Coping Styles, Pain Expressiveness, and Implicit Theories of Chronic Pain

Higgins, Nancy; Bailey, S. J.; LaChapelle, Diane L.; Harman, Katherine; Hadjistavropoulos, Thomas

doi:10.1080/00223980.2014.977759

Cited by 37 publications

(22 citation statements)

References 55 publications

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“…Furthermore, other factors than those related to the disease itself may contribute differently to the explanation of the three scores and thereby to their discordance. Cognitive, behavioral, personal, and social factors, for example, may be important for the experience of RA fatigue and pain [16,20,[36][37][38]. Sex had only minimal influence on the discordance between the scores.…”

Section: Discussionmentioning

confidence: 83%

Interplay between patient global assessment, pain, and fatigue and influence of other clinical disease activity measures in patients with active rheumatoid arthritis

Egsmose

Madsen

2015

Clin Rheumatol

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The interplay between patient-reported outcome measures in rheumatology is not well clarified. The objective of the study was to examine associations on the group level and concordance on the individual patient level between patient global assessment (PaGl), pain, and fatigue as scored on visual analog scales (VAS) in the daily clinic by patients with active rheumatoid arthritis (RA). Associations with other measures of disease activity were also examined. Traditional disease activity data on 221 RA patients with active disease planned to initiate biological treatment were extracted from the Danish DANBIO registry. Associations between VAS PaGl, pain, and fatigue (0-100) were examined using multiple regression analysis. Concordance between the VAS scores was expressed as the bias (mean difference between intra-individual scores) and the 95% lower and upper limits of agreement (LLoA; ULoA) according to the Bland-Altman method. Mean age was 57 ± 14 years, mean Disease Activity Score (DAS28-CRP4) 5.0 ± 0.9, and mean PaGl 63.6 ± 22.6. PaGl was most strongly predicted by pain and fatigue, pain by PaGl and fatigue, and fatigue by PaGl and pain (beta ranging from 0.17 to 0.69, p < 0.01-0.0001). More objective measures were not or far less predictive. LLoA;ULoA [bias] for PaGl vs. pain was -19.1; 29.5 [5.2], for PaGl vs. fatigue -22.8; 28.6 [2.9], and for fatigue vs. pain -29.2; 33.8 [2.3]. In conclusion, PaGl, pain, and fatigue were most strongly explained by each other, not by more objective clinical measures of disease activity and were nearly identical on the group level. On the individual patient level, however, differences between the scores varied considerably. The findings highlight the challenge of understanding and dealing with traditional patient-reported VAS measures when it comes to individual RA patients in the daily clinic.

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Section: Discussionmentioning

confidence: 83%

Interplay between patient global assessment, pain, and fatigue and influence of other clinical disease activity measures in patients with active rheumatoid arthritis

Egsmose

Madsen

2015

Clin Rheumatol

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“…On the one hand, the level of pain can be explained by the coping mechanism of the patient; on the other hand, if a patient experiences many pre-operative complaints, the cause can be multifactorial (e.g. coping, dysmenorrhea, adenomyosis, endometriosis [37][38][39][40][41]. Performing ablation in patients with a certain extent of uterine pathology (fibroids, adenomyosis) can be seen as a risk for success of therapy [2,34,41,42].…”

Section: Explaining the Modelsmentioning

confidence: 99%

Prediction of unsuccessful endometrial ablation: a retrospective study

et al. 2019

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Background: Endometrial ablation (EA) is a frequently used treatment for abnormal uterine bleeding, mainly due to the low risks, low costs and short recovery time associated with the procedure. On the short term, it seems successful, long-term follow-up however, shows decreasing patient satisfaction as well as treament efficacy. There even is a postablation hysterectomy rate up to 21%. Multiple factors seem to`influence the outcome of EA. Due to dissimilarities in and variety of these factors, it has not been possible so far to predict the success rate of EA based on pre-operative factors. Therefore, the aim of this study is to develop two prediction models to help counsel patients for failure of EA or necessity of surgical re-intervention within 2 years after EA. Methods: We designed a retrospective two-centred cohort study in Catharina Hospital, Eindhoven and Elkerliek Hospital, Helmond, both non-university teaching hospitals in the Netherlands. The study population consisted of 446 pre-menopausal women who underwent EA for abnormal uterine bleeding, with a minimum follow-up time of 2 years. Multivariate logistic regression analysis was used to create the prediction models. Results: The mean age of the patients was 43.8 years (range 20-55), 97.3% had complaints of menorrhagia, 57.4% of dysmenorrhoea and 61.0% had complaints of intermittent or irregular bleeding. 18.8% of patients still needed a hysterectomy after EA. The risk of re-intervention was significantly greater in women with menstrual duration > 7 days or a previous caesarean section, while pre-operative menorrhagia was significantly associated with success of EA. Younger age, parity ≥ 5 and dysmenorrhea were significant multivariate predictors in both models. These predictors were used to develop prediction models, which had a C-index of 0.71 and 0.68 respectively. Conclusion: We propose two multivariate models to predict the chance of failure and surgical re-intervention within 2 years after EA. Due to the permanent character of EA, the increasing number of post-operative failure and re-interventions, these prediction models could be useful for both the doctor and patient and may contribute to the shared decision-making.

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“…In contrast, insecure attachment has been linked with more rigidity in selection of coping strategies and a tendency to employ emotion-focused or avoidant coping techniques [12,64]. Emotion-focused coping strategies have generally been found to be associated with poorer health outcomes in adults with chronic pain [65,66], potentially facilitated by low self-esteem and self-efficacy and the subsequent lessened desire to engage with rehabilitation and pain management programs [67]. …”

Section: Attachment Framework and Vulnerability And Maintenance Ofmentioning

confidence: 99%

Attachment and Chronic Pain in Children and Adolescents

Donnelly

Jaaniste

2016

Children

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Although attachment theory is not new, its theoretical implications for the pediatric chronic pain context have not been thoroughly considered, and the empirical implications and potential clinical applications are worth exploring. The attachment framework broadly focuses on interactions between a child’s developing self-regulatory systems and their caregiver’s responses. These interactions are believed to create a template for how individuals will relate to others in the future, and may help account for normative and pathological patterns of emotions and behavior throughout life. This review outlines relevant aspects of the attachment framework to the pediatric chronic pain context. The theoretical and empirical literature is reviewed regarding the potential role of attachment-based constructs such as vulnerability and maintaining factors of pediatric chronic pain. The nature and targets of attachment-based pediatric interventions are considered, with particular focus on relevance for the pediatric chronic pain context. The potential role of attachment style in the transition from acute to chronic pain is considered, with further research directions outlined.

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Coping Styles, Pain Expressiveness, and Implicit Theories of Chronic Pain

Cited by 37 publications

References 55 publications

Interplay between patient global assessment, pain, and fatigue and influence of other clinical disease activity measures in patients with active rheumatoid arthritis

Interplay between patient global assessment, pain, and fatigue and influence of other clinical disease activity measures in patients with active rheumatoid arthritis

Prediction of unsuccessful endometrial ablation: a retrospective study

Attachment and Chronic Pain in Children and Adolescents

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