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The relationship between pain coping variability and committed action in chronic pain adjustment

Published online by Cambridge University Press:  23 March 2020

W. Wong*
Affiliation:
Hong Kong Institute of Education, Dept of Special Education & Counseling, Hong Kong, China
P. Chen
Affiliation:
Alice Ho Miu Ling Hospital, Dept of Anesthesiology & Operating Services, Hong Kong, China
Y. Chow
Affiliation:
Queen Mary Hospital, Dept of Anesthesiology & Operating Services, Hong Kong, China
H. Lim
Affiliation:
United Christian Hospital, Dept of Anesthesiology & Operating Services, Hong Kong, China
S. Wong
Affiliation:
Queen Mary Hospital, Dept of Anesthesiology & Operating Services, Hong Kong, China
L. McCracken
Affiliation:
King's College London, Health Psychology Section, London, United Kingdom
R. Fielding
Affiliation:
University of Hong Kong, School of Public Health, Hong Kong, China
*
*Corresponding author.

Abstract

Introduction

Research evidenced the association of pain coping strategies with short-term and long-term adjustments to chronic pain. Yet, previous studies mainly assessed the frequency of coping strategies when pain occurs whilst no data is available on one's flexibility/rigidity in using different pain coping strategies, i.e., pain coping variability, in dealing with different situations.

Objectives

This study aimed to examine the multivariate association between pain coping variability and committed action in predicting concurrent pain-related disability. Specifically, we examined the independent effects of pain coping variability and committed action in predicting concurrent pain-related disability in a sample of Chinese patients with chronic pain.

Methods

Chronic pain patients (n = 287) completed a test battery assessing pain intensity/disability, pain coping strategies and variability, committed action, and pain catastrophizing. Multiple regression modeling compared the association of individual pain coping strategies and pain coping variability with disability (Models 1–2), and examined the independent effects of committed action and pain coping variability on disability (Model 3).

Results

Of the 8 coping strategies assessed, only guarding (std β = 0.17) was emerged as significant independent predictor of disability (Model 1). Pain coping variability (std β = −0.10) was associated with disability after controlling for guarding and other covariates (Model 2) and was emerged as independent predictor of disability (Model 3: std β = −0.11) (all P < 0.05) (Tables 1 and 2).

Conclusions

Our data offers preliminary support for the multivariate association between pain coping variability and committed action in predicting concurrent pain-related disability, which supplements the existing pain coping data that are largely based on assessing frequency of coping.

Disclosure of interest

The authors have not supplied their declaration of competing interest.

Type
EW381
Copyright
Copyright © European Psychiatric Association 2016

Table 1 Multiple regression models predicting concurrent pain-related disability with pain coping strategies and pain coping variability.

Table 2 Multiple regression models predicting concurrent pain-related disability with committed action and pain coping variability.

Figure 0

Table 1 Multiple regression models predicting concurrent pain-related disability with pain coping strategies and pain coping variability.

Figure 1

Table 2 Multiple regression models predicting concurrent pain-related disability with committed action and pain coping variability.

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