Chronic pain in a couples context: a review and integration of theoretical models and empirical evidence

Leonard, Michelle T.; Cano, Annmarie; Johansen, Ayna B.

doi:10.1016/j.jpain.2006.01.442

Cited by 259Musculoskeletal pain and rehabilitationAttachment and Relationship DynamicsPain Mechanisms and Treatments

Chronic pain in a couples context: a review and integration of theoretical models and empirical evidence

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Leonard, Michelle T., Cano, Annmarie, Johansen, Ayna B.·2006·The Journal of Pain

DOI 10.1016/j.jpain.2006.01.442PMC PMC1890016

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Abstract

Unlabelled Researchers have become increasingly interested in the social context of chronic pain conditions. The purpose of this article is to provide an integrated review of the evidence linking marital functioning with chronic pain outcomes including pain severity, physical disability, pain behaviors, and psychological distress. We first present an overview of existing models that identify an association between marital functioning and pain variables. We then review the empirical evidence for a relationship between pain variables and several marital functioning variables including marital satisfaction, spousal support, spouse responses to pain, and marital interaction. On the basis of the evidence, we present a working model of marital and pain variables, identify gaps in the literature, and offer recommendations for research and clinical work.Perspective The authors provide a comprehensive review of the relationships between marital functioning and chronic pain variables to advance future research and help treatment providers understand marital processes in chronic pain.

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Sex differences in the relationship of pain patient dysfunction to spouse adjustment
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Problematic and Positive Support in Relation to Depression in People with Rheumatoid Arthritis
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Models of family functioning and their contribution to patient outcomes in chronic pain
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The psychosocial effects of rheumatoid arthritis on the patient and the well partner
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A Multidimensional, Case-control Study of Women with Self-identified Chronic Vulvar Pain
Masheb, R. M., Brondolo, E. N., & Kerns, R. D. (2002) · Pain Medicine · doi:10.1046/j.1526-4637.2002.02032.x · Cited by 40 · see citing works
Pain-Relevant Support as a Buffer from Depression Among Chronic Pain Patients Low in Instrumental Activity
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Interpersonal stress and pain behaviors in patients with chronic pain.
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Marital Satisfaction and Distress in Chronic Low-Back Pain Patients and Their Spouses
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Untitled work
Keefe (1999) · doi:10.1002/1529-0131(199904)12:2
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Keefe (1996) · doi:10.1002/1529-0131(199608)9:4

