Biopsychosocial correlates of adjustment to pain among people with multiple sclerosis

The Clinical Journal of Pain
Clint DouglasCarol Windsor

Abstract

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. Participants were a community-based sample of people with chronic MS-related pain (N=105) who completed postal surveys and standardized interviews that included measures of demographic and MS-related variables, typical pain intensity, psychologic functioning, pain interference, pain beliefs, and coping strategies. Pain-specific beliefs and coping strategies were associated with and explained a significant proportion of the variance in adjustment to pain (24% to 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 behavioral activities in response to pain were related to positive adaptation. These findings provide support for the premise that psychosocial factors remain central in disability-related pain ...Continue Reading

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Citations

Apr 14, 2009·Revue neurologique·F Borgel
Jun 4, 2013·The American Journal of Clinical Hypnosis·Brooke Donatone
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Dec 29, 2010·Archives of Physical Medicine and Rehabilitation·Mark P JensenJoyce M Engel
Aug 13, 2014·Multiple Sclerosis : Clinical and Laboratory Research·Anthony M HarrisonRona Moss-Morris

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