Self-Regulation and Chronic Pain:The Role of Emotion

Hamilton, Nancy A.; Karoly, Paul; Kitzman, Heather

doi:10.1023/b:cotr.0000045565.88145.76

Cited by 58 publications

(61 citation statements)

References 88 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…An emerging approach to understand pain behaviours is to reconsider these within a broader motivational perspective [22][23][24][25][26] . This perspective starts from the basic tenet that behaviour is the result of the organizing power of goals in a broad array of domains (e.g., social, work-related, health) 27,28 .…”

Section: A Self-regulation Perspective On Avoidance and Persistencementioning

confidence: 99%

A Self-Regulation Perspective on Avoidance and Persistence Behavior in Chronic Pain

Damme

Kindermans

2015

The Clinical Journal of Pain

View full text Add to dashboard Cite

Objective: Behavioural factors such as avoidance and persistence have received massive theoretical and empirical attention in the attempts to explain chronic pain and disability. The determinants of these pain behaviours remain, however, poorly understood. We propose a self-regulation perspective to increase our understanding of pain-related avoidance and persistence.Methods: A narrative review.Results: We identified several theoretical views that may help explaining avoidance and persistence behaviour, and organized these views around 4 concepts central in self-regulation theories: (1) identity, (2) affective-motivational orientation, (3) goal cognitions, and (4) coping. The review shows that each of these self-regulation perspectives allows for a broadened view in which pain behaviors are not simply considered passive consequences of fear, but proactive strategies to regulate the self when challenged by pain.Discussion: Several implications and challenges arising from this review are discussed. In particular, a self-regulation perspective does not consider avoidance and persistence behaviour to be intrinsically adaptive or maladaptive, but argues that their effects on disability and wellbeing rather depend on the goals underlying these behaviours. Such view would require a shift in how avoidance and persistence behaviour are assessed and approached in clinical interventions.

show abstract

Section: A Self-regulation Perspective On Avoidance and Persistencementioning

confidence: 99%

A Self-Regulation Perspective on Avoidance and Persistence Behavior in Chronic Pain

Damme

Kindermans

2015

The Clinical Journal of Pain

View full text Add to dashboard Cite

show abstract

“…Finally, research has increasingly addressed the role of emotion -e.g., fear, anger, sadness -in understanding pain experience [38,82,91]. To date, the majority of pain research (with some notable exceptions; [see e.g., 7,8]) has addressed the emotional, motivational, and interpersonal dimensions of pain in relatively independent fashion.…”

Section: Introductionmentioning

confidence: 99%

Examining Affective-Motivational Dynamics and Behavioral Implications Within The Interpersonal Context of Pain

Vervoort

Trost

2017

The Journal of Pain

View full text Add to dashboard Cite

“…The impact of negative emotion in the context can be observed as negative influences on health behavior [26]. Furthermore, emotions have a crucial role in how people adjust to having RA, and in the context of chronic pain in general [27,28]. Negatively toned self-focused bodily attention has been linked to less effective decision-making strategies and worse adherence in patients with other chronic diseases [29].…”

Section: Introductionmentioning

confidence: 99%

Pain and fatigue in adult patients with rheumatoid arthritis: Association with body awareness, demographic, disease-related, emotional and psychosocial factors

Lööf¹,

Johansson²,

Henriksson³

et al. 2013

OJN

View full text Add to dashboard Cite

Background: Patients and clinicians report pain and fatigue as key outcome measures in rheumatoid arthritis. Fatigue and pain are a major concern to patients. Aim: The objective of this study was to examine fatigue and pain in adult patients with rheumatoid arthritis (RA) and to investigate the association between pain and fatigue with body awareness, demographic, disease-related, emotional and psychosocial factors. Method: Data were collected from a sample of patients with RA (n = 120) recruited from a Rheumatology clinic in a large university hospital in Stockholm, Sweden. Eligible for inclusion were patients between 20 -80 years of age and with a confirmed diagnosis of RA. Fatigue was measured using the Multidimensional Assessment of Fatigue (MAF) scale, while the Visual Analogue Scale (VAS) was used to assess components of pain. A multiple stepwise regression analysis was performed to evaluate factors related to fatigue and pain. In the first step a univariate analysis of variance (ANOVA) was used for all relevant independent factors. In the next step backwards stepwise regression was applied. Result: Fatigue was significantly associated with the Disease Activity Score 28-joints (DAS 28) (p = 0.049), the Body Awareness Questionnaire (BAQ) (p = 0.006), the Positive Affect (PA) scale (p = 0.008) and no smoking (p = 0.021). Pain was significantly associated with the EuroQol EQ-5D (p = 0.008) and the DAS 28 (p = 0.001). The adjusted R-square was 28.6% for fatigue and 50.0% for pain. Conclusion: This study clearly demonstrates that fatigue and pain in patients with RA appear to be associated with disease-related factors. Furthermore, fatigue was related to body awareness and emotional factors, and pain was related to health related quality of life.

show abstract

Self-Regulation and Chronic Pain:The Role of Emotion

Cited by 58 publications

References 88 publications

A Self-Regulation Perspective on Avoidance and Persistence Behavior in Chronic Pain

A Self-Regulation Perspective on Avoidance and Persistence Behavior in Chronic Pain

Examining Affective-Motivational Dynamics and Behavioral Implications Within The Interpersonal Context of Pain

Pain and fatigue in adult patients with rheumatoid arthritis: Association with body awareness, demographic, disease-related, emotional and psychosocial factors

Contact Info

Product

Resources

About