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Pain-related beliefs, coping, and function: An observational study on the moderating influence of country of origin

dc.contributor.authorFerreira-Valente, Maria Alexandra
dc.contributor.authorSharma, Saurab
dc.contributor.authorChan, Joy
dc.contributor.authorBernardes, Sónia F.
dc.contributor.authorRibeiro, J.
dc.contributor.authorJensen, Mark P.
dc.date.accessioned2024-03-07T19:56:01Z
dc.date.available2024-03-07T19:56:01Z
dc.date.issued2023
dc.description.abstractChronic pain is a multidimensional experience and pain treatments targeting psychosocial factors reduce pain and improve function. These treatments often overlook the sociocultural factors that influence pain and the psychological factors associated with function in people with chronic pain. Although preliminary findings suggest that cultural background may influence pain and function via their effects on beliefs and coping, no previous study has directly tested if the country of origin moderates the associations between these psychological factors and pain and function. This study sought to address this knowledge gap. Five hundred sixty-one adults with chronic pain, born and living in the USA (n = 273) or Portugal (n = 288), completed measures of pain, function, pain-related beliefs, and coping. Between-country similarities were found in the endorsement of beliefs related to disability, pain control, and emotion, and in asking for assistance, task persistence, and coping self-statement responses. Portuguese participants reported greater endorsement of harm, medication, solicitude, and medical cure beliefs, more frequent use of relaxation and support seeking, and less frequent use of guarding, resting, and exercising/stretching. In both countries, disability and harm beliefs and guarding responses were associated with worse outcomes; pain control and task persistence were associated with better outcomes. Six country-related small effect-size moderation effects emerged, such that task persistence and guarding are stronger predictors of pain and function in adults from the USA, but pain control, disability, emotion, and medication beliefs are more important in adults from Portugal. Some modifications may be needed when adapting multidisciplinary treatments from one country to another. Perspective: This article examines the similarities and differences in beliefs and coping endorsed by adults with chronic pain from 2 countries, and the potential moderation effects of country on the associations between these variables and pain and function. The findings suggest that some modifications may be needed when culturally customizing psychological pain treatments.pt_PT
dc.description.sponsorshipFEDER, Fundação para a Ciência e Tecnologia-FCTpt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationFerreira-Valente, A., Sharma, S., Chan, J., Bernardes, S. F., Pais-Ribeiro, J., & Jensen, M. P. (2023). Pain-Related Beliefs, Coping, and Function: An Observational Study on the Moderating Influence of Country of Origin. The Journal of Pain, 24(9), 1645–1663. https://doi.org/10.1016/j.jpain.2023.04.012pt_PT
dc.identifier.doi10.1016/j.jpain.2023.04.012pt_PT
dc.identifier.issn15265900
dc.identifier.urihttp://hdl.handle.net/10400.12/9666
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherChurchill Livingstonept_PT
dc.relationSFRH/BPD/121452/2016pt_PT
dc.relationUIDB/04810/2020pt_PT
dc.relationUIDB/04872/2020pt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectChronic painpt_PT
dc.subjectCross-culturalpt_PT
dc.subjectPain-related beliefspt_PT
dc.subjectPain copingpt_PT
dc.subjectModerationpt_PT
dc.titlePain-related beliefs, coping, and function: An observational study on the moderating influence of country of originpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.conferencePlaceUnited Statespt_PT
oaire.citation.endPage1663pt_PT
oaire.citation.issue9pt_PT
oaire.citation.startPage1645pt_PT
oaire.citation.titleThe Journal of Painpt_PT
oaire.citation.volume24pt_PT
person.familyNameFerreira-Valente
person.familyNameSharma
person.familyNameChan
person.familyNameBernardes
person.familyNamePais-Ribeiro
person.givenNameMaria Alexandra
person.givenNameSaurab
person.givenNameJoy
person.givenNameSónia
person.givenNameJose
person.identifier556529
person.identifier527979
person.identifier.ciencia-id2912-CE3A-0EC5
person.identifier.ciencia-id5215-EF50-7EF9
person.identifier.orcid0000-0002-3684-5561
person.identifier.orcid0000-0002-9817-5372
person.identifier.orcid0000-0001-9121-0633
person.identifier.orcid0000-0002-6664-4859
person.identifier.orcid0000-0003-2882-8056
person.identifier.ridL-6915-2015
person.identifier.ridE-3780-2015
person.identifier.ridK-1260-2013
person.identifier.scopus-author-id46461198300
person.identifier.scopus-author-id56999537500
person.identifier.scopus-author-id6505784593
person.identifier.scopus-author-id23009881800
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
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relation.isAuthorOfPublication785d9eaa-6ef7-41a5-9d66-269000bf5f23
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