Self-pain enmeshment: Future possible selves, sociotropy, autonomy and adjustment to chronic pain

Sutherland, Ruth; Morley, Stephen

doi:10.1016/j.pain.2007.09.023

Cited by 42 publications

(52 citation statements)

References 37 publications

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“…The fact that our IAT measure is related to higher levels of anxiety and suffering of the chronic pain patients is in line with previous research using explicit measures (e.g., [42]) and assumptions of the schema-enmeshment model [33]. Indeed, the schemaenmeshment model suggests that stronger associations between pain-and selfschema could maintain and exacerbate anxiety/distress because the unique ability of pain to interfere with cognitive functioning and interrupt most aspects of life [33].…”

Section: Discussionsupporting

confidence: 86%

“…Finally, we tested whether IAT scores are related to depressive mood and level of anxiety and acceptance of the chronic pain patients and so replicate previous research using (semi-)explicit measures to assess the overlap between pain-and self-schema in chronic pain patients [25,42].…”

Section: Introductionmentioning

confidence: 85%

“…It is assumed that the repeated and simultaneous activation of the content of the self-and painschema, as is the case in chronic pain patients, results in a stronger association between a person's pain-and self-schema. Furthermore, it is proposed that such a strong association is detrimental for pain outcomes (i.e., disability, pain suffering) [21,25,33] or related to chronic pain patient characteristics (e.g., depressive mood, anxiety, acceptance) [25,33,34,37,42]. Research investigating above-mentioned topic is, however, still in its infancy [25].…”

Section: Introductionmentioning

confidence: 99%

“…As yet, the association between pain-and self-schema in chronic pain patients has mainly been investigated by means of explicit (e.g., interview) and semi-explicit measures (e.g., Sentence Completion Test) [42,37,38]. Although these studies provide some evidence for the idea that chronic pain influences the individual's sense of self, there are limitations to the use of (semi-)explicit measures.…”

Section: Introductionmentioning

confidence: 99%

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Implicit associations between pain and self-schema in patients with chronic pain

Ryckeghem¹,

Houwer²,

Bockstaele³

et al. 2013

Pain

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Chronic pain often interferes with daily functioning, and may become a threat to an individual's sense of self. Despite the development of a recent theoretical account focussing upon the relationship between the presence of chronic pain and a person's self, research investigating this idea is limited. In the present study we aimed to (1) compare the strength of association between self-and pain schema in chronic pain patients and healthy control subjects and (2) research whether the strength of association between self-and pain schema is related to particular pain-related outcomes and individual differences of chronic pain patients. Seventy three chronic pain patients (M age =49.95; SD=9.76) and 53 healthy volunteers (M age =48.53; SD=10.37) performed an Implicit Association Test (IAT) to assess the strength of association between pain-and self-schema.Chronic pain patients also filled out self-report measures of pain severity, pain suffering, disability, depression, anxiety, acceptance and helplessness. Results indicated that the pain-and self-schema were more strongly associated in chronic pain patients than in healthy control subjects. Second, results indicated that, in chronic pain patients, a stronger association between self-and pain schema, as measured with the IAT, is related to a heightened level of pain severity, pain suffering, anxiety and helplessness. Current findings give first support for the use of an IAT to investigate the strength of association between self-and pain schema in chronic pain patients and suggest that pain therapies may incorporate techniques that intervene on the level of self-pain enmeshment.

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Section: Discussionsupporting

confidence: 86%

Section: Introductionmentioning

confidence: 85%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Implicit associations between pain and self-schema in patients with chronic pain

Ryckeghem¹,

Houwer²,

Bockstaele³

et al. 2013

Pain

View full text Add to dashboard Cite

show abstract

“…Though this measure is novel, further study ofthe Possible Selves Questionnaire has demonstrated some reliability and divergent validity (Morley, Davies & Barton, 2005). For instance, enmeshment, as assessed by this measure, was reliably associated with acceptance and depression across a replication study, while enmeshment was not shown to be accounted for by generalized hopelessness or biased by verbal fluency (Sutherland & Morley, 2008).…”

Section: Possible Selves Questionnairementioning

confidence: 94%

Integration of the avoidance cycle with the schema enmeshment model of pain : relationships with quality of life and disability in chronic, nonmalignant pain.

Meyer¹

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Chronic Pain

Morley¹,

Vlaeyen²

2013

The Wiley Handbook of Cognitive Behavioral Therapy

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The treatment of chronic pain is a significant problem for all health services. Pain is regarded as chronic when it has persisted for longer than 6 months. In clinical settings patients may have suffered for many years. This chapter outlines the various influences on the current practice of cognitive behavioral therapy for chronic pain. There is evidence that when considered as a class of treatment, cognitive behavioral therapy is effective. However, there is considerable room for the development of more effective treatments. The complexity of chronic pain has led to rather general formulations of the problem of living with pain, and as a result many of the treatments are multicomponent, general, and rather imprecise. By way of illustration this chapter outlines the fear‐avoidance model and its application as a prototype for developing more effective treatments for problems generated by the experience of persistent pain.

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Self-pain enmeshment: Future possible selves, sociotropy, autonomy and adjustment to chronic pain

Cited by 42 publications

References 37 publications

Implicit associations between pain and self-schema in patients with chronic pain

Implicit associations between pain and self-schema in patients with chronic pain

Integration of the avoidance cycle with the schema enmeshment model of pain : relationships with quality of life and disability in chronic, nonmalignant pain.

Chronic Pain

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