The relationship between perceived injustice and the working alliance: a cross-sectional study of patients with persistent pain attending multidisciplinary rehabilitation

Disability and Rehabilitation
Whitney ScottMichael J L Sullivan

Abstract

Accumulating research suggests that perceived injustice is a risk factor for adverse recovery following painful injury. Presently, however, little is known about the processes by which perceived injustice influences rehabilitation outcomes. It is plausible that perceived injustice and associated anger impact rehabilitation outcomes by compromising the quality of the therapeutic working alliance; however, research has not previously examined the relationship between perceived injustice and the working alliance. Therefore, the present study investigated the association between perceived injustice, anger, and the working alliance. Sixty-six patients with persistent pain following musculoskeletal injury participated in this study. All participants were enrolled in a standardized multidisciplinary rehabilitation programme. Participants completed self-report measures of perceived injustice, pain intensity, disability, anger intensity and regulation style, depressive symptoms, and a measure of the working alliance with their principal rehabilitation clinician. Each participant's principal clinician also completed the working alliance measure. Greater perceptions of injustice were associated with poorer client ratings of the working al...Continue Reading

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Dec 15, 2017·Journal of Neurotrauma·Grant L IversonNoah D Silverberg
Apr 25, 2020·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Terence M PennBurel R Goodin
May 8, 2020·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Junie S CarriereRobert R Edwards
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Jan 27, 2021·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Phelim Ryan, Dominic Harmon
Feb 24, 2021·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Junie S Carriere, Robert R Edwards

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