The relation between pain beliefs, negative thoughts, and psychosocial functioning in chronic pain patients
Abstract
Cognitions and beliefs appear important in predicting adjustment to chronic pain. The current study examines how cognitions and beliefs are related to psychosocial functioning. One hundred and sixty-three chronic pain out-patients were assessed. Regression analyses were performed using scores on the Pain Beliefs and Perceptions Inventory and the Inventory of Negative Thoughts in Response to Pain as predictor variables and responses to the West Haven Yale Multidimensional Pain Inventory as criterion variables. Pain cognitions and pain beliefs were correlated. After controlling for demographics, employment status and pain severity, pain beliefs and cognitions accounted for a significant amount of the variance in general activity, pain interference, and affective distress. Negative cognitions, particularly negative self-statements, were more predictive of outcome than pain beliefs. Although these data are correlational, they provide additional support for a biopsychosocial model of adjustment to chronic pain.
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Some forms of clinical pain may be caused by enhanced aversive valuation of pain, rather than resulting from dysregulation of nociceptive brain processes.
“For example, some forms of clinical pain may be caused by enhanced aversive valuation of pain, rather than resulting from dysregulation of nociceptive brain processes (e.g., [92],[93]).”
From Distinct Brain Systems Mediate the Effects of Nociceptive Input and Self-Regulation on Pain (2015) · cites this paper as [93]
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- Authors
- Stroud, M. W., Thorn, B. E., Jensen, M. P., & Boothby, J. L.
- Affiliations
- University of Washington (US)
- University of Alabama (US)
- Corresponding author
- Thorn, Beverly E
- ORCID
- Thorn, Beverly E
- Venue
- Pain
- Published
- 2000-02-01
- Volume
- 84
- Issue
- 2
- Pages
- 347-352
- ISSN
- 0304-3959 (ISSN-L)
- OpenAlex
- W2040817121
- Cited by
- 118
- References
- 39
- Citations by year
- 2025: 3 · 2024: 5 · 2023: 4 · 2022: 3 · 2021: 7 · 2020: 4 · 2019: 7 · 2018: 5 · 2017: 3 · 2016: 3 · 2015: 7 · 2014: 3 · 2013: 6 · 2012: 2
- FWCI
- 2.16
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Pain (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Treatment
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
- Keywords
- chronic pain, pain beliefs, pain-related cognitions, negative thinking, negative self-statements, psychosocial functioning, pain interference, emotional distress, general activity, biopsychosocial model
- MeSH terms
- Adaptation, Psychological, Adult, Aged, Chronic Disease, Female, Humans, Interpersonal Relations, Health Knowledge, Attitudes, Practice, Male, Middle Aged, Pain, Psychometrics, Surveys and Questionnaires, Regression Analysis, Self Concept
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