Self-perceived burden in chronic pain: Relevance, prevalence, and predictors
- 1 August 2012
- journal article
- Published by Ovid Technologies (Wolters Kluwer Health) in Pain
- Vol. 153 (8), 1735-1741
- https://doi.org/10.1016/j.pain.2012.05.009
Abstract
Although some studies have examined the extent to which family members are affected by an individual’s chronic pain, none have examined patients’ perceptions of feeling that they have become a burden to others. Research on self-perceived burden in different medical populations, such as cancer, amyotrophic lateral sclerosis, and stroke, has shown that it is associated with physical symptoms and, more robustly, with psychological difficulties and concerns. The present study examined the prevalence and predictors of self-perceived burden in a tertiary chronic pain sample. Participants were consecutive patients (N = 238) admitted to an outpatient, interdisciplinary, chronic pain management program at a rehabilitation hospital. At admission, participants completed a battery of psychometric questionnaires assessing self-perceived burden, as well as a number of clinically relevant constructs. Their significant others (n = 80) also completed a measure of caregiver burden. Self-perceived burden was a commonly reported experience among chronic pain patients, with more than 70% of participants endorsing clinically elevated levels. It was significantly correlated with pain intensity ratings, functional limitations, depressive symptoms, attachment anxiety, pain self-efficacy, and caregiver burden. Self-perceived burden was also correlated with an item assessing suicidal ideation. In a hierarchical regression model, depressive symptoms, pain self-efficacy, and adult attachment significantly predicted self-perceived burden after controlling for demographic and pain-related variables. In conclusion, self-perceived burden is a clinically relevant and commonly reported interpersonal experience in patients with longstanding pain....Funding Information
- Canadian Institutes of Health Research (93645)
This publication has 49 references indexed in Scilit:
- Suicide in the United States Air Force: Risk factors communicated before and at deathJournal of Affective Disorders, 2011
- Self-Perceived Burden in Terminally Ill Cancer Patients: A Categorization of Care Strategies Based on Bereaved Family Members' PerspectivesJournal of Pain and Symptom Management, 2010
- The Patient Health Questionnaire Somatic, Anxiety, and Depressive Symptom Scales: a systematic reviewGeneral Hospital Psychiatry, 2010
- The interpersonal theory of suicide.Psychological Review, 2010
- Main predictions of the interpersonal–psychological theory of suicidal behavior: Empirical tests in two samples of young adults.Journal of Abnormal Psychology, 2009
- Attachment and pain: Recent findings and future directionsPain, 2007
- The pain self‐efficacy questionnaire: Taking pain into accountEuropean journal of pain, 2007
- Perceived Burdensomeness as an Indicator of Suicidal SymptomsCognitive Therapy and Research, 2006
- The PHQ-9Journal of General Internal Medicine, 2001
- An item response theory analysis of self-report measures of adult attachment.Journal of Personality and Social Psychology, 2000