The Impact of Perceived Injustice on Pain-related Outcomes: A Combined Model Examining the Mediating Roles of Pain Acceptance and Anger in a Chronic Pain Sample

The Clinical Journal of Pain
J S CarriereBeth D Darnall

Abstract

Perceived injustice (PI) has been identified as an important risk factor for pain-related outcomes. To date, research has shown that pain acceptance and anger are mediators of the association between PI and pain-related outcomes. However, a combined conceptual model that addresses the interrelationships between these variables is currently lacking. Therefore, the current study aimed to examine the potential mediating roles of pain acceptance and anger on the association between PI and adverse pain-related outcomes (physical function, pain intensity, opioid use status). This cross-sectional study used a sample of 354 patients with chronic pain being treated at a tertiary pain treatment center. Participants completed measures of PI, pain acceptance, anger, physical function, pain intensity, and opioid use status. Mediation analyses were used to examine the impact of pain acceptance and anger on the association between PI and pain-related outcomes. Examination of the specific indirect effects revealed that pain acceptance fully mediated the relationship between PI and physical function, as well as the relationship between PI and opioid use status. Pain acceptance emerged as a partial mediator of the relationship between PI and pai...Continue Reading

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Citations

Mar 25, 2019·Pain Research & Management : the Journal of the Canadian Pain Society = Journal De La Société Canadienne Pour Le Traitement De La Douleur·Xianghua XuYongyi Chen
Aug 6, 2020·International Journal of Environmental Research and Public Health·Rosa EsteveCarmen Ramírez-Maestre
Aug 26, 2020·The Clinical Journal of Pain·Dominic W YsidronChristopher R France
Apr 25, 2020·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Terence M PennBurel R Goodin
Aug 24, 2019·Journal of Psychosomatic Research·Isabelle SommerDominik A Ettlin
Jan 20, 2021·The Journal of Pain : Official Journal of the American Pain Society·Julie LynchKeith Gaynor
Nov 16, 2019·International Journal of Nursing Sciences·Xianghua XuYongyi Chen
May 8, 2020·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Junie S CarriereRobert R Edwards
Apr 7, 2021·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·John Quintner, Melanie Galbraith
Jul 22, 2021·European Journal of Pain : EJP·Claudia ChisariLance M McCracken
Aug 11, 2021·The Journal of Pain : Official Journal of the American Pain Society·Megan M MillerAdam T Hirsh

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Software Mentioned

R Package for Causal Mediation
SPSS Statistics
CHOIR
SPSS
PROMIS

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