Psychosocial factors influencing personal control in pain relief

McCrea, Hally; Wright, Marion E.; Stringer, Maurice

doi:10.1016/s0020-7489(00)00029-8

Cited by 34 publications

(26 citation statements)

References 44 publications

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“…Perhaps more intense pain reduces patients’ belief that they are able to control their response to pain and, instead, increases their belief that doctors (powerful others) are better able to control pain. If so, our results may be in line those authors who suggest that the amount of pain experienced may determine the method of pain relief that patients use, e.g., using either their own coping resources or seeking assistance from doctors (Andersson et al, 1999; McCrae et al, 2000). …”

Section: Discussionsupporting

confidence: 91%

“…Intensity of pain could affect the extent to which women are able to draw on their own coping resources. Women who experience more intense pain may require consultation with a doctor and pain medication (McCrea, Wright, & Stringer, 2000). Frequency of use of health services may depend on the severity of the pain (Verhaak et al, 2000).…”

Section: Beliefs About Pain Controlmentioning

confidence: 99%

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Temperament, Beliefs About Pain Control, and Pain Intensity in Endometriosis Patients

Bylinka

Oniszczenko

2016

J Clin Psychol Med Settings

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This correlational study investigated the relationships between temperament, beliefs about pain control, and pain intensity ratings in a group of 103 women diagnosed with endometriosis. Temperament traits were assessed using the Formal Characteristics of Behaviour-Temperament Inventory. Beliefs about pain control were measured using the Polish version of the Beliefs about Pain Control Questionnaire. The Numerical Rating Scale (NRS-11) was used to measure pain intensity. There was a high negative correlation between the temperament trait of endurance and pain intensity ratings. Moderate negative correlations with pain intensity were found for internal beliefs about pain control. Hierarchical multiple regression analysis indicated that the endurance trait and internal beliefs about pain control accounted for 33 % of the variance in pain intensity ratings in women with endometriosis.

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Section: Discussionsupporting

confidence: 91%

Section: Beliefs About Pain Controlmentioning

confidence: 99%

Temperament, Beliefs About Pain Control, and Pain Intensity in Endometriosis Patients

Bylinka

Oniszczenko

2016

J Clin Psychol Med Settings

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“…Only a few investigations have been done with regard to personal control in pain relief. In addition to the psycho-social determinants of personal control in pain relief [42], its impact on satisfaction with pain relief during labour has been investigated [4]. However, our research question--is personal control in pain relief associated with pain medication use during childbirth--has not yet been addressed.…”

Section: Introductionmentioning

confidence: 99%

“…Consequently, we tend to believe that Belgian and Dutch women are socialised in different pain cultures as part of the dominant models of maternity care. In the women-centred approach, conform the mastery model [60] pain acceptance and personal control are believed to be valuable coping strategies [42]. Pain is perceived as an ally in the birth process.…”

Section: Introductionmentioning

confidence: 99%

Pain acceptance and personal control in pain relief in two maternity care models: a cross-national comparison of Belgium and the Netherlands

Christiaens

Verhaeghe

Bracke

2010

BMC Health Serv Res

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BackgroundA cross-national comparison of Belgian and Dutch childbearing women allows us to gain insight into the relative importance of pain acceptance and personal control in pain relief in 2 maternity care models. Although Belgium and the Netherlands are neighbouring countries sharing the same language, political system and geography, they are characterised by a different organisation of health care, particularly in maternity care. In Belgium the medical risks of childbirth are emphasised but neutralised by a strong belief in the merits of the medical model. Labour pain is perceived as a needless inconvenience easily resolved by means of pain medication. In the Netherlands the midwifery model of care defines childbirth as a normal physiological process and family event. Labour pain is perceived as an ally in the birth process.MethodsWomen were invited to participate in the study by independent midwives and obstetricians during antenatal visits in 2004-2005. Two questionnaires were filled out by 611 women, one at 30 weeks of pregnancy and one within the first 2 weeks after childbirth either at home or in a hospital. However, only women having a hospital birth without obstetric intervention (N = 327) were included in this analysis. A logistic regression analysis has been performed.ResultsLabour pain acceptance and personal control in pain relief render pain medication use during labour less likely, especially if they occur together. Apart from this general result, we also find large country differences. Dutch women with a normal hospital birth are six times less likely to use pain medication during labour, compared to their Belgian counterparts. This country difference cannot be explained by labour pain acceptance, since - in contrast to our working hypothesis - Dutch and Belgian women giving birth in a hospital setting are characterised by a similar labour pain acceptance. Our findings suggest that personal control in pain relief can partially explain the country differences in coping with labour pain. For Dutch women we find that the use of pain medication is lowest if women experience control over the reception of pain medication and have a positive attitude towards labour pain. In Belgium however, not personal control over the use of pain relief predicts the use of pain medication, but negative attitudes towards labour.ConclusionsApart from individual level determinants, such as length of labour or pain acceptance, our findings suggest that the maternity care context is of major importance in the study of the management of labour pain. The pain medication use in Belgian hospital maternity care is high and is very sensitive to negative attitudes towards labour pain. In the Netherlands, on the contrary, pain medication use is already low. This can partially be explained by a low degree of personal control in pain relief, especially when co-occurring with positive pain attitudes.

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“…Multigravidas usually have more realistic expectations of labor pain and feel more confident about coping with pain (McCrea, Wright, & Stringer, 2000).…”

Section: Fear Of Loss Of Self-esteem In Labormentioning

confidence: 99%