Anger arousal and behavioral anger regulation in everyday life among people with chronic low back pain: Relationships with spouse responses and negative affect.

Burns, John W.; Gerhart, James; Bruehl, Stephen; Post, Kristina M.; Smith, David A.; Porter, Laura S.; Schuster, Erich; Buvanendran, Asokumar; Fras, Anne Marie; Keefe, Francis J.

doi:10.1037/hea0000221

Cited by 20 publications

(19 citation statements)

References 37 publications

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“…The diary method for examining anger expression was also employed for examining both patients’ and their spouses’ perceived criticism, hostility, and negative affect. This interpersonal study revealed that the gender of the patient is an important predictor of perceived criticism, hostility, and negative affect reported by both patient and spouse, such that for male patients, expressing anger elicits more negative reactions from the spouse [91]. Secondly, the study reported that, congruently with other studies, greater anger expression and inhibition are related to patient- and spouse-reported pain and pain interference of the patients [92].…”

Section: Resultssupporting

confidence: 52%

Emotion regulation in patients with somatic symptom and related disorders: A systematic review

et al. 2019

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Background Somatic symptoms and related disorders (SSD) are prevalent phenomena in the health-care system. Disturbances in emotion regulation (ER) are commonly observed in patients suffering from SSD. Objectives This review aimed to examine ER processes that characterize SSD by a systematic analysis of the available empirical studies. Data sources PsycINFO and PubMed databases for the articles published between January 1985 and June 2018. Search terms “emotion/al regulation” or “affect regulation” and various forms of SSD. Study eligibility criteria Empirical studies that a) assigned adolescent or adult patients suffering from SSD based on a clinical diagnosis, and b) examined the relationship between ER and SSD, were included. Study synthesis methods A tabular summary of the articles was generated according to study characteristics, study quality, variables, and findings. The findings were organized based on ER variables used in the articles and diagnoses of SSD, which were then re-organized under the main constituents of ER (attention, body, and knowledge). Results The findings of the 64 articles largely supported the association between SSD and disturbances in ER, which are usually shared by different diagnoses of SSD. The results indicate that patients show a reduced engagement with cognitive content of emotions. On the other hand, bodily constituents of ER seem to depict an over-reactive pattern. Similarly, the patients tend to encounter difficulties in flexibly disengaging their (spontaneous) attention from emotional material. Limitations There is a scarcity of longitudinal designs, randomized controlled trials, experiments, and diary studies suited to investigate the short- and long-term causal relationship between ER and SSD. Symptoms of SSD and measures to assess emotion regulation are heterogeneous. Conclusions and implications Assessment of ER processes is potentially useful to understand SSD and for treatment planning. Furthermore, a concurrent investigation of the dynamic interaction of the ER modalities promises insights for better understanding of the role of ER in development, course, and maintenance of SSD.

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Section: Resultssupporting

confidence: 52%

Emotion regulation in patients with somatic symptom and related disorders: A systematic review

et al. 2019

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“…30;36;136 Studies across painful conditions illustrate the important role of significant others. For example, among couples, high levels of spousal depressive symptoms predict worsening patient disability and disease activity in patients with rheumatoid arthritis over a 1-year period.…”

Section: Psychosocial Factors Influencing Pain-related Outcomesmentioning

confidence: 99%

The Role of Psychosocial Processes in the Development and Maintenance of Chronic Pain

Edwards

Dworkin

Sullivan

et al. 2016

The Journal of Pain

656

544

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The recently-proposed ACTTION-APS Pain Taxonomy provides an evidence-based, multidimensional, chronic pain classification system. Psychosocial factors play a crucial role within several dimensions of the Taxonomy. In this paper, we discuss the evaluation of psychosocial factors that influence the diagnosis and trajectory of chronic pain disorders. We review studies in individuals with a variety of persistent pain conditions, and describe evidence that psychosocial variables play key roles in conferring risk for the development of pain, in shaping long-term pain-related adjustment, and in modulating pain treatment outcomes. We consider both “general” psychosocial variables such as negative affect, childhood trauma, and social support, as well as “pain-specific” psychosocial variables that include pain-related catastrophizing, self-efficacy for managing pain, and pain-related coping. Collectively, the complexity and profound variability in chronic pain highlights the need to better understand the multidimensional array of interacting forces that determine the trajectory of chronic pain conditions.

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“…It may adversely affect relationships with friends, family, and health care providers [21,44,48,49]. Lagged analyses confirmed that anger predicts negative social interactions [20]. Findings from questionnaire [22], laboratory-based, experimental [10, 24,81], and studies utilizing momentary pain assessment [14,19,117] suggest that anger intensity and regulation may have detrimental effects on pain and function.…”

Section: Introductionmentioning

confidence: 96%

“…Patients with chronic pain report more frequent and more intense anger compared to healthy individuals [42,74,85,109]. Anger arousal is bidirectionally associated with pain, function, and treatment outcomes [20,42,[47][48][49]121]. It may adversely affect relationships with friends, family, and health care providers [21,44,48,49].…”

Section: Introductionmentioning

confidence: 99%

Measuring anger in patients experiencing chronic pain - A systematic review

Sommer

Lukic

Rössler

et al. 2019

Journal of Psychosomatic Research

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Anger is prevalent in chronic pain and has been associated with pain perception, disability, behavior and treatment outcome. Objectives were (1) to survey in the context of chronic pain the application (and omission) of validated anger self-report instruments, (2) to discuss the instruments found in the context of emotion theories and (3) to identify a possible instrument preference. A systematic search of textbooks and review articles was first performed on validated instruments designed to measure the cognitive, the motivational and the subjective feeling component of anger. Thereafter, a systematic review aimed at finding chronic pain studies from 2005 to 2019 reporting on these instruments. Textbooks and reviews listed 16 validated self-report anger measurement instruments. 28 papers applying four of these were identified and two new instruments were additionally detected. The State-Trait Anger Expression (STAXI) and its precursors were most commonly used. Studies on chronic low back pain patients prevailed. In conclusion, anger in chronic pain patients is reliably measurable at low cost with self-report tools. The STAXI-II qualifies best for this purpose based on its extensive validation history. The majority of instruments lack sufficient theoretical and psychometric adequacy. A more detailed exploration of the cognitive anger component in chronic pain patients in future research is recommended.

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Anger arousal and behavioral anger regulation in everyday life among people with chronic low back pain: Relationships with spouse responses and negative affect.

Cited by 20 publications

References 37 publications

Emotion regulation in patients with somatic symptom and related disorders: A systematic review

Emotion regulation in patients with somatic symptom and related disorders: A systematic review

The Role of Psychosocial Processes in the Development and Maintenance of Chronic Pain

Measuring anger in patients experiencing chronic pain - A systematic review

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