Chronic pain couples: perceived marital interactions and pain behaviours
Abstract
Patient adjustment to chronic pain is well known to be influenced by the spouse and his or her response to patient expressions of pain. However, these responses do not occur in a vacuum, and the aim of the present study was to investigate patient-spouse interactions in chronic pain in detail. Ninety-five patient-spouse dyads completed questionnaires relating to mood, marital satisfaction and communication, and 80 couples also took part in semi-structured interviews. Data were analysed using quantitative and qualitative methods. Results showed that spouses of chronic pain patients reported engaging in a far wider repertoire of responses to pain behaviours than has been recognised to date. New response categories of 'hostile-solicitous' and 'observe only' were identified. Patients generally interpreted solicitous responses less favourably than spouse responses which encouraged task persistence. Male spouses identified fewer pain-related situations than female spouses but were more likely to report responding solicitously to patient pain behaviours. Marital satisfaction was significantly higher in patients who rated themselves as talking more frequently about their pain. Spouse perceived frequency of pain talk was not related to spouse marital satisfaction. There were no gender differences in marital satisfaction. The results of this study challenge some of the assumptions that have been held regarding chronic pain patient-spouse interactions.
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Solicitous spouse responses measured by the Multidimensional Pain Inventory are positively related to pain severity and pain behaviors.
“Solicitous spouse responses as assessed by the Multidimensional Pain Inventory are also positively related to pain severity and pain behaviors 8.”
From Empathic and nonempathic interaction in chronic pain couples. (2008) · cites this paper as [8]
The Multidimensional Pain Inventory has good construct and discriminant validity, internal consistency, and test-retest reliability.
“The MPI has been shown to have good construct and discriminant validity, internal consistency, and test-retest reliability (8, 21).”
From Empathic and nonempathic interaction in chronic pain couples. (2008) · cites this paper as [8]
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- Authors
- Newton-John, T. R., & de C Williams, A. C.
- Corresponding author
- Newton-John, Toby R.
- ORCID
- Newton-John, Toby R.
- Venue
- Pain
- Published
- 2006-07
- Volume
- 123
- Issue
- 1
- Pages
- 53-63
- ISSN
- 0304-3959 (ISSN-L)
- OpenAlex
- W1986881634
- Cited by
- 92
- References
- 51
- Citations by year
- 2026: 3 · 2025: 4 · 2024: 1 · 2023: 4 · 2022: 1 · 2021: 4 · 2020: 7 · 2019: 2 · 2018: 11 · 2017: 9 · 2016: 6 · 2015: 8 · 2014: 1 · 2013: 7 · 2012: 7
- FWCI
- 1.66
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Pain (publishedVersion)
- PubMed (publishedVersion)
- UCL Discovery (University College London) (submittedVersion)
- 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, marital satisfaction, pain communication, pain behavior, couples, gender differences, task persistence
- MeSH terms
- Adaptation, Psychological, Adult, Affect, Aged, Anger, Attitude to Health, Chronic Disease, Communication, Conditioning, Operant, Depression, Female, Helping Behavior, Humans, Interpersonal Relations, Interviews as Topic, Male, Marriage, Middle Aged, Models, Psychological, Pain, Pain Measurement, Personal Satisfaction, Problem Solving, Surveys and Questionnaires, Reinforcement, Psychology, Spouses
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