Pain-Related Attitudes and Functioning in Elderly Primary Care Patients

Miró, Jordi; Queral, Rosa; Nolla, M.

doi:10.1017/sjp.2014.103

Cited by 6 publications

(5 citation statements)

References 24 publications

(18 reference statements)

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“…These variables were harm, emotion, request, guarding, and task persistence. Consistent with the evidence from the literature on different pain populations [ 66 – 68 ], all these coping and beliefs variables were negatively related to functioning and emotional adjustment, with the exception of task persistence, in the sense that they were more present in cluster 1 (associated with worse mental health) compared to the high-functioning group (cluster 2). Overall, this finding supports past research in chronic pain populations showing that psychological mechanisms correlate with each other and have important commonalities [ 40 ], which means that only subsets of psychological variables are likely to contribute unique variance to the prediction of outcomes.…”

Section: Discussionsupporting

confidence: 85%

Coping and Beliefs as Predictors of Functioning and Psychological Adjustment in Fibromyalgia Subgroups

Fidel

García‐Palacios

Herrero

et al. 2022

Pain Research and Management

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Objectives. Research has pointed to two profiles of persons with fibromyalgia according to differences in functionality, thus distinguishing between functional and dysfunctional patients. The role of psychological factors underlying such clusters is unclear. This study aims to explore the contribution of pain beliefs and coping on fibromyalgia clustering. Methods. A cluster analysis was performed to classify 238 women with fibromyalgia using the Fibromyalgia Impact Questionnaire and the Beck Depression Inventory as clustering variables. Cluster differences in physical functioning, depression, pain beliefs, coping, and age were then calculated (Student’s t-test). Finally, a binary logistic regression was conducted to study the unique contribution of age, beliefs, and coping on cluster classification. Results. Two clusters were revealed. Cluster 1 had a poor adaptation to fibromyalgia regarding physical functioning and depression. They generally embraced less adaptive beliefs (i.e., disability, harm, emotion, and requests) and coping strategies (i.e., guarding, resting, and asking for assistance). Cluster 2 showed a better adaptation to fibromyalgia and adopted more favorable beliefs (i.e., control) and coping strategies (i.e., exercise and task persistence). Cluster differences in age were significant but small. The backward binary logistic regression suggested a final model with six predictors (guarding, task persistence, harm, emotion, solicitude, and age) that explained 31% of the variance of group membership. Discussion. These results suggest that only a subset of psychological variables uniquely and independently contribute to functional/dysfunctional group membership. The results support the need to address psychological components in the management of fibromyalgia and point to a subset of preferred target beliefs and coping strategies.

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Section: Discussionsupporting

confidence: 85%

Coping and Beliefs as Predictors of Functioning and Psychological Adjustment in Fibromyalgia Subgroups

Fidel

García‐Palacios

Herrero

et al. 2022

Pain Research and Management

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“…Data supporting this hypothesis come from a variety of sources, including a Spanish study which evaluated older adults with chronic pain and assessed for associations between specific pain attitudes and the degree of pain-related interference with everyday life. 13 Participants who strongly endorsed the belief that pain is a signal that damage is occurring were much more likely to report that physical activity should be avoided. In a study of nonelderly adults with chronic pain, researchers evaluated the relationship between specific pain beliefs and medication adherence behaviors.…”

Section: Pain Attitudes and Beliefsmentioning

confidence: 99%

Expanding Targets for Intervention in Later Life Pain

Reid

2016

Clinics in Geriatric Medicine

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“…Research has shown that psycholosocial factors have a significant role in the adjustment to and coping with chronic pain. For example, there is mounting evidence showing that cognitive factors such as catastrophic thinking [ 9 ] and patients’ attitudes and beliefs towards pain are key to understand the severity and interference of chronic pain [ 10 ]. Most of this research has been conducted in individuals with chronic back pain in hospitals or occupational settings [ 11 , 12 ].…”

Section: Introductionmentioning

confidence: 99%

Short and long-term predictors of pain severity and interference in primary care patients with chronic musculoskeletal pain and depression

Rambla

Aragonès

Pallejà-Millán

et al. 2023

BMC Musculoskelet Disord

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Background Chronic pain and depression are frequent comorbidities in primary care. Depression among other psychosocial factors play a role in the clinical course of chronic pain. Objective To study the short and long-term predictive factors of severity and interference of chronic pain in primary care patients with chronic musculoskeletal pain and major depression. Methods Longitudinal study of a cohort of 317 patients. The outcomes are severity and functional interference of pain (Brief Pain Inventory) measured at 3 and 12 months. We performed multivariate linear regression models to estimate the effects the explanatory baseline variables on the outcomes. Results 83% participants were women; average age was 60.3 years (SD = 10.2). In multivariate models, baseline pain severity predicted pain severity at 3 months (β = 0.53; 95% CI = 0.37–0.68) and at 12 months (β = 0.48; 95% CI = 0.29–0.67). Also, pain > 2 years of evolution predicted long term pain severity (β = 0.91; CI95%=0.11–1.71). Baseline pain interference predicted interference at 3 and 12 months (β = 0.27; 95%CI = 0.11–0.43 and β = 0.21; 95%CI = 0.03–0.40, respectively). Baseline pain severity predicted interference at 3 and 12 months (β = 0.26; 95%CI = 0.10–0.42 and β = 0.20; 95%CI = 0.02–0.39, respectively). Pain > 2 years predicted greater severity and greater interference at 12 months (β = 0.91; CI95%=0.11–1.71, and β = 1.23; CI95%=0.41–2.04). Depression severity predicted more interference at 12 months (β = 0.58; CI95%=0.04–1.11). Occupational status as active worker predicted less interference throughout the follow-up (β=-0.74; CI95%=-1.36 to -0.13 and β=-0.96; CI95%=-1.71 to -0.21, at 3 and 12 months). Currently working also predicts less pain severity at 12 months (β=-0.77; CI95%=1.52 − 0.02). With regard to the psychological variables, pain catastrophizing predicted pain severity and interference at three months (β = 0.03; 95% CI = 0.00-0.05 and β = 0.03; 95% CI = 0.00-0.05), but not at long term. Conclusion In a sample of adults with chronic pain and depression, this primary care study has identified prognostic factors that independently predict the severity and functional interference of pain. If confirmed in new studies, these factors should be targeted for individualized interventions. Trial registration ClinicalTrials.gov (NCT02605278), registered 16/11/2015.

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Pain-Related Attitudes and Functioning in Elderly Primary Care Patients

Cited by 6 publications

References 24 publications

Coping and Beliefs as Predictors of Functioning and Psychological Adjustment in Fibromyalgia Subgroups

Coping and Beliefs as Predictors of Functioning and Psychological Adjustment in Fibromyalgia Subgroups

Expanding Targets for Intervention in Later Life Pain

Short and long-term predictors of pain severity and interference in primary care patients with chronic musculoskeletal pain and depression

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