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Cited by 59Musculoskeletal pain and rehabilitationPediatric Pain Management TechniquesBehavioral Health and Interventions

Higher levels of pain readiness to change and more positive affect reduce pain reports–a weekly assessment study on arthritis patients

Strand, Elin B., Kerns, Robert D., Christie, Anne, Haavik-Nilsen, Kjell, Klokkerud, Mari, Finset, Arnstein·2007·Pain
DOI 10.1016/j.pain.2006.08.015
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Abstract

The objective of the study was to analyze the relationships between Pain Readiness to Change, weekly measures of positive and negative affect and pain over eight subsequent weeks in patients with rheumatoid arthritis (RA). Factor analysis based on data from three different samples of patients with rheumatic diseases and other chronic pain conditions suggested a three factor solution for the Norwegian version of the Pain Stages of Change questionnaire (PSOCQ) representing Precontemplation, Contemplation, and Action/Maintenance (ACT) stages from the original Transtheoretical Model. Multilevel analyses on the weekly assessed data from a sub sample of 40 patients with RA revealed that higher levels of Pain Readiness to Change represented by high ACT scores were associated with more positive affect from week to week while no association was found between Readiness to Change and weekly pain. However, there was an interaction effect between Pain Readiness to Change and weekly positive affect on weekly pain, indicating that those persons having a higher level of Readiness to Change reported less pain in weeks when they also experienced increased positive affect. This may imply that a combination of cognitive factors and positive affect is most effective in relation to pain reduction. Results encourage continued investigation of apparent interactions between chronic pain, affect, and pain self-management.

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  • Generalized positive outcome expectancy, or dispositional optimism, is related to increased feelings of control, use of more active coping strategies, and better functional performance.

    “Generalized positive outcome expectancy, or dispositional optimism 348–350, is related to increased feelings of control, the use of more active coping strategies, and better functional performance 91, 351–353.”

    From Evaluating psychosocial contributions to chronic pain outcomes (2018) · cites this paper as [348]

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Authors
Strand, E. B., Kerns, R. D., Christie, A., Haavik-Nilsen, K., Klokkerud, M., & Finset, A.
Affiliations
  • University of Oslo (NO)
  • Yale University (US)
  • Diakonhjemmet Hospital (NO)
Corresponding author
Strand, Elin B.
ORCID
Venue
Pain
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2007-02
Volume
127
Issue
3
Pages
204-213
ISSN
0304-3959 (ISSN-L)
DOI
10.1016/j.pain.2006.08.015
OpenAlex
W2010224834
Cited by
59
References
47
Citations by year
2026: 2 · 2023: 5 · 2022: 1 · 2021: 2 · 2020: 3 · 2019: 5 · 2018: 4 · 2017: 4 · 2016: 1 · 2015: 1 · 2014: 8 · 2013: 3 · 2012: 5
FWCI
0.63
Type
journal article
Language
en
Open access
closed
Locations
  • Pain (publishedVersion)
  • PubMed (publishedVersion)
Funders
Norges Forskningsråd
Topics
  • Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
  • Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
Keywords
positive affect, negative affect, rheumatoid arthritis, chronic pain, transtheoretical model, precontemplation, contemplation, pain self-management, analgesia
MeSH terms
Adaptation, Psychological, Adult, Affect, Aged, Aged, 80 and over, Arthritis, Rheumatoid, Attitude to Health, Female, Humans, Male, Middle Aged, Pain, Pain Measurement, Surveys and Questionnaires, Outcome Assessment, Health Care

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