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Publication
Pain diagnosis, pain coping, and function in individuals with chronic musculoskeletal pain
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Advisor(s)
Abstract(s)
Purpose: Research supports a role for coping responses in adjustment to chronic pain.
However, it is likely that some coping responses play a larger role in adjustment to pain for
some individuals than others. The identification of the factors that moderate the association
between coping responses and pain-related outcomes has important clinical implications.
This study sought to determine if musculoskeletal pain diagnosis moderates the associations
between eight pain-coping responses and both pain and function.
Patients and Methods: A non-probabilistic sample of 323 persons with different chronic
musculoskeletal pain conditions completed measures of pain intensity, physical function,
psychological function, and pain-coping responses.
Results: With only one exception, the frequency of use of pain-coping responses was not
associated with pain diagnosis. Statistically significant moderation effects of pain diagnosis
on the association between coping and pain outcomes were found for two coping responses:
1) support seeking when predicting pain intensity, and 2) resting when predicting both
physical and psychological function.
Conclusion: The findings indicate that coping responses tend to play a similar role in
patients' pain and function across different musculoskeletal pain conditions, with some
important exceptions. If the findings are found to replicate in other samples, they would
have important implications for determining when psychosocial pain treatments might (and
when they might not) need to be adapted for specific diagnostic groups.
Description
Keywords
Pain etiology Moderation effect Coping responses Pain Physical function Psychological function
Citation
Journal of Pain Research, 13, 783-794
Publisher
Dove Medical Press Ltd.