a Couples Context: A Review and Integration of Theoretical Models and Empirical Evidence

Leonard

Caño

Johansen

2006

The Journal of Pain

221

198

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Researchers have become increasingly interested in the social context of chronic pain conditions. The purpose of this article is to provide an integrated review of the evidence linking marital functioning with chronic pain outcomes including pain severity, physical disability, pain behaviors, and psychological distress. We first present an overview of existing models that identify an association between marital functioning and pain variables. We then review the empirical evidence for a relationship between pain variables and several marital functioning variables including marital satisfaction, spousal support, spouse responses to pain, and marital interaction. On the basis of the evidence, we present a working model of marital and pain variables, identify gaps in the literature, and offer recommendations for research and clinical work.Perspective-The authors provide a comprehensive review of the relationships between marital functioning and chronic pain variables to advance future research and help treatment providers understand marital processes in chronic pain.

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Section: Pain Severitymentioning

confidence: 99%

Chronic Pain in a Couples Context: A Review and Integration of Theoretical Models and Empirical Evidence

Leonard

Caño

Johansen

2006

The Journal of Pain

221

198

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“…Evidence from the chronic pain literature (e.g., Cano, Johansen, Leonard, & Hanawalt, 2005;Romano et al, 1995) and more recently, the PVD area (Desrosiers et al, 2008;Rosen et al, 2010), demonstrates that partners may reinforce and perpetuate a persons' pain experience.…”

Section: Introductionmentioning

confidence: 99%

“…Specifically, greater partner solicitous and negative responses are associated with greater pain, disability, and psychosocial problems (Boothby, Thorn, Overduin, & Ward, 2004;Cano, Gillis, Heinz, Geisser, & Foran, 2004;Kerns, Haythornthwaite, Southwick, & Giller, 1990;Waltz, Kriegel, & van't Pad Bosh, 1998). Partner responses may reinforce a person's avoidance of painful activities, encourage passivity, and increase the likelihood that they will behave similarly in the future (Flor et al, 1995;Romano et al, 1995).…”

Section: Introductionmentioning

confidence: 99%

Provoked Vestibulodynia: Mediators of the Associations Between Partner Responses, Pain, and Sexual Satisfaction

et al. 2012

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Provoked vestibulodynia (PVD) is a chronic, recurrent vulvo-vaginal pain condition affecting 12% of the general population, and is associated with sexual dysfunction, psychological distress, and reduced quality of life. There is growing interest in the role of interpersonal variables in PVD, which have been widely neglected. In a sample of 175 couples, the present study examined the mediating roles of partner and participant catastrophizing and self-efficacy in the association between solicitous partner responses and pain intensity, and that of dyadic adjustment in the association between solicitous and negative partner responses and sexual satisfaction. Couples completed measures of partner responses, catastrophizing, self-efficacy, dyadic adjustment, and depression. Women also completed measures of pain, sexual satisfaction, and sexual function. Controlling for depression and solicitousness perceived by the other member of the couple, catastrophizing and self-efficacy partially mediated the association between higher solicitous responses and higher pain during intercourse, accounting for 26% and 25% of the variance in this association for woman and partner-perceived responses, respectively.For both women and partners, only pain catastrophizing was a unique mediator. Controlling for depression, sexual function and partner-perceived responses, dyadic adjustment partially mediated the association between higher participant-perceived solicitous responses and higher sexual satisfaction, and between higher participant-perceived negative responses and lower sexual satisfaction, accounting for 26% of the variance in each association. The current findings suggest that catastrophizing and dyadic adjustment may constitute a route by which partner responses exacerbate pain and increase or decrease sexual satisfaction in PVD couples.

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“…Foremost among these is the influence of solicitous spouses (or par tners) on the pain repor ted or felt by the patient. Studies demonstrated that the greater the solicitousness (dedication, gentleness, detailed care) of the par tners of patients with chronic low back pain, the greater the intensity of the pain they perceived and the greater the degree of incapacity they repor ted, irrespective of other factors [48][49][50][51] . It should be pointed out that this factor is actually par t of the secondar y rewards, bearing in mind that the greater the pain or incapacity repor ted, the greater the patient's appeal for solicitousness, sympathy and attention from their par tners or spouses.…”

Section: Etiology and Risk Factorsmentioning

confidence: 99%

Lombalgia ocupacional

Helfenstein¹,

Goldenfum²,

Siena³

2010

Rev. Assoc. Med. Bras.

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Occupational low back pain has multifactorial etiology and elevated incidence and prevalence. It is characterized by pain of varying intensity and duration and can lead to work incapacity and invalidity. Low back pain causes workers to suffer and increases the costs of employers and of social security and healthcare systems. The relevance of this subject led this paper's authors to undertake a bibliographic review with emphasis on the theoretical and conceptual background and on the experience of specialists.

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Chronic pain patient-spouse behavioral interactions predict patient disability

Cited by 230 publications

References 32 publications

Chronic Pain in a Couples Context: A Review and Integration of Theoretical Models and Empirical Evidence

Chronic Pain in a Couples Context: A Review and Integration of Theoretical Models and Empirical Evidence

Provoked Vestibulodynia: Mediators of the Associations Between Partner Responses, Pain, and Sexual Satisfaction

Lombalgia ocupacional

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