Behavioral treatment of chronic pain: The spouse as a discriminative cue for pain behavior
Abstract
Twenty married chronic pain patients (pain duration > 8 mo.) consecutively admitted to a pain management program were administered a taped structured interview designed to elucidate the responses of their spouses to pain behavior. Additionally, patients were required to report their pain levels in two different observational conditions: when observed by their spouse and when observed by a "neutral observer", the ward clerk. Those patients who reported that their spouses were relatively non-solicitous in responding to pain behavior reported significantly lower pain levels in the spouse-observing condition than in the neutral-observer condition. Patients who reported that their spouses were relatively solicitous in responding to pain behavior reported marginally higher levels of pain in the spouse-observing condition than in the neutral-observer condition.
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Relationships patients have with those around them play an important role in the experience of pain and what people do about it; exclusion of important others may disengage the patient or instil barriers to participation.
“However, the relationships patients have with those around them play an important role in the experience of pain51 52 and what people do about it51; exclusion of important others at a critical time may also disengage the patient or instil other barriers to their participation in the project.”
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- Authors
- Block, A. R., Kremer, E. F., & Gaylor, M.
- Affiliations
- University of California San Diego (US)
- Corresponding author
- Block, Andrew R.
- Venue
- Pain
- Published
- 1980-10
- Volume
- 9
- Issue
- 2
- Pages
- 243-252
- ISSN
- 0304-3959 (ISSN-L)
- OpenAlex
- W2016242681
- Cited by
- 223
- References
- 12
- Citations by year
- 2026: 3 · 2024: 2 · 2022: 1 · 2021: 3 · 2020: 3 · 2019: 5 · 2018: 7 · 2017: 2 · 2016: 2 · 2015: 3 · 2014: 7 · 2013: 4 · 2012: 4
- FWCI
- 4.70
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Pain (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Life Sciences › Neuroscience › Cognitive Neuroscience › Pain Management and Placebo Effect
- Health Sciences › Medicine › Physiology › Pain Mechanisms and Treatments
- Keywords
- chronic pain, pain behavior, spouses, discriminative stimulus, pain management, pain reporting, pain management program
- MeSH terms
- Behavior Therapy, Chronic Disease, Cues, Family, Female, Humans, Male, Pain, Prejudice, Pain Management
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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