Perceived spouse responses to pain: the level of agreement in couple dyads and the role of catastrophizing, marital satisfaction, and depression
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The primary objective of this study was to examine whether individuals with chronic pain ("participants") and their spouses agree on perceptions of solicitous, distracting, and punishing spouse responses to pain. The second aim was to examine the role of participant catastrophizing (a negative mental set about pain), participant and spouse marital satisfaction, and participant and spouse depression in participant perceptions of spouse responses, spouse perceptions of their responses, and agreement between participants and spouses. Individuals with chronic musculoskeletal pain and their spouses (N=108 couples) completed questionnaire packets. Examination of overall group averages (participants vs. spouses) indicated little or no differences between participant and spouse ratings. Examination of individual agreement in participant and spouse ratings indicated substantial disagreement. The proposed moderators predicted both participant and spouse perceptions and jointly made minor contributions to dyad agreement. Although neither participant nor spouse perceptions of spouse responses are necessarily a reflection of actual behavior, the lack of agreement in this study suggests it may not be valid to use only patient perceptions in research related to spouse responses.
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Most studies indicate that ignoring pain does not predict pain-related outcomes such as pain interference, disability, or pain severity.
“the majority of studies indicate that ignoring pain does not predict pain-related outcomes such as pain interference, disability, or pain severity 291, 292.”
From Evaluating psychosocial contributions to chronic pain outcomes (2018) · cites this paper as [291]
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- Authors
- Pence, L., Cano, A., Thorn, B., & Ward, L. C.
- Affiliations
- University of Alabama (US)
- Tuscaloosa VA Medical Center (US)
- ORCID
- Thorn, Beverly
- Venue
- Journal of Behavioral Medicine
- Published
- 2006-09-08
- Volume
- 29
- Issue
- 6
- Pages
- 511-522
- ISSN
- 0160-7715 (ISSN-L)
- 1573-3521
- PMC
- PMC1894941
- OpenAlex
- W2020765269
- Cited by
- 39
- References
- 49
- Citations by year
- 2021: 2 · 2020: 1 · 2019: 4 · 2018: 4 · 2017: 4 · 2016: 2 · 2015: 4 · 2013: 2 · 2012: 7
- FWCI
- 1.25
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Journal of Behavioral Medicine (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Human Biology (submittedVersion)
- Funders
- National Institute of Mental Health (K01MH066975)
- Topics
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Social Sciences › Psychology › Social Psychology › Attachment and Relationship Dynamics
- Health Sciences › Medicine › Physiology › Pain Mechanisms and Treatments
- Keywords
- chronic pain, couple dyads, perceived spousal support, pain catastrophizing, marital satisfaction, depression, musculoskeletal pain, spousal caregiving
- MeSH terms
- Chronic Disease, Depression, Female, Humans, Male, Michigan, Middle Aged, Pain, Personal Satisfaction, Regression Analysis, Social Behavior, Social Perception, Multivariate Analysis, Spouses
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