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The Utility of Template Analysis in Qualitative Psychology Research
Brooks, J., McCluskey, S., Turley, E., & King, N. (2015) · Qualitative Research in Psychology · doi:10.1080/14780887.2014.955224 · Cited by 1,923 · see citing works
Marital quality and health: A meta-analytic review.
Robles, T. F., Slatcher, R. B., Trombello, J. M., & McGinn, M. M. (2013) · Psychological Bulletin · doi:10.1037/a0031859 · Cited by 1,615 · see citing works
The role of psychosocial processes in the development and maintenance of chronic pain
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Evaluating psychosocial contributions to chronic pain outcomes
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The Social Modulation of Pain: Others as Predictive Signals of Salience – a Systematic Review
Krahé, C., Springer, A., Weinman, J. A., & Fotopoulou, A. (2013) · Frontiers in Human Neuroscience · doi:10.3389/fnhum.2013.00386 · Cited by 245 · see citing works
Interpersonal effects of suffering in older adult caregiving relationships.
Monin, J. K., & Schulz, R. (2009) · Psychology and Aging · doi:10.1037/a0016355 · Cited by 244 · see citing works
Self-Report of Alcohol Use for Pain in a Multi-Ethnic Community Sample
Riley, J. L., & King, C. (2009) · Journal of Pain · doi:10.1016/j.jpain.2009.03.005 · Cited by 213 · see citing works
Social Pain and Physical Pain: Shared Paths To Resilience
Sturgeon, J. A., & Zautra, A. J. (2016) · Pain Management · doi:10.2217/pmt.15.56 · Cited by 199 · see citing works
Self-perceived burden in chronic pain: Relevance, prevalence, and predictors
Kowal, J., Wilson, K. G., McWilliams, L. A., Péloquin, K., & Duong, D. (2012) · Pain · doi:10.1016/j.pain.2012.05.009 · Cited by 145 · see citing works
Empathic and nonempathic interaction in chronic pain couples.
Cano, A., Barterian, J. A., & Heller, J. B. (2008) · The Clinical Journal of Pain · doi:10.1097/ajp.0b013e31816753d8 · Cited by 125 · see citing works
Social modulation of and by pain in humans and rodents
Mogil, J. S. (2015) · Pain · doi:10.1097/01.j.pain.0000460341.62094.77 · Cited by 123 · see citing works
Woman and Partner-Perceived Partner Responses Predict Pain and Sexual Satisfaction in Provoked Vestibulodynia (PVD) Couples
Rosen, N. O., Bergeron, S., Leclerc, B., Lambert, B., & Steben, M. (2010) · The Journal of Sexual Medicine · doi:10.1111/j.1743-6109.2010.01957.x · Cited by 113 · see citing works
Harmful or Helpful: Perceived Solicitous and Facilitative Partner Responses Are Differentially Associated with Pain and Sexual Satisfaction in Women with Provoked Vestibulodynia
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Pain affects spouses too: Personal experience with pain and catastrophizing as correlates of spouse distress
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Self-citation
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Impact of male partner responses on sexual function in women with vulvodynia and their partners: A dyadic daily experience study.
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Social Determinants and Consequences of Pain: Toward Multilevel, Intersectional, and Life Course Perspectives
Kapos, F. P., Craig, K. D., Anderson, S. R., Bernardes, S. F., Hirsh, A. T., Karos, K., Keogh, E., Losin, E. A. R., McParland, J. L., Moore, D., et al. (2024) · Journal of Pain · doi:10.1016/j.jpain.2024.104608 · Cited by 99 · see citing works
Patient‐reported and clinician‐reported chemotherapy‐induced peripheral neuropathy in patients with early breast cancer: Current clinical practice
Nyrop, K. A., Deal, A. M., Reeder‐Hayes, K. E., Shachar, S. S., Reeve, B. B., Basch, E., Choi, S. K., Lee, J. T., Wood, W. A., Anders, C. K., et al. (2019) · Cancer · doi:10.1002/cncr.32175 · Cited by 94 · see citing works
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Daily Anxiety and Depressive Symptoms in Couples Coping With Vulvodynia: Associations With Women's Pain, Women's Sexual Function, and Both Partners' Sexual Distress
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Pain, aging and dementia: towards a biopsychosocial model
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Provoked Vestibulodynia: Mediators of the Associations Between Partner Responses, Pain, and Sexual Satisfaction
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Beyond pain, distress, and disability: the importance of social outcomes in pain management research and practice
