The interpersonal function of pain

Vervoort, Tine; Trost, Zina

doi:10.1097/j.pain.0000000000000438

Cited by 6 publications

(1 citation statement)

References 13 publications

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“…Perceived demands were also the only determinant of physical activity. The findings of this study are also partially in line with theory and past research asserting that people with chronic pain experience self-regulatory fatigue which negatively impacts self-regulatory performance by increasing motivation to conserve resources ( Solberg Nes et al, 2010 , 2011 ; Eisenlohr-Moul et al, 2013 ; Vervoort and Trost, 2016 ; Rost et al, 2017 ). In turn, motivation to conserve resources was related to sedentary time.…”

Section: Discussionsupporting

confidence: 89%

Self-Regulatory Processes, Motivation to Conserve Resources and Activity Levels in People With Chronic Pain: A Series of Digital N-of-1 Observational Studies

McMillan

Dixon

2020

Front. Psychol.

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Objectives: Motivational and self-regulatory processes during goal pursuit may account for activity patterns in people with chronic pain. This article describes a series of N-of-1 observational studies designed to investigate the influence of goal-related factors on fluctuations in motivation to conserve resources and objectively measured activity levels. Methods: Four participants with chronic pain who attended a formal pain management program (PMP; 41-59 years old; three female) were recruited and completed digital daily diaries for 11-12 weeks. The daily dairies, delivered via text message, measured self-regulatory fatigue, goal self-efficacy, goal striving, perceived demands, pain, and motivation to conserve resources. Continuously worn accelerometers measured physical activity and sedentary time. Analyses were conducted individually for each participant. The effects of self-regulatory fatigue, goal self-efficacy, goal striving, perceived demands, and pain on motivation to conserve resources, physical activity and sedentary time were assessed with dynamic regression modeling. Results: Different patterns of associations between the predictors and outcomes were observed across participants. Most associations occurred concurrently (e.g., on the same day). Perceived demand was the only variable to predict motivation to conserve resources, physical activity, and sedentary time. Motivation to conserve resources and sedentary time were most frequently predicted by goal striving and perceived demand. Self-regulatory fatigue and pain intensity both predicted motivation to conserve resources in two participants and sedentary time in one participant. Motivation to conserve resources predicted sedentary time in two participants. Conclusion: This study was the first to examine the impact of fluctuations in selfregulatory processes on motivation to conserve resources and objective activity levels within individuals with chronic pain. The results generally supported recent affectivemotivational views of goal pursuit in chronic pain. This study demonstrated that N-of-1 observational studies can be conducted with patients during a PMP using digital technologies. The use of these approaches may facilitate the application of personalized medicine.

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