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Cognitive-behavioral classifications of chronic pain: replication and extension of empirically derived patient profiles

Jamison, Robert N., Rudy, Thomas E., Penzien, Donald B., Mosley, Thomas H.·1994·Pain

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Abstract

Many attempts have been made to classify patients with chronic pain in order to make sense of a very complex problem and to direct patients towards appropriate treatments for their condition. Unfortunately, these efforts have not been empirically based and have demonstrated limited clinical use. Predominant emphasis has been placed on either biomedical or psychopathological elements of the chronic pain experience with little integration of cognitive-behavioral factors. Turk and Rudy (1988) introduced an empirically derived pain patient taxonomy based on analyses of the Multidimensional Pain Inventory (MPI). The primary purpose of the present study was to replicate this classification system by using different measures for similar constructs in different groups of chronic pain patients. Items designed to measure 4 constructs (activity interference, emotional distress, pain intensity, and perceived support) were collected from 1594 pain patients evaluated at two separate pain treatment facilities. Confirmatory factor analytic results indicated high reliability of the items in measuring these 4 constructs. Replicated clustering techniques demonstrated the robustness of 3 patient profiles across the patient samples. The 3 clusters corresponded remarkably well to the groups initially labeled by Turk and Rudy (1988) as Dysfunctional, Interpersonally Distressed and Adaptive Copers. External validation of the classification system supported replication of the 3 groups and offered fur…

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Authors: Jamison, R. N., Rudy, T. E., Penzien, D. B., & Mosley, T. H.
Affiliations: Brigham and Women's Hospital (US)
University of Pittsburgh Medical Center (US)
University of Mississippi Medical Center (US)
Corresponding author: Jamison, Robert N.
ORCID: Jamison, Robert N.
Penzien, Donald B.
Mosley, Thomas H.
Venue: Pain
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 1994-06
Volume: 57
Issue: 3
Pages: 277-292
ISSN: 0304-3959 (ISSN-L)
DOI: 10.1016/0304-3959(94)90003-5
OpenAlex: W2080310989
Cited by: 119
References: 44
Citations by year: 2026: 1 · 2025: 1 · 2024: 3 · 2023: 4 · 2022: 1 · 2021: 2 · 2020: 3 · 2019: 1 · 2018: 1 · 2017: 1 · 2016: 3 · 2015: 3 · 2014: 2 · 2013: 3 · 2012: 5
FWCI: 3.29
Type: journal article
Language: en
Open access: closed
Locations: Pain (publishedVersion)
PubMed (publishedVersion)
Funders: Vanderbilt University
National Institutes of Health (5r01ar038698-07, 5r01de007514-14)
U.S. Public Health Service
National Institute of Arthritis and Musculoskeletal and Skin Diseases (R01 AR38698)
National Institute of Dental and Craniofacial Research (R01 DE07514)
Topics: Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Treatment
Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
Keywords: chronic pain, patient classification, cognitive-behavioral factors, Multidimensional Pain Inventory, activity interference, emotional distress, pain intensity, perceived social support, replication, external validation, treatment outcome prediction
MeSH terms: Adult, Chronic Disease, Factor Analysis, Statistical, Female, Humans, Male, Middle Aged, Pain, Reproducibility of Results, Cognitive Behavioral Therapy, Cluster Analysis

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Cognitive-behavioral classifications of chronic pain: replication and extension of empirically derived patient profiles

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