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Personality Characteristics as Differential Variables of the Pain Experience
Abstract
This study analyzes the relationships between neuroticism, extroversion, age, and sex and the intensity of perceived pain and the coping strategies used. We worked with a sample of 96 patients with chronic pain. The assessment tools were the following: the Vanderbilt Pain Management Inventory, a Spanish version of the McGill Pain Questionnaire, and the Eysenck Personality Inventory. The hypothetical model establishes positive relationships between neuroticism, the use of passive coping strategies, and the intensity of pain. On the other hand, extraversion is expected to be positively related to the use of active coping strategies and negatively related to the perceived intensity of pain. The results support the hypotheses formulated regarding the effects of the variables neuroticism and extraversion. Age is negatively related to active coping strategies and pain intensity. Men use more active strategies than women, while the latter have a greater perception of pain.
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In the citing paper
“Ramirez-Maestre et al. (2004) found that neuroticism positively correlated with a passive coping style and intensity of perceived pain across a variety of conditions including rheumatic disease, cancer, LBP, and fibromyalgia.”
From Beyond yellow flags: The Big‐Five personality traits and psychologically informed musculoskeletal rehabilitation. (2023) · cites this paper as Ramirez-Maestre et al. (2004)
In the citing paper
“Ramirez-Maestre et al. (2004)found that extraversion was positively associated with active coping and negatively correlated with perceived pain in the same sample of patients with chronic disease.”
From Beyond yellow flags: The Big‐Five personality traits and psychologically informed musculoskeletal rehabilitation. (2023) · cites this paper as Ramirez-Maestre et al. (2004)
In the citing paper
“The findings consistently demonstrate elevated levels of neuroticism in patients suffering from these conditions (Bucourt et al., 2017;Conversano et al., 2018;Ramírez-Maestre et al., 2004), with some support for low levels of conscientiousness and extraversion (Bucourt et al., 2017;Mohn et al., 2010;Ramírez-Maestre et al., 2004;Torres et al., 2013).”
From Beyond yellow flags: The Big‐Five personality traits and psychologically informed musculoskeletal rehabilitation. (2023) · cites this paper as Ramírez-Maestre et al., 2004
In the citing paper
“Most of the work is in populations suffering from long-term chronic pain such as fibromyalgia or non-specific LBP (Conversano et al., 2018;Mohn et al., 2010;Ramírez-Maestre et al., 2004).”
From Beyond yellow flags: The Big‐Five personality traits and psychologically informed musculoskeletal rehabilitation. (2023) · cites this paper as Ramírez-Maestre et al., 2004
Citations
Cites
Multidimensional assessment of coping: a critical evaluation
Endler, N. S., & Parker, J. D. (1990) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.58.5.844 · Cited by 2,237 · cited 5×
“…Characteristics as Differential Variables of the Pain Experience 149 that might lead to poor adaptation to stress (Bolger, 1990; Costa and McCrae, 1990; Endler and Parker, 1990; Epstein and Meier, 1989; Gunthert et al., 1999; McCrae and Costa, 1986; Medvedova, 1998; Morasso et al., 1996).”
BackgroundInfluentialGender variations in clinical pain experience
Unruh, A. M. (1996) · Pain · doi:10.1016/0304-3959(95)00214-6 · Cited by 1,550
Active and passive coping strategies in chronic pain patients
Snow-Turek, L. A., Norris, M. P., & Tan, G. (1996) · Pain · doi:10.1016/0304-3959(95)00190-5 · Cited by 266
Flagged first, then by citations
Research works printed but not linked: 72
- Affleck, G., Tennen, H., Keefe, F. J., and Lefevre, K. (1999). Everyday life with osteoarthritis of rheumatoid arthritis: Independent effects of disease and gender on daily pain, mood and coping. Pain 83: 601-609. · DOI · Paper page
- Affleck, G., Tennen, H., Urrows, S., and Higgins, P. (1992). Neuroticism and the pain–mood relation in rheumatoid arthritis: Insights from a prospective daily study. J. Consult. Clin. Psychol. 60: 119-126. · DOI
- Asghari, M. A., and Nicholas, M. K. (1999). Personality and adjustment to chronic pain. Pain Rev. 6: 85-97. · DOI
- Astor-Dubin, L., and Hammen, C. (1984). Cognitive versus behavioral coping response of men and women: A brief report. Cogn. Ther. Res. 85-90. · DOI
- Beecher, H. K. (1965). Quantification of the subjective pain experience. In Weisenberg, M. (Ed.), Pain, The C. V. Mosby, New York.
