Predicting subjective disability in chronic pain patients
- 1 March 1996
- journal article
- Published by Springer Science and Business Media LLC in International Journal of Behavioral Medicine
- Vol. 3 (1), 30-41
- https://doi.org/10.1207/s15327558ijbm0301_3
Abstract
Subjective disability is considered as the variable that reflects the impact of chronic pain on a patient’s life. This study examines the questions of which syndrome or patient characteristics determine subjective disability and whether there are differences between samples of patients with chronic headaches and low back pain. Direct pain variables and depression, pain coping strategies, and pain-related self-statements (including catastrophizing) are introduced into multivariate regression analyses as potential predictors of disability using a sample of 151 pain patients. Disability is not predicted by pain severity in patients with headaches or back pain. Psychological variables, especially coping strategies, are far more influential. Coping explains more variance in disability in the headache sample than in the chronic low back pain group, whereas depression is more relevant for the degree of disability in the back pain sample.Keywords
This publication has 35 references indexed in Scilit:
- The use of pain coping strategies by patients with phantom limb painPain, 1993
- A Fear-Avoidance Beliefs Questionnaire (FABQ) and the role of fear-avoidance beliefs in chronic low back pain and disabilityPain, 1993
- Cognitive factors and persistent pain: A glimpse into pandora's boxCognitive Therapy and Research, 1992
- Depression and the chronic pain experiencePain, 1991
- Depression among chronic pain patients: Cognitive-behavioral analysis and effect on rehabilitation outcome.Journal of Consulting and Clinical Psychology, 1988
- Cognitive distortion in rheumatoid arthritis: Relation to depression and disability.Journal of Consulting and Clinical Psychology, 1988
- Development of a questionnaire for the assessment of active and passive coping strategies in chronic pain patientsPain, 1987
- Learning processes in the persistence behavior of chronic low back pain patients with repeated acute pain stimulationPain, 1987
- The West Haven-Yale Multidimensional Pain Inventory (WHYMPI)Pain, 1985
- Convergent and discriminant validation by the multitrait-multimethod matrix.Psychological Bulletin, 1959