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Cited by 83Musculoskeletal pain and rehabilitationPain Management and Opioid UseCultural Competency in Health Care

Control, culture and chronic pain

Bates, Maryann S., Rankin-Hill, Lesley·1994·Social Science & Medicine
DOI 10.1016/0277-9536(94)90020-5
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Abstract

In the past decade, the literature on chronic pain shows an increasing interest in the relationship between patients' locus of control (LOC) beliefs and their responses to the chronic pain experience [1-5]. However, few of these studies assess the relationships between ethnic or cultural background and LOC style in the chronic pain experience--despite research suggesting that culture affects chronic pain responses [6-8]. This report of two quantitative and qualitative research projects among chronic pain sufferers in New England and in Puerto Rico, shows significant relationships between patients' LOC style and variations in reported chronic pain intensity and responses. Our studies also demonstrate a relationship between LOC style and ethnic or cultural background and an interaction between LOC style and cultural identity in variations in reported pain intensity. In addition, we found intra-ethnic/cultural-group variations in the pain experience related to LOC style. In these chronic pain populations, the qualitative data further suggests that LOC style may not be a permanent, unchanging characteristic or cognitive interpretation. Instead, an individual's LOC style may be altered by the chronic pain experience and such a style may change at various stages in the chronic pain 'career'. These studies also show that in many ethnic/cultural groups, an increased sense of control may contribute to an increased ability to cope successfully with the chronic pain experience. In light of these findings, we suggest that it may be possible to alter a patient's sense of control through the development of deliberate culturally appropriate and personally relevant programs designed to help the patients establish a sense of control over their lives and their pain.

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  • Psychosocial processes can be pre-existing vulnerability factors or can emerge in response to ongoing pain.

    “In the first category, psychosocial processes either exist within an individual as pre-existing “vulnerability” factor [e.g., distress20–22, trauma23, 24] or emerge for the first time in response to the experience of ongoing pain [e.g., fear-avoidance behavior 25, self-efficacy26, 27].”

    From Evaluating psychosocial contributions to chronic pain outcomes (2018) · cites this paper as [25]

  • Consistent with the Cognitive Behavioral Model of chronic pain, evidence suggests that pain catastrophizing influences pain-related disability through fear of pain.

    “Consistent with the Cognitive Behavioral Model of chronic pain, there is evidence to suggest that pain catastrophizing influences pain-related disability via fear of pain 25, 335, 336.”

    From Evaluating psychosocial contributions to chronic pain outcomes (2018) · cites this paper as [25]

  • Vlaeyen and colleagues suggest that avoidance behavior persists because of certain beliefs, such as catastrophic cognitions.

    “Vlaeyen and colleagues suggest that avoidance behavior persists due to certain beliefs, such as catastrophic cognitions 25, 337, 338.”

    From Evaluating psychosocial contributions to chronic pain outcomes (2018) · cites this paper as [25]

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Authors
Bates, M. S., & Rankin-Hill, L.
Affiliations
Binghamton University (US)
Venue
Social Science & Medicine
Publisher
Elsevier BV
Published
1994-09
Volume
39
Issue
5
Pages
629-645
ISSN
0277-9536 (ISSN-L)
DOI
10.1016/0277-9536(94)90020-5
OpenAlex
W2086159438
Cited by
83
References
35
Citations by year
2025: 3 · 2024: 1 · 2022: 1 · 2021: 3 · 2020: 1 · 2019: 2 · 2018: 2 · 2017: 2 · 2014: 4 · 2013: 5 · 2012: 3
FWCI
2.38
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Social Science & Medicine (publishedVersion)
  • PubMed (publishedVersion)
  • RePEc: Research Papers in Economics (submittedVersion)
Funders
  • National Institutes of Health (2s07rr007149-19)
  • National Center for Research Resources (S07RR07149-19, SO7RR07149-16)
Topics
  • Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
  • Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Opioid Use
  • Social Sciences › Sociology and Political Science › Cultural Competency in Health Care
Keywords
chronic pain, locus of control, cultural background, ethnic differences, cultural identity, pain intensity, coping with chronic pain, perceived control, culturally sensitive interventions, Puerto Rican patients
MeSH terms
Adaptation, Psychological, Attitude to Health, Chronic Disease, Cross-Cultural Comparison, Cultural Characteristics, Female, Humans, Internal-External Control, Male, Middle Aged, New England, Pain, Pain Measurement, Puerto Rico, Social Identification

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