The DOI matches its Crossref record, with a small difference in title or year; 27 of the 27 references it cites were found in a registry or an index.
Predicting responses to self-management treatments for chronic pain: application of the pain stages of change model
Abstract
Psychological treatments emphasizing a self-management approach have become commonly accepted alternatives to medical interventions for chronic pain. Unfortunately, these approaches often fail to engage a significant portion of targeted individuals and are associated with high drop-out and relapse rates. Informed by the transtheoretical model of behavior change and the cognitive behavioral perspective on chronic pain, the Pain Stages of Change Questionnaire (PSOCQ) was developed to assess readiness to adopt a self-management approach to chronic pain. Initial studies supported the reliability and validity of four distinct scales, Precontemplation, Contemplation, Action and Maintenance. The current study was designed to assess the ability of the PSOCQ to predict self-management participation and outcome. The PSOCQ and several relevant outcome measures were assessed before and after self-management treatment by 109 chronic pain patients. Profile analysis revealed that treatment completers and non-completers differed significantly across the four PSOCQ scales. Post-hoc comparisons indicated that pretreatment PSOCQ Precontemplation and Contemplation scores discriminated these two groups. Separate analyses revealed that Action and Maintenance scores increased over the course of treatment, and that changes in the PSOCQ scales were associated with improved outcomes. These findings suggest that increased commitment to a self-management approach to chronic pain may serve as a mediator…
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In the citing paper
“Preliminary support was provided for the predictive validity and utility of the PSOCQ and for the relevance of a stages of change model in addressing issues related to the self-management of chronic pain.”
From Adjustment to Chronic Pain in Back Pain Patients Classified According to the Motivational Stages of Chronic Pain Management (2006) · cites this paper as [19]
In the citing paper
“showed significantly more pain patients with a lower educational level in the precontemplation stage and showed significant differences on gender as well.”
From Adjustment to Chronic Pain in Back Pain Patients Classified According to the Motivational Stages of Chronic Pain Management (2006) · cites this paper as [19]
In the citing paper
“increases in scores on the Action and Maintenance scales of this instrument occurring during the course of treatment were significantly related to outcome.”
From Psychological aspects of persistent pain: Current state of the science (2004) · cites this paper as [54]
In the citing paper
“Patients who completed treatment scored significantly higher on the contemplation scale and significantly lower on the precontemplation scale of the PSOCQ than those who did not.”
From Psychological aspects of persistent pain: Current state of the science (2004) · cites this paper as [54]
In the citing paper
“Although pretreatment scores on the PSOCQ did not predict treatment outcome”
From Psychological aspects of persistent pain: Current state of the science (2004) · cites this paper as [54]
In the citing paper
“This suggests that those who were actively contemplating a self-management approach were much more likely to complete a psychological treatment program.”
From Psychological aspects of persistent pain: Current state of the science (2004) · cites this paper as [54]
In the citing paper
“This suggests that patients who, as a result of treatment, became actively engaged in self-management efforts were much more likely to show improvements than those who did not.”
From Psychological aspects of persistent pain: Current state of the science (2004) · cites this paper as [54]
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Metadata
- Authors
- Kerns, R. D., & Rosenberg, R.
- Affiliations
- Yale University (US)
- VA Connecticut Healthcare System (US)
- Corresponding author
- Kerns, Robert D.
- ORCID
- Kerns, Robert D.
- Venue
- Pain
- Published
- 2000-01-01
- Volume
- 84
- Issue
- 1
- Pages
- 49-55
- ISSN
- 0304-3959 (ISSN-L)
- OpenAlex
- W2033853365
- Cited by
- 168
- References
- 27
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 3 · 2023: 7 · 2022: 3 · 2021: 4 · 2020: 2 · 2019: 8 · 2018: 8 · 2017: 5 · 2016: 3 · 2015: 4 · 2014: 9 · 2013: 6 · 2012: 7
- FWCI
- 5.61
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Pain (publishedVersion)
- PubMed (publishedVersion)
- Funders
- U.S. Department of Veterans Affairs
- McGill University
- Topics
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
- Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Treatment
- Keywords
- chronic pain, self-management, transtheoretical model, stages of change, treatment discontinuation, treatment outcome prediction, precontemplation, contemplation, treatment engagement
- MeSH terms
- Chronic Disease, Female, Humans, Male, Middle Aged, Pain, Pain Measurement, Surveys and Questionnaires, Self Care, Cognitive Behavioral Therapy, Pain Management
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