Pain often signals a problem that needs our attention, but after healing has occurred and pain persists, protective behaviors may become maladaptive to day-to-day functioning. Through education, therapy, and self-management, individuals can learn to function well on a daily basis even with some pain present, but not all pain patients are ready for this type of self-management. The transtheoretical model has been adapted to assess individuals with chronic pain. If individuals are not ready for behavior change, relapse chances increase; therefore it becomes beneficial to understand an individual's level of readiness to change when judging potential treatment success. The ability of current pain stages of change instruments to categorize individuals into distinct groups has been limited.
The first purpose of the current study was to analyze the relationship between chronic pain acceptance and cognitive and emotional distress related to pain. Results showed chronic pain acceptance did significantly correlate with both catastrophizing and emotional distress in a negative direction.
The second purpose was to explore the relationship between acceptance, cognitive distress, and emotional distress related to pain, and stages of behavior change. Groups formed by the Freiburg Questionnaire-Stages of Chronic Pain Management (FQ-STAPM) were expected to vary significantly on acceptance of pain. Results indicated that individuals in the maintenance stage had significantly higher acceptance scores compared to individuals in each of the other three stages, and individuals in the action stage scored significantly higher than those in the preparation stage. It was also hypothesized that FQ-STAPM groups would vary significantly on measures of cognitive and emotional distress. The maintenance group did in fact have significantly lower levels of cognitive and emotional distress compared to the precontemplation and preparation groups. The action group also scored significantly lower on these measures compared to individuals in the preparation group.
Participants from this study seemed to endorse different emotional and cognitive qualities across the stages of behavior change readiness. Those who endorsed items within the precontemplation and preparation subscales report moderate to high levels of emotional and cognitive distress according to their responses on the PDI and PCS. They also reported a moderate level of unwillingness to experience pain.
These results offer significant theoretical and clinical implications. Individuals with chronic pain experience distinctly different types of emotional and cognitive distress as they deal with pain. Clinicians may also need to realize that even though lowering distress is important, a certain amount of distress may propel patients to take action toward self-management of pain symptoms. Acceptance of chronic pain also appears to be an important variable in successful self-maintenance of pain symptoms.
|School:||University of Northern Iowa|
|School Location:||United States -- Iowa|
|Source:||MAI 47/01M, Masters Abstracts International|
|Subjects:||Psychobiology, Health sciences, Physiological psychology|
Copyright in each Dissertation and Thesis is retained by the author. All Rights Reserved
The supplemental file or files you are about to download were provided to ProQuest by the author as part of a
dissertation or thesis. The supplemental files are provided "AS IS" without warranty. ProQuest is not responsible for the
content, format or impact on the supplemental file(s) on our system. in some cases, the file type may be unknown or
may be a .exe file. We recommend caution as you open such files.
Copyright of the original materials contained in the supplemental file is retained by the author and your access to the
supplemental files is subject to the ProQuest Terms and Conditions of use.
Depending on the size of the file(s) you are downloading, the system may take some time to download them. Please be