This study examined secondary data that originated from Kaiser Permanente's Multidimensional Chronic Pain Treatment Program and focuses on ”primary social support” and its significance in predicting chronic pain outcomes. Primary social support refers to the support derived from the one person whom the participant feels is his/her main supporter (i.e., a spouse, friend, neighbor, etc.). This study divides primary social support into four subcategories: general social support (PreSS), emotional support (PreEM), instrumental support (PreIN), and negative reactions (PreNeg). The hypotheses in this study predict that each social support subcategory can predict post-treatment pain severity (PostPain). Four hundred twenty five participants from four Kaiser Permanente hospitals participated in a Multidimensional Chronic Pain Treatment Program. Of the 425 participants, the scores of 196 participants with moderate to severe pain and impairment were eligible for data analysis. The treatment program consisted of a 10-week, 2.5 to 3-hour structured group intervention, with the goal of improving functioning, activity levels, coping skills, and overall emotional well-being (Bertagnolli, 2001). The participants completed the West Haven Yale Multidimensional Pain Inventory (WHY-MPI) at both the start and end of treatment. Through hierarchical linear regression analyses, negative reactions were found to significantly predict an increase of post-treatment pain scores. Meanwhile, general social support, emotional support and instrumental support were not significant in predicting post-treatment pain scores. These findings may guide future research of social support within a Multidimensional Chronic Pain Treatment Program.
|Commitee:||Bertagnolli, Andrew, Tulkin, Steven R.|
|School:||Alliant International University|
|Department:||San Francisco, CSPP|
|School Location:||United States -- California|
|Source:||DAI-B 75/01(E), Dissertation Abstracts International|
|Subjects:||Clinical psychology, Cognitive psychology, Health education|
|Keywords:||Chronic pain, Multidimensional treatment program, Negative reactions, Pain management, Social support|
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