The measurement of attitudes towards and beliefs about pain

Strong, Jenny; Ashton, Roderick; Chant, David

doi:10.1016/0304-3959(92)90062-g

Cited by 105 publications

(80 citation statements)

References 11 publications

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“…This pain belief has been consistently associated with pain interference, disability, and depression in research with other chronic pain populations. 17,19,20,25,37,42,44,47 Our previous study based on the initial survey completion provided the first evidence, to our knowledge, of the relationship between control appraisals and pain in SCI; greater perceived control over pain was associated with better mental health and lower levels of pain interference. 29 In the current study, we provided additional support for this relationship by demonstrating that changes in perceived control over time were associated with changes in these outcomes.…”

Section: Discussionmentioning

confidence: 81%

Pain Catastrophizing and Beliefs Predict Changes in Pain Interference and Psychological Functioning in Persons With Spinal Cord Injury

Hanley

Raichle

Jensen

et al. 2008

The Journal of Pain

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The current study sought to examine how changes in pain-related beliefs and coping responses are related to changes in pain interference and psychological functioning in individuals with spinal cord injuries (SCI) and pain. To measure longitudinal changes in these variables, respondents completed a survey which included measures of pain intensity, pain interference, and psychological functioning, as well as specific psychosocial variables (pain-related beliefs, coping, and social support), and then completed the same survey 6 months later; analyses included only the individuals who reported pain at both times (N = 40). Demographic and injury-related variables were also assessed, but none were found to be significantly associated with changes in functioning. Changes in catastrophizing and belief in one's ability to control pain were each significantly associated with changes in the outcome variables: greater pain interference and poorer psychological functioning. Changes in specific coping strategies and social support were not predictors of changes in pain, interference, or psychological functioning . These findings support a biopsychosocial model of pain in persons with SCI. Intervention studies targeting maladaptive pain-related beliefs and catastrophizing may help to identify the causal nature of these relationships and may improve multidisciplinary treatment of pain in SCI.Perspective-Intervention studies targeting catastrophizing and maladaptive pain-related beliefs may be the next step in determining which variables play a causal role in the pain interference and psychological functioning of individuals with pain and SCI. Keywords coping; cognitions; spinal cord injury; pain; mental health; catastrophizing Pain is a common 8,16 and often difficult to treat 4,50,51 problem in persons with spinal cord injuries (SCI) which can be associated with increased physical and psychological dysfunction, independent of the effects of the injury. 16,27,32,41,43 Given the refractory nature of pain in

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Section: Discussionmentioning

confidence: 81%

Pain Catastrophizing and Beliefs Predict Changes in Pain Interference and Psychological Functioning in Persons With Spinal Cord Injury

Hanley

Raichle

Jensen

et al. 2008

The Journal of Pain

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“…The SOPA includes seven scales that assess beliefs that: (1) one has control over pain (Pain Control), (2) one is unable to function because of pain (Disability), (3) pain signifies damage and activity should be avoided (Harm), (4) emotions influence pain (Emotion), (5) medications are an appropriate treatment for chronic pain (Medication), (6) others should respond solicitously to pain behaviors (Solicitude), and (7) a medical cure exists for one's pain (Medical Cure). The scales have been demonstrated to have adequate test-retest stability, criterion validity, and internal consistency (Jensen and Karoly, 1992;Strong et al, 1992;Jensen et al, 1994b).…”

Section: Process Measuresmentioning

confidence: 99%

Changes after multidisciplinary pain treatment in patient pain beliefs and coping are associated with concurrent changes in patient functioning

Jensen

Turner

Romano

2007

Pain

164

118

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Little is known about how patient functioning changes after completion of multidisciplinary pain programs, and what factors are associated with such changes when they occur; for example, whether improvement or deterioration in functioning corresponds to changes in patient beliefs and coping during this period. The objective of this study was to examine the extent to which changes in patient pain and functioning were associated with changes in beliefs and coping after multidisciplinary pain treatment. Patients with chronic pain (N = 141) completed outcome (pain, functioning) and process (beliefs, catastrophizing, coping) measures at the end of multidisciplinary pain treatment and 12 months posttreatment. On average, patients reported similar levels of pain at both times, but showed a small worsening in disability and depression outcomes between posttreatment and follow-up, which were associated significantly with concurrent changes in the process measures. In particular, increased belief in oneself as disabled by pain, catastrophizing, and increased use of resting, guarding and asking for assistance in response to pain were linked with increased disability and depression. Decreased perceived control over pain was also consistently associated with worsening of these outcomes. The results highlight the potential importance of specific pain-related beliefs and coping responses in long-term patient pain and adjustment. Research is needed to determine whether booster interventions after the end of intensive multidisciplinary treatment that target these beliefs and coping responses improve long-term outcomes.

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“…One can approve or disapprove something at different intensities, or even show a lack of attitude towards the same object. These are dispositions organized towards action, and reflected in the behavior of individuals and groups (2)(3)(9)(10)(11) .…”

Section: Introductionmentioning

confidence: 99%

Validade e confiabilidade do Inventário de Atitudes frente à Dor Crônica (IAD-28 itens) em lingua portuguesa

Pimenta

Kurita

Silva

et al. 2009

Rev. esc. enferm. USP

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RESUMOABSTRACT This is the re-assessment of reliability and validity of Survey of Pain Attitudes-brief (SOPA-brief) version, with 183 chronic noncancer pain patients. The SOPA-brief assesses the chronic pain beliefs related to emotion, control, solicitude, medical cure, harm, disability and medication. The analysis showed seven domains and 28 items. There were differences in the allocation of two items and after analyses they were excluded. Four domains had good Cronbach's alpha values (between 0.74 and 0.85) and three had moderate (between 0.58 and 0.65). The SOPA-brief version in Portuguese language is superior to its first version. KEY WORDS RESUMENEste estudio trata la reevaluación de la confiabilidad y validez del Inventario de Actitudes frente al Dolor Crónico-versión breve, (IAD-breve) con 183 pacientes con dolor crónico no oncológico. El IAD-breve 28 ítems evalúa las creencias en el dolor crónico relacionadas al control, emoción, solicitud, cura médica, daño físico, incapacidad y medicación. El análisis resultó en siete dominios y 28 ítems. Hubo diferencias en la ubicación de dos ítems y, después de análisis, se decidió removerlos. Cuatro dominios presentaron valores de alfa de Cronbach considerados buenos (entre 0,74 y 0,85) y en tres, moderados (entre 0,58 y 0,65). El IAD-breve 28 ítems en lengua portuguesa es superior a la primera versión. DESCRIPTORES

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The measurement of attitudes towards and beliefs about pain

Cited by 105 publications

References 11 publications

Pain Catastrophizing and Beliefs Predict Changes in Pain Interference and Psychological Functioning in Persons With Spinal Cord Injury

Pain Catastrophizing and Beliefs Predict Changes in Pain Interference and Psychological Functioning in Persons With Spinal Cord Injury

Changes after multidisciplinary pain treatment in patient pain beliefs and coping are associated with concurrent changes in patient functioning

Validade e confiabilidade do Inventário de Atitudes frente à Dor Crônica (IAD-28 itens) em lingua portuguesa

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