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Spouse‐assisted training in pain coping skills and the outcome of multidisciplinary pain management for chronic low back pain treatment: A 1‐year randomized controlled trial
Abbasi, M., Dehghani, M., Keefe, F. J., Jafari, H., Behtash, H., & Shams, J. (2012) · European Journal of Pain · doi:10.1002/j.1532-2149.2011.00097.x · Cited by 77 · see citing works
Bidirectional longitudinal associations between loneliness and pain, and the role of inflammation
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Psychodynamic interpersonal therapy and improvement in interpersonal difficulties in people with severe irritable bowel syndrome
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Daily Associations Between Partner Responses and Sexual and Relationship Satisfaction in Couples Coping with Provoked Vestibulodynia
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Factors Determining the Success of Therapeutic Lifestyle Interventions in Diabetes – Role of Partner and Family Support
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Acceptance of Vulvovaginal Pain in Women with Provoked Vestibulodynia and Their Partners: Associations with Pain, Psychological, and Sexual Adjustment
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Life satisfaction in patients with chronic musculoskeletal pain and its predictors
Boonstra, A. M., Reneman, M. F., Stewart, R. E., Post, M. W. M., & Preuper, H. R. S. (2012) · Quality of Life Research · doi:10.1007/s11136-012-0132-8 · Cited by 63 · see citing works
The Mediating Role of Depression and Negative Partner Responses in Chronic Low Back Pain and Relationship Satisfaction
Waxman, S. E., Tripp, D. A., & Flamenbaum, R. (2008) · Journal of Pain · doi:10.1016/j.jpain.2007.12.007 · Cited by 63 · see citing works
Extending conceptual frameworks: life course epidemiology for the study of back pain
Dunn, K. M. (2010) · BMC Musculoskeletal Disorders · doi:10.1186/1471-2474-11-23 · Cited by 63 · see citing works
The influence of 'significant others' on persistent back pain and work participation: A qualitative exploration of illness perceptions
McCluskey, S., Brooks, J. M., KING, N. M., & Burton, K. A. (2011) · BMC Musculoskeletal Disorders · doi:10.1186/1471-2474-12-236 · Cited by 58 · see citing works
Relationship status and quality moderate daily pain-related changes in physical disability, affect, and cognitions in women with chronic pain
Taylor, S. S., Davis, M. C., & Zautra, A. (2012) · Pain · doi:10.1016/j.pain.2012.10.004 · Cited by 56 · see citing works
Dimensions of pain-related parent behavior: Development and psychometric evaluation of a new measure for children and their parents
Hermann, C., Zohsel, K., Hohmeister, J., & Flor, H. (2008) · Pain · doi:10.1016/j.pain.2008.03.031 · Cited by 56 · see citing works
Parenting in the Context of Chronic Pain
Wilson, A. C., & Fales, J. L. (2014) · Clinical Journal of Pain · doi:10.1097/ajp.0000000000000157 · Cited by 57 · see citing works
Beyond solicitousness: a comprehensive review on informal pain-related social support
Bernardes, S. F., Forgeron, P. A., Fournier, K., & Reszel, J. (2017) · Pain · doi:10.1097/j.pain.0000000000001033 · Cited by 57 · see citing works
Arthritis and pain. Psychosocial aspects in the management of arthritis pain.
Backman, C. L. (2006) · Arthritis Research & Therapy · doi:10.1186/ar2083 · Cited by 55 · see citing works
Effects of workplace, family and cultural influences on low back pain: What opportunities exist to address social factors in general consultations?
Shaw, W. S., Campbell, P., Nelson, C. C., Main, C. J., & Linton, S. J. (2013) · Best Practice & Research Clinical Rheumatology · doi:10.1016/j.berh.2013.09.012 · Cited by 54 · see citing works
Relationship satisfaction moderates the associations between male partner responses and depression in women with vulvodynia: A dyadic daily experience study
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Illness perceptions are the main predictors of depression and anxiety symptoms in patients with chronic pain
Costa, E. C. V., Vale, S., Sobral, M., & Pereira, M. G. (2015) · Psychology Health & Medicine · doi:10.1080/13548506.2015.1109673 · Cited by 50 · see citing works
Disentangling the complex relations among caregiver and adolescent responses to adolescent chronic pain
Vowles, K. E., Cohen, L. L., McCracken, L. M., & Eccleston, C. (2010) · Pain · doi:10.1016/j.pain.2010.08.031 · Cited by 49 · see citing works
Prevalence and Risk Factors of Sexual Problems and Sexual Distress in a Sample of Women Suffering from Chronic Widespread Pain
