Health locus of control, gender differences and adjustment to persistent pain

Buckelew, Susan P.; Shutty, Michael S.; Hewett, John E.; Landon, Tim; Morrow, Kelly A.; Frank, Robert G.

doi:10.1016/0304-3959(90)91141-5

Cited by 89 publications

(55 citation statements)

References 26 publications

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“…É possível que diferenças nesses aspectos tenham contribuído para as divergências observadas. (14) . Em estudo com 100 doentes com dor crônica com o intuito de avaliar fatores preditivos de descontinuação do tratamento, os doentes assistiram a um videotape de 15 minutos sobre diferenciação entre dor crônica e aguda, descrição do tratamento conservador para dor crônica e do tratamento que a clínica oferecia.…”

Section: Discussionunclassified

Adesão ao tratamento da dor crônica e o locus de controle da saúde

Kurita

Pimenta²

2004

Rev. esc. enferm. USP

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Section: Discussionunclassified

Adesão ao tratamento da dor crônica e o locus de controle da saúde

Kurita

Pimenta²

2004

Rev. esc. enferm. USP

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“…Although distraction seems to be omnipresent in pain treatment programs for acute and chronic pain [20,41], results on its efficacy are variable. Some studies found that distraction reduces pain [36,39,44,57,58,65], whereas other studies reported no effect [25,35] or even counter-productive effects [8,21]. An understanding of the conditions under which distraction works is therefore required.…”

mentioning

confidence: 99%

Attentional bias towards pain-related information diminishes the efficacy of distraction

Ryckeghem

Crombez²,

Hulle³

et al. 2012

Pain

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IntroductionThe ability of attention to modulate pain processing [32,51,57,66] makes it a key factor in how people cope with pain. Distraction, defined as directing attention away from pain, is probably one of the most intuitively and commonly used coping strategies [33]. Although distraction seems to be omnipresent in pain treatment programs for acute and chronic pain [20,41], results on its efficacy are variable. Some studies found that distraction reduces pain [36,39,44,57,58,65], whereas other studies reported no effect [25,35] or even counter-productive effects [8,21]. An understanding of the conditions under which distraction works is therefore required. Both pain-related factors (e.g., intensity, novelty, threat) and factors related to the task towards which attention is directed (e.g., task difficulty, motivational significance) are likely to play a role [19,32,66].A tendency to selectively attend to pain has been argued to hamper the efficacy of distraction [15,32,72], and is largely discussed in the context of hypervigilance and attentional bias towards pain-related information [15,31]. Indeed, it is reasonable to assume that an attentional bias towards pain-related information may bring along difficulties to direct attention away from pain and, hence, result in a failure of distraction to diminish the experience of pain. However, there is no direct test of this idea. Most often, studies on attentional bias in pain aimed to validate the phenomenon (e.g. [23,34,45,52]), or attempted to identify its antecedent conditions (e.g. catastrophic thinking about pain, state/trait anxiety) [4,46,47,62]. In this study we focussed upon one of the putative consequences of We hypothesized that participants would show an attentional bias towards both cues signalling the experimental pain stimulus and words describing this pain stimulus. Furthermore, we expected that self-reported pain would be less when attention was directed away from pain than when it was directed towards pain. The crucial hypothesis of this study, however, was that a larger attentional bias would be associated with smaller effects of distraction. Finally, we wanted to explore whether an attentional bias towards pain-related information would mediate the relationship between catastrophic thinking about pain and the efficacy of distraction.4 Method ParticipantsThe sample consisted of 56 undergraduate students from Ghent University, who received course credits for participation (45 females; Mage = 18.1years, SD = 1.1; 55 Caucasian) with normal or corrected-to-normal vision. Exclusion criteria included a self-reported current pain problem (e.g. fibromyalgia, back pain) or a self-reported current psychiatric problem (e.g., psychosis, anxiety disorder).Furthermore, all participants were required to have Dutch as a first language, because the experiment, including all instructions and stimulus materials, was undertaken in Dutch. Based on these criteria, two persons were excluded due to a headache on time of testing. One additional participant was excluded...

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“…However, there is little data about gender differences in coping with illness. Buckelew et al [10]found that female persistent pain sufferers with high internal scores (locus of control believes), reflecting a strong internal orientation towards self-management of healthcare needs, were more likely to utilize information-seeking, self-blame, and threat minimization coping strategies. Novy et al [11]found that female chronic pain patients expressed more depressive symptoms (higher endorsement of body image distortion and higher levels of fatigue) than males.…”

Section: Introductionmentioning

confidence: 99%

Gender Differences in Coping with Tension-Type Headaches

Rollnik

Karst²,

Piepenbrock³

et al. 2003

Eur Neurol

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Objective: To study gender differences of coping with illness strategies in tension-type headaches. Method: We enrolled 89 subjects (50 women, 39 men) suffering from episodic (n = 37) and chronic (n = 52) tension-type headaches (TTH). Patients were required to answer a Freiburg Questionnaire of Coping with Illness (FQCI), a Von Zerssen Depression Scale (D-S), quality-of-life questionnaires, and a headache home diary (over 4 weeks). In addition, pressure pain thresholds (temporal muscles) and Total Tenderness Scores were obtained. Results: While pain intensity, frequency and quality-of-life parameters were basically the same for female and male episodic TTH sufferers, women scored significantly higher on the F3 subscale (distracting and encouraging) of the FQCI and tended to score higher on the F1 subscale (depressive). Among chronic TTH patients, women reported the pain to be more intense (VAS), were more depressed (D-S), and scored lower on several quality-of-life scores. Female chronic TTH sufferers scored significantly lower on the F2 subscale (active coping) and tended to score higher on F5 (denying). Conclusions: We conclude that pessimistic coping with illness strategies are more frequent in female episodic and chronic TTH sufferers. We would like to recommend special psychologic intervention in particular to female chronic TTH sufferers which would offer counseling in developing active coping skills.

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Health locus of control, gender differences and adjustment to persistent pain

Cited by 89 publications

References 26 publications

Adesão ao tratamento da dor crônica e o locus de controle da saúde

Adesão ao tratamento da dor crônica e o locus de controle da saúde

Attentional bias towards pain-related information diminishes the efficacy of distraction

Gender Differences in Coping with Tension-Type Headaches

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