The communal coping model and cancer pain: the roles of catastrophizing and attachment style
Open accessAbstract
Unlabelled Pain is among the most common symptoms of cancer, with impacts on multiple domains of well-being. Biopsychosocial factors play an important role in adjustment to cancer pain. The Communal Coping Model (CCM), which may elucidate the social context of cancer pain, suggests that people catastrophize to convey distress and elicit support. Attachment style, one's ability to elicit and respond to available support, may be an important factor, but this has not been tested in people with cancer pain. This study examined pain catastrophizing, attachment style and relational context in relation to perceived solicitous, distracting, and punishing responses of significant others to pain in 191 patients with advanced cancer. Consistent with the CCM, higher pain catastrophizing was related to more frequent solicitous and distracting responses. Pain catastrophizing, attachment anxiety, and significant other type interacted in relation to punishing responses. Higher pain catastrophizing was related to less frequent punishing responses only in anxiously attached patients who identified their spouse/partner as their significant other. These results provide support for the CCM of cancer pain, and contribute to refinement of the model. Future research that includes patients and their caregivers is required to further explicate the social context of cancer pain.Perspective This article investigates the Communal Coping Model in people with cancer pain. In partial support of the model, we found that pain catastrophizing was related to more frequent solicitous and distracting responses but less frequent punishing responses only in anxiously attached patients who identified their spouse/partner as their significant other.
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Interactions between chronic pain patients and their significant others can either help or harm adjustment to chronic pain.
“It is clear that the interactions between patients with chronic pain and their significant others can either facilitate or impair adjustment to chronic pain 87, 120–122.”
From Evaluating psychosocial contributions to chronic pain outcomes (2018) · cites this paper as [122]
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(Don't) Leave Me Alone: Attachment in Palliative Care
Shalev, D., Jacobsen, J. C., Rosenberg, L. B., Brenner, K. O., Seaton, M., Jackson, V. A., & Greer, J. A. (2022) · Journal of Palliative Medicine · doi:10.1089/jpm.2021.0491 · Cited by 9 · see citing works
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Psychometric Evaluation of the Pain Attitudes Questionnaire-Revised for People With Advanced Cancer
Mah, K., Tran, K., Gauthier, L. R., Rodin, G., Zimmermann, C., Warr, D. G., Librach, S. L., Moore, M. J., Shepherd, F. A., & Gagliese, L. (2017) · Journal of Pain · doi:10.1016/j.jpain.2017.02.432 · Cited by 5 · see citing works
Self-citationLa douleur du cancer est biopsychosociale
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Attachment at the end of life: A systematic review
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Pain Communication in Couples with Chronic Pain
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Self-citation
- Authors
- Gauthier, L. R., Rodin, G., Zimmermann, C., Warr, D., Librach, S. L., Moore, M., Shepherd, F. A., & Gagliese, L.
- Affiliations
- University Health Network (CA)
- Mount Sinai Hospital (CA)
- Corresponding author
- Gagliese, Lucia
- ORCID
- Venue
- The Journal of Pain
- Publisher
- Elsevier BV
- Published
- 2012-12
- Volume
- 13
- Issue
- 12
- Pages
- 1258-1268
- ISSN
- 1526-5900 (ISSN-L)
- OpenAlex
- W1972401613
- Cited by
- 41
- References
- 82
- Citations by year
- 2025: 1 · 2023: 1 · 2022: 1 · 2021: 2 · 2020: 3 · 2019: 5 · 2018: 4 · 2017: 6 · 2016: 6 · 2015: 5 · 2014: 5 · 2013: 2
- FWCI
- 5.12
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Journal of Pain (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Canadian Institutes of Health Research (62866_1)
- National Cancer Institute
- Topics
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Opioid Use
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
- Keywords
- cancer pain, pain catastrophizing, attachment styles, attachment anxiety, social support, significant others, advanced cancer, biopsychosocial model
- MeSH terms
- Adaptation, Psychological, Adult, Aged, Cross-Sectional Studies, Female, Humans, Male, Middle Aged, Neoplasms, Object Attachment, Pain, Pain Measurement, Surveys and Questionnaires, Social Support, Catastrophization
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