Burri, A. V., Lachance, G., & Williams, F. M. K. (2014) · The Journal of Sexual Medicine · doi:10.1111/jsm.12651 · Cited by 48 · see citing works
A preliminary investigation of affective interaction in chronic pain couples
Johansen, A. B., & Cano, A. (2007) · Pain · doi:10.1016/j.pain.2007.04.016 · Cited by 45 · see citing works
Self-citation
Fear-avoidance and Pelvic Floor Muscle Function are Associated With Pain Intensity in Women With Vulvodynia
Benoît-Piau, J., Bergeron, S., Brassard, A., Dumoulin, C. L., Khalifé, S., Waddell, G., & Morin, M. (2018) · Clinical Journal of Pain · doi:10.1097/ajp.0000000000000604 · Cited by 45 · see citing works
Helping motivation and well-being of chronic pain couples: a daily diary study
Kindt, S., Vansteenkiste, M., Loeys, T., & Goubert, L. (2016) · Pain · doi:10.1097/j.pain.0000000000000550 · Cited by 41 · see citing works
Spouse Beliefs About Partner Chronic Pain
Caño, A., Miller-Matero, L. R., & Loree, A. M. (2009) · Journal of Pain · doi:10.1016/j.jpain.2008.11.005 · Cited by 43 · see citing works
Factors contributing to physical activity in a chronic low back pain clinical sample: A comprehensive analysis using continuous ambulatory monitoring
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A Perspective-Taking Manipulation Leads to Greater Empathy and Less Pain During the Cold Pressor Task
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Daily Spousal Responsiveness Predicts Longer-Term Trajectories of Patients’ Physical Function
Wilson, S. J., Martire, L. M., & Sliwinski, M. J. (2017) · Psychological Science · doi:10.1177/0956797617697444 · Cited by 38 · see citing works
Integrative behavioral couple therapy for chronic pain: Promoting behavior change and emotional acceptance
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Conceptualising psychological distress in families in palliative care: Findings from a systematic review
Carolan, C. M., Smith, A., & Forbat, L. (2015) · Palliative Medicine · doi:10.1177/0269216315575680 · Cited by 38 · see citing works
Daily Associations Among Male Partner Responses, Pain During Intercourse, and Anxiety in Women With Vulvodynia and Their Partners
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The Role of Relationship Quality and Perceived Partner Responses with Pain and Disability in Those with Back Pain
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A Motivational Therapeutic Assessment Improves Pain, Mood, and Relationship Satisfaction in Couples With Chronic Pain
Miller-Matero, L. R., Caño, A., & Wurm, L. H. (2013) · Journal of Pain · doi:10.1016/j.jpain.2013.01.006 · Cited by 36 · see citing works
Mechanisms of Quality of Life and Social Support in Inflammatory Bowel Disease
Katz, L., Tripp, D. A., Ropeleski, M. J., Depew, W. T., Nickel, J. C., Vanner, S. J., & Beyak, M. J. (2015) · Journal of Clinical Psychology in Medical Settings · doi:10.1007/s10880-015-9431-x · Cited by 36 · see citing works
Predictors and social consequences of daily pain expectancy among adults with chronic pain
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Predictors of pain, urinary symptoms and quality of life in patients with chronic pelvic pain syndrome (CPPS): A prospective 12-month follow-up study
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Chronic pain in families: a cross-sectional study of shared social, behavioural, and environmental influences
Campbell, P., Jordan, K. P., Smith, B. H., Scotland, G., & Dunn, K. M. (2017) · Pain · doi:10.1097/j.pain.0000000000001062 · Cited by 34 · see citing works
Satisfaction with Social Support Received from Social Relationships in Cases of Chronic Pain: The Influence of Personal Network Characteristics in Terms of Structure, Composition and Functional Content
Fernández‐Peña, R., Molina, J. L., & Valero, O. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17082706 · Cited by 32 · see citing works
Effects of threatening information on interpersonal responses to pain
Jackson, T., Huang, X., Chen, H., & Phillips, H. (2008) · European Journal of Pain · doi:10.1016/j.ejpain.2008.05.012 · Cited by 34 · see citing works
Examination of Perceived Spouse Responses to Patient Well and Pain Behavior in Patients With Headache
Forsythe, L. P., Thorn, B. E., Jensen, M. P., & Romano, J. M. (2008) · Clinical Journal of Pain · doi:10.1097/ajp.0b013e31817708ea · Cited by 33 · see citing works
Vulvodynia: a consideration of clinical and methodological research challenges and recommended solutions
Corsini‐Munt, S., Rancourt, K. M., Dubé, J. P., Rossi, M. A., & Rosen, N. O. (2017) · Journal of Pain Research · doi:10.2147/jpr.s126259 · Cited by 33 · see citing works