- Bishop, S. R., and Warr, D. (2003). Coping, catastrophizing and chronic pain in breast cancer. J. Behav. Med. 26: 265-281. · DOI
- Bolger, N. (1990). Coping as a personality process: A prospective study. J. Pers. Soc. Psychol. 59: 525-537. · DOI
- Brems, C., and Johnson, M. E. (1989). Problem-solving appraisal and coping style: The influence of sex-role orientation and gender. J. Psychol. 123: 187-194. · DOI
- Brown, G. K., and Nicassio, P. M. (1987). The development of a questionnaire for the assessment of active and passive coping strategies in chronic pain patients. Pain 31: 53-65. · DOI
- Buckelew, S. P., Shutty, M. S., Hewett, J., Landon, T. et al. (1990). Health locus of control, gender differences and adjustment to persistent pain. Pain 42: 287-294. · DOI
- Carver, C. S., Scheier, M. F., and Weintraub, J. K. (1989). Assessing coping strategies: A theoretically based approach. J. Pers. Soc. Psychol. 56: 267-283. · DOI · Paper page
- Collin, G., and Stone, L. A. (1966). Pain sensitivity, age and activity level in chronic schizophrenics and in normals. Br. J. Psychiatry. 112: 33-55. · DOI
- Costa, P. T., Jr., and Mccrae, R. R. (1990). Personality: Another “hidden factor” in stress research. Psychol. Inq. 1: 22-24. · DOI
- Costa, P. T., and McCrae, R. R. (1993). Psychological stress and coping in old age. In Goldberger, L., and Breznitz, S. (Eds.), Handbook of Stress: Theoretical and Clinical Aspects, Free Press, New York.
- Costa, P. T., Sommerfield, M. R., and McCrae, R. R. (1996). Personality and coping: A reconceptualization. In Zeidner, M., and Endler, N. S. (Eds.), Handbook of Coping: Theoretical, Research, Applications, Wiley, New York.
- Costa, P. T., Zonderman, A. B., and McCrae, R. R. (1991). Personality, defense, coping, and adaptation in older adulthood. In Greene, A. L., and Karraher, K. H. (Eds.), Life-Span Developmental Psychology: Perspectives on Stress and Coping, Erlbaum, Hillsdale, NJ.
- David, J. P., and Suls, J. (1999). Coping efforts in daily life: Role of Big Five traits and problem appraisals. J. Pers. 67: 265-294. · DOI
- Dejong, G. M., Van Sonderen, E., and Emmelkamp, P. M. G. (1999). A comprehensive model of stress: The roles of experienced stress and neuroticism in explaining the stress–distress relationship. Psychother. Psychosom. 68: 290-298. · DOI
- Dobratz, M. (1995). Analysis of variables that impact psychological adaptation in home hospice patients. Hosp. J. 10: 75-88. · DOI
- Ellermeier, W., and Westphal, W. (1995). Gender differences in pain ratings and pupil reactions to painful pressure stimuli. Pain 61: 435-439. · DOI · Paper page
- Epstein, S., and Meier, P. (1989). Constructive thinking: A broad coping variable with specific components. J. Pers. Soc. Psychol. 57: 332-350. · DOI
- Esteve, M. R., López, A. E., and Ramírez-Maestre, C. (1999). Evaluación de estrategias de afrontamiento al dolor crónico. Rev. Psicol. Salud. 11: 133-141.
- Eysenck, H. J., and Eysenck, S. B. G. (1990). Cuestionario de Personalidad EPI, TEA, Madrid.
- Faucett, J., Gordon, N., and Levine, J. (1994). Differences in postoperative pain severity among four ethnic groups. J. Pain Symptom Manage. 9: 383-389. · DOI
- Feine, J. S., Bushnell, M. C., Miren, D., and Duncan, G. H. (1991). Sex differences in the perception of noxious heat stimuli. Pain 44: 255-262. · DOI
- Felton, B. J., and Revenson, T. A. (1987). Age differences in coping with chronic illness. Psychol. Aging 2: 164-170. · DOI
- Gagliese, L., and Melzack, R. (1997). The assessment of pain in the elderly. In D. I. Motofsky, and J. Lomran, (Eds.), Handbook of Pain and Aging, Plenum Press, New York.
- Glover, J., Dibble, S., Dodd, M., and Miaskowski, C. (1995). Mood states of oncology outpatients: Does pain make a difference? J. Pain Symptom Manage. 10: 120-128. · DOI
- Goldie, L. (1990). The effect of character, experience, and circumstances on the way in which physical pain is endured. Psychol. Med. 22: 195-196.
- Gómez, R., Holmberg, K., Bounds, J., Fullarton, C., and Gómez, A. (1999). Neuroticism and extroversion as predictors of coping styles during early adolescence. Pers. Indivd. Differ. 27: 3-17. · DOI
- Gunther, K. C., Cohen, L. H., and Armeli, S. (1999). The role of neuroticism in daily stress and coping. J. Pers. Soc. Psychol. 77: 1087-1100. · DOI
- Gutman, D. L. (1964). An exploration of ego configurations in middle and later life. In Neugarten, B. L. (Ed.), Personality in Middle and Later Life, Atherton, New York.
- Gutman, D. L. (1974). The country of old men: Cross-cultural studies in the psychology of later life. In Levine, R. A. (Ed.), Culture and Personality: Contemporary Readings, Aldine, Chicago.
- Gutman, D. L. (1987). Reclaimed Powers: Toward a Psychology of Men and Women in Later Life, Basic Books, New York.
