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Biopsychosocial Correlates of Adjustment to Pain Among People With Multiple Sclerosis

Douglas, Clint, Wollin, Judy A., & Windsor, Carol A. (2008) Biopsychosocial Correlates of Adjustment to Pain Among People With Multiple Sclerosis. Clinical Journal of Pain, 24(7), pp. 559-567.

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Abstract

Objectives: The objective of this study was to examine the extent to which pain-related beliefs and coping strategies predicted measures of adjustment to pain among people with multiple sclerosis (MS), over and above that accomplished by demographic and clinical variables.

Methods: Participants were a community-based sample of people with chronic MS-related pain (N = 105) who completed postal surveys and standardised interviews that included measures of demographic and MS-related variables, typical pain intensity, psychological functioning, pain interference, pain beliefs and coping strategies.

Results: Pain-specific beliefs and coping strategies were associated with and explained a significant proportion of the variance in adjustment to pain (24−34%) among people with MS, over and above that accomplished by demographic and disease-related variables and pain intensity. Compatible with previous studies, greater endorsement of pain constancy and catastrophizing were significant predictors of poorer adjustment, whereas perceived ability to decrease pain and increasing behavioural activities in response to pain were related to positive adaptation.

Discussion: These findings provide support for the premise that psychosocial factors remain central in disability-related pain and suggest the possibility that interventions targeting these variables would reduce the negative impact of pain among people with MS.

Impact and interest:

7 citations in Scopus
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6 citations in Web of Science®

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ID Code: 13775
Item Type: Journal Article
Additional Information: The author-version of this article will be available 12 months after publication. For more information, please refer to the journal's website (see hypertext link) or contact the author.
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Keywords: Multiple sclerosis, MS, chronic pain, biopsychosocial model, pain beliefs, pain coping
ISSN: 1536-5409
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > NURSING (111000) > Clinical Nursing - Tertiary (Rehabilitative) (111004)
Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000)
Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > NURSING (111000)
Divisions: Current > Research Centres > Centre for Health Research
Current > QUT Faculties and Divisions > Faculty of Health
Copyright Owner: Copyright 2008 Lippincott Williams & Wilkins
Copyright Statement: This is the author-version of the work. The final, definitive version of this article has been published in the Journal, < Clinical Journal of Pain 24(7):pp. 559-567, © 2008 < Lippincott, Williams & Wilkins.
Deposited On: 16 Jun 2008
Last Modified: 19 Aug 2013 08:43

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