Marital Status and Health: Exploring Pre-Widowhood
Williams, B. R., Sawyer, P., Roseman, J. M., & Allman, R. M. (2008) · Journal of Palliative Medicine · doi:10.1089/jpm.2007.0190 · Cited by 33 · see citing works
Patients with medically unexplained symptoms and their significant others: Illness attributions and behaviors as predictors of patient functioning over time
Hilbert, A., Martin, A., Zech, T., Rauh, E., & Rief, W. (2009) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2009.09.012 · Cited by 33 · see citing works
Self-Reported Pain in Persons With Dementia Predicts Subsequent Decreased Psychosocial Functioning
Snow, A. L., Chandler, J. F., Kunik, M. E., Davila, J. A., Balasubramanyam, V., Steele, A. B., & Morgan, R. O. (2009) · American Journal of Geriatric Psychiatry · doi:10.1097/jgp.0b013e3181ad4f73 · Cited by 33 · see citing works
Illness perceptions in the context of differing work participation outcomes: exploring the influence of significant others in persistent back pain
Brooks, J. M., McCluskey, S., KING, N. M., & Burton, K. A. (2013) · BMC Musculoskeletal Disorders · doi:10.1186/1471-2474-14-48 · Cited by 33 · see citing works
Pain catastrophizing, pain intensity, and dyadic adjustment influence patient and partner depression in metastatic breast cancer
Badr, H., & Shen, M. J. (2014) · The Clinical Journal of Pain · doi:10.1097/ajp.0000000000000058 · Cited by 32 · see citing works
A Dyadic Perspective on Coping and its Effects on Relationship Quality and Psychological Distress in Couples Living with Chronic Pain: A Longitudinal Study
Mittinty, M. M., Kindt, S., Mittinty, M. N., Bernardes, S. F., Caño, A., Verhofstadt, L., & Goubert, L. (2019) · Pain Medicine · doi:10.1093/pm/pnz267 · Cited by 31 · see citing works
Self-reported Spousal Support Modifies the Negative Impact of Pain on Disability in Men With Chronic Prostatitis/Chronic Pelvic Pain Syndrome
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Do We Feel the Same Empathy for Loved and Hated Peers?
Bucchioni, G., Lelard, T., Ahmaidi, S., Godefroy, O., Krystkowiak, P. C., & Mouras, H. (2015) · PLoS ONE · doi:10.1371/journal.pone.0125871 · Cited by 30 · see citing works
Female Partners of Men with Peyronie's Disease Have Impaired Sexual Function, Satisfaction, and Mood, While Degree of Sexual Interference Is Associated with Worse Outcomes
Davis, S. N. P., Ferrar, S. J., Sadikaj, G., Gérard, M., Binik, Y. M., & A., C. S. (2016) · The Journal of Sexual Medicine · doi:10.1016/j.jsxm.2016.04.074 · Cited by 29 · see citing works
External Validation and Update of the RICP—A Multivariate Model to Predict Chronic Postoperative Pain
Mathes, T., Pape-Köhler, C., Moerders, L., Lux, E. A., & Neugebauer, E. A. M. (2017) · Pain Medicine · doi:10.1093/pm/pnx242 · Cited by 27 · see citing works
“It has changed my whole life”: The systemic implications of chronic low back pain among older adults
Stensland, M. L., & Sanders, S. (2018) · Journal of Gerontological Social Work · doi:10.1080/01634372.2018.1427169 · Cited by 28 · see citing works
A Brief Psychological Intervention for Chronic Pain in Primary Care: A Pilot Randomized Controlled Trial
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Authors: Leonard, M. T., Cano, A., & Johansen, A. B.
Affiliations: Wayne State University (US)
ORCID: Leonard, Michelle T.
Johansen, Ayna B.
Venue: The Journal of Pain
Publisher: Elsevier BV
Published: 2006-06
Volume: 7
Issue: 6
Pages: 377-390
ISSN: 1526-5900 (ISSN-L)
DOI: 10.1016/j.jpain.2006.01.442
PMC: PMC1890016
OpenAlex: W2114301646
Cited by: 259
References: 114
Citations by year: 2026: 6 · 2025: 7 · 2024: 12 · 2023: 8 · 2022: 5 · 2021: 14 · 2020: 15 · 2019: 13 · 2018: 18 · 2017: 22 · 2016: 17 · 2015: 17 · 2014: 18 · 2013: 18 · 2012: 21
FWCI: 0.97
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
www.elsevier.com/open-access/userlicense/1.0/ (vor, 6311 d)
Locations: Journal of Pain (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, couples, marital functioning, marital satisfaction, spousal support, marital interaction, pain intensity, physical disability, pain behavior, psychological distress, theoretical model
MeSH terms: Chronic Disease, Humans, Marriage, Models, Psychological, Pain Measurement, Intractable Pain, Pain, Intractable, Quality of Life, Social Support, Stress, Psychological, Caregivers, Patient Satisfaction

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Chronic pain in a couples context: a review and integration of theoretical models and empirical evidence

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