Coping with chronic pain: sources of intrinsic and contextual variability

Novy, Diane M.; Nelson, David V.; Hetzel, Roderick D.; Squitieri, Paula; Kennington, Mary

doi:10.1023/a:1018711420797

Cited by 45Optimism, Hope, and Well-beingMusculoskeletal pain and rehabilitationPediatric Pain Management Techniques

Coping with chronic pain: sources of intrinsic and contextual variability

Novy, Diane M., Nelson, David V., Hetzel, Roderick D., Squitieri, Paula, Kennington, Mary·1998·Journal of Behavioral Medicine

DOI 10.1023/a:1018711420797

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Abstract

Univariate and multivariate analyses were used to investigate intrinsic and contextual sources of coping variability among 90 patients with chronic pain. Pain coping strategies were assessed by the subscales of the Coping Strategies Questionnaire. Intrinsic variables included demographic characteristics and dispositional optimism. Contextual variables included pain-related variables and pain control appraisals. In univariate analyses, ethnicity was a statistically significant intrinsic source of variability for the praying and hoping coping subscale; however, comparisons between pairs of ethnic groups were not statistically significant. A multivariate perspective of the data found three independent and salient patterns of correlation between the intrinsic and contextual variables and coping subscales. These patterns of correlation accounted for 96% of the total variance and were conceptualized as optimistic active coping, educated rational coping, and optimistic restricted coping. The findings raise the prospect that there are intrinsic and contextual explanations of coping variability for patients with chronic pain.

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Authors: Novy, D. M., Nelson, D. V., Hetzel, R. D., Squitieri, P., & Kennington, M.
Affiliations: The University of Texas Health Science Center at Houston (US)
ORCID: Novy, Diane M.
Nelson, David V.
Venue: Journal of Behavioral Medicine
Publisher: Springer Science and Business Media LLC
Published: 1998-02
Volume: 21
Issue: 1
Pages: 19-34
ISSN: 0160-7715 (ISSN-L)
1573-3521
DOI: 10.1023/a:1018711420797
OpenAlex: W103257827
Cited by: 45
References: 26
Citations by year: 2021: 1 · 2019: 2 · 2018: 1 · 2014: 5 · 2013: 1 · 2012: 3
FWCI: 0.65
Type: journal article
Language: en
Open access: closed
Licence: www.springernature.com/gp/researchers/text-and-data-mining (tdm)
www.springernature.com/gp/researchers/text-and-data-mining (vor)
Locations: Journal of Behavioral Medicine (publishedVersion)
PubMed (publishedVersion)
Topics: Social Sciences › Psychology › Applied Psychology › Optimism, Hope, and Well-being
Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
Keywords: chronic pain, pain coping, dispositional optimism, ethnicity
MeSH terms: Adaptation, Psychological, Adult, Chronic Disease, Combined Modality Therapy, Defense Mechanisms, Female, Humans, Male, Pain, Pain Measurement, Patient Care Team, Sick Role

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Coping with chronic pain: sources of intrinsic and contextual variability

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