- Harkins, S. W., and Chapman, C. R. (1976). Detection and decision factors in pain perception in young and elderly men. Pain 2: 253-264. · DOI
- Harkins, S. W., and Chapman, C. R. (1977). Age and sex differences in pain perception. In Andros, B., and Mathaws, B. (Eds.), Pain in Trigeminal Regions, Elsevier, North Holland, Amsterdam.
- Hewitt, P. L., and Flett, G. L. (1996). Personality traits and the coping process. In Zeidner, M., and Endler, N. S. (Eds.), Handbook of Coping, Wiley, New York.
- Houtman, I. L. D. (1990). Personal coping resources and sex differences. Pers. Indivd. Differ. 11: 53-63. · DOI
- Jensen, M. P., Turner, J. A., Romano, J. M., and Lawler, B. K. (1994). Relationship of pain-specific beliefs to chronic pain adjustment. Pain 57: 301-309. · DOI · Paper page
- Jerusalem, M., and Schwarzer, R. (1989). Anxiety and self-concept as antecedents of stress and coping. Pers. Indivd. Differ. 11: 53-63.
- Jöreskog, K. J., and Sörbom, D. (1993). LISREL 8: Structural Equation Modelling With the Simplis Command Language, Erlbaum, Hillsdale, NJ.
- Keefe, F. J., and Williams, D. A. (1990). A comparison of coping strategies in chronic pain patients in different age groups. J. Gerontol. 45: 161-165. · DOI
- Klinger, L., and Spaulding, S. J. (1998). {Chronic pain in the elderly: Is silence really golden?} Physical and Occupational Therapy in Geriatrics, 15: 1-17.
- Lazaro, C., Bosch, F., Torrubia, R., and Banos, J. E. (1994). The development of a Spanish Questionnaire for assessing pain: Preliminary data concerning reliability and validity. Eur. J. Psicol. Assess. 10: 145-151.
- Lazarus, R. S., and Folkman, S. (1984/1986). Estrés y procesos cognitivos, Martínez Roca, Barcelona, Spain.
- Lynn, R. and Eysenck, H. J. (1961). Tolerance for pain, extraversion and neuroticism. Percept. Mot. Skills 12: 161-162. · DOI
- Martin, M. Y., Bradley, L. A., Alexander, R. W., Alarcón, G. S., Triana-Alexander, M., Aaron, L. A., and Alberts, K. R. (1996). Coping strategies predict disability in patients with primary fibromyalgia. Pain 68: 45-53. · DOI · Paper page
- McCrae, R. R. (1982). Age differences in the use of coping mechanisms. J. Gerontol. 37: 454-460. · DOI
- McCrae, R. R., and Costa, P. T. (1986). Personality, coping, and coping effectiveness in an adult sample. J. Pers. 54: 385-405. · DOI
- McCrae, R. R., and Costa, P. T. (1990). Personality in Adulthood, Guilford, New York.
- Medvedova, L. (1998). Personality dimensions—“Little Five”-and their relationships with coping strategies in early adolescence. Stud. Psychol. 40: 261-265.
- Medvedova, L. (1999). Personality factors and coping with stress in pubescents. Psychol. Pathopsychol. Dietata 34: 3-12.
- Melzack, R. (1975). The McGill Pain: Major properties and scoring methods. Pain 1: 277-299. · DOI
- Morasso, G., Costantini, M., Baracco, G., Borreani, C., and Capelli, M. (1996). Assessing psychological distress in cancer patients: Validation of a self-administered questionnaire. Oncology 53: 295-302. · DOI
- Pfeiffer, E. (1977). Psychopathology and social pathology. In Birren, J. E., and Schaie, K. W. (Eds.), Handbook of the Psychology of Aging, Van Nostrand Reinhold, New York.
- Phillips, J. M., and Gatchel, R. J. (2000). Extraversion–introversion and chronic pain. In Gatchel, R. J., and Weisberg, J. N. (Eds.), Personality Characteristics of Patients With Chronic Pain, APA, Washington, DC.
- Prohaska, T. R., Leventhal, E. A., Leventhal, H., and Keller, M. L. (1985). Health practices and illness condition in young, middle aged, and elderly adults. J. Gerontol. 40: 569-578. · DOI
- Reid, G. J., Gilbert, C. A., and McGrath, P. J. (1994). Development of a pain coping questionnaire. In Third International Symposium on Pediatric Pain, Philadelphia.
- Rim, Y. (1986). Ways of coping, personality, age, sex, and family structural variables. Pers. Indivd. Differ. 7: 133-116. · DOI
- Rodríguez, M. J., Esteve, R., and López, A. (2000). Represión emocional and estrategias de afrontamiento en dolor crónico oncológico. Psicothema 12: 339-345.
- Rollman, G. B., and Harris, G. (1987). Detectability, discriminability, and perceived magnitude of painful electric shock. Perceptual Psychopathology, 40: 257-268. · DOI
- Sánchez Cánovas, J., and Sánchez López