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Cited by 248Musculoskeletal pain and rehabilitationPain Mechanisms and TreatmentsAttachment and Relationship Dynamics

Chronic pain patient–spouse behavioral interactions predict patient disability

Romano, Joan M., Turner, Judith A., Jensen, Mark P., Friedman, Larry S., Bulcroft, Richard A., Hops, Hyman, Wright, Steven F.·1995·Pain
DOI 10.1016/0304-3959(95)00062-3
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Abstract

Based on behavioral theory, it has been hypothesized that spouse solicitous responses to the pain behaviors of chronic pain patients may contribute to the maintenance of pain behaviors and disability. Self-report data support this hypothesis, but direct observational measures have not been used to study this association. In this study, 50 chronic pain patients and their spouses were videotaped while engaging in common household activities. and patient pain behaviors and spouse solicitous behaviors were coded from the tapes. Spouse solicitous responses to non-verbal pain behaviors were significant predictors of physical disability in the more depressed patients, and were significant predictors of rate of non-verbal pain behavior in patients who reported greater pain. Spouse solicitous responses did not predict psychosocial dysfunction or total self-reported pain behaviors. The result support behavioral theory and indicate the need for further study of the association between spouse solicitousness and patient pain behaviors/disability.

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  • A large number of psychological variables have been identified as potential CBT process variables, including pain beliefs, perceived control over pain, social support, coping, self-efficacy, helplessness, affective distress, and catastrophizing.

    “A large number of psychological variables have been identified as potential CBT process variables, including pain beliefs and perceived control over pain, 19, 20, 50 social support, 42, 43 coping, 19, 20 self-efficacy, 50 helplessness, 4-6 affective distress, and catastrophizing. 4, 6, 45, 46, 50, 52”

    From The Mediating Role of Acceptance in Multidisciplinary Cognitive-Behavioral Therapy for Chronic Pain (2015) · cites this paper as [43]

  • Previous investigations examining potential process variables in CBT approaches for chronic pain have focused largely on pain beliefs and perceived control over pain, social support, coping, self-efficacy, helplessness, affective distress, and catastrophizing.

    “Previous investigations examining potential process variables in CBT approaches for chronic pain have focused largely on pain beliefs and perceived control over pain, 19, 20, 50 social support, 42, 43 coping, 19, 20 self-efficacy, 50 helplessness, 4-6 affective distress, and catastrophizing. 4, 6, 45, 46, 50, 52”

    From The Mediating Role of Acceptance in Multidisciplinary Cognitive-Behavioral Therapy for Chronic Pain (2015) · cites this paper as [43]

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Authors
Romano, J. M., Turner, J. A., Jensen, M. P., Friedman, L. S., Bulcroft, R. A., Hops, H., & Wright, S. F.
Affiliations
  • Oregon Research Institute (US)
  • University of Washington (US)
  • Legacy Good Samaritan Medical Center (US)
Corresponding author
Romano, Joan M.
ORCID
Venue
Pain
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
1995-12
Volume
63
Issue
3
Pages
353-360
ISSN
0304-3959 (ISSN-L)
DOI
10.1016/0304-3959(95)00062-3
OpenAlex
W2088740067
Cited by
248
References
46
Citations by year
2026: 1 · 2025: 1 · 2024: 3 · 2023: 4 · 2021: 4 · 2020: 4 · 2019: 8 · 2018: 15 · 2017: 8 · 2016: 5 · 2015: 12 · 2014: 19 · 2013: 9 · 2012: 17
FWCI
2.09
Type
journal article
Language
en
Open access
closed
Locations
  • Pain (publishedVersion)
  • PubMed (publishedVersion)
Funders
U.S. Public Health Service (R01 23747)
Topics
  • Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
  • Health Sciences › Medicine › Physiology › Pain Mechanisms and Treatments
  • Social Sciences › Psychology › Social Psychology › Attachment and Relationship Dynamics
Keywords
chronic pain, pain behavior, physical disability, behavioral theory, pain maintenance, depression, psychosocial dysfunction, spousal interaction, housework
MeSH terms
Adult, Aged, Behavior, Chronic Disease, Depression, Disability Evaluation, Female, Humans, Male, Middle Aged, Pain, Pain Measurement, Psychiatric Status Rating Scales, Regression Analysis, Reinforcement, Psychology, Sickness Impact Profile, Spouses

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