Sequential analysis of chronic pain behaviors and spouse responses.

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

doi:10.1037/0022-006x.60.5.777

Cited by 156 publications

(104 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Alternatively, consistent relationships may be found only for behavioral or operant constructs that measure specific aspects of marital functioning and pain. For instance, research has demonstrated a link between stressful marital interactions or spouse reinforcement and patient pain behaviors or disability (Romano et al, 1992(Romano et al, , 1995Schwartz et al, 1994). Continued research on how chronic pain affects relationships and vice versa is an important element of developing a comprehensive perspective of the social context of pain and psychological distress.…”

Section: Discussionmentioning

confidence: 99%

Marital functioning, chronic pain, and psychological distress

Caño

Gillis

Heinz

et al. 2004

Pain

117

View full text Add to dashboard Cite

This study examined whether marital functioning variables related uniquely to psychological distress and diagnoses of depressive disorder independent of pain severity and physical disability. Participants were 110 chronic musculoskeletal pain patients. Hierarchical regression results showed that marital variables (i.e. marital satisfaction, negative spouse responses to pain) contributed significantly to depressive and anxiety symptoms over and above the effects of pain severity and physical disability. In contrast, marital variables were not significantly related to diagnoses of depressive disorder (i.e. major depression, dysthymia, or both) after controlling for pain variables. In multivariate analyses, physical disability and marital satisfaction were uniquely related to depressive symptoms whereas physical disability, pain severity, and negative spouse responses to pain were uniquely related to anxiety symptoms. Only physical disability was uniquely related to major depression. The results suggest that models of psychological distress in chronic pain patients might be enhanced by attributing greater importance to interpersonal functioning and increasing attention to anxiety.

show abstract

Section: Discussionmentioning

confidence: 99%

Marital functioning, chronic pain, and psychological distress

Caño

Gillis

Heinz

et al. 2004

Pain

117

View full text Add to dashboard Cite

show abstract

“…One study found that observed negative spouse responses lead to decreases in ICP nonverbal pain behavior more frequently in pain clinic ICPs than in control participants. 70 The emerging evidence suggests that marital dissatisfaction is correlated negatively with pain behaviors (Table 3). Perhaps pain behavior functions as an escape from aversive interactions with one's spouse.…”

Section: Pain Behaviorsmentioning

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

View full text Add to dashboard Cite

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.

show abstract

“…Additionally, supportive responses of the partner or caregiver are related to the functional (dis)ability of the patient (19,20). Higher levels of disability tend to be related to increased partner supportive behaviors (21,22).…”

Section: Introductionmentioning

confidence: 99%

Illness uncertainty, partner caregiver burden and support, and relationship satisfaction in fibromyalgia and osteoarthritis patients

Reich

Olmsted

Puymbroeck

2006

Arthritis & Rheumatism

View full text Add to dashboard Cite

Objective. Fibromyalgia syndrome (FMS) is characterized by uncertainty in diagnosis, treatment, and outcome. This study assessed the role of uncertainty of illness in relationship satisfaction in patients with FMS and osteoarthritis (OA). Methods. A total of 51 patients with FMS responded to self-report instruments assessing their uncertainty about their illness, functional ability, average pain, and relationship satisfaction. Their partners independently reported on their sense of caregiver burden and their supportiveness toward the patients. Thirty-two patients with OA and their partners served as a control group. Results. Patients' functional ability and pain were related to partner caregiver burden. Partner caregiver burden was related to lower levels of partner supportiveness for the FMS dyads, but not for the OA dyads. Relationship satisfaction of patients with FMS was related to their higher levels of uncertainty of illness in interaction with their functional disability and pain and their partners' supportiveness. Under high levels of uncertainty of illness, low levels of partner supportiveness were related to lower patient relationship satisfaction, whereas low levels of uncertainty of illness were significant interacting variables in the OA sample. Conclusion. The results suggest that uncertainty of illness is a prominent feature affecting patients with FMS in their relationships with their partners. Suggestions for additional research to explore the role of uncertainty of illness in social relationships are presented, and the therapeutic implications for patient/partner relationships are explored.

show abstract

Sequential analysis of chronic pain behaviors and spouse responses.

Cited by 156 publications

References 15 publications

Marital functioning, chronic pain, and psychological distress

Marital functioning, chronic pain, and psychological distress

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

Illness uncertainty, partner caregiver burden and support, and relationship satisfaction in fibromyalgia and osteoarthritis patients

Contact Info

Product

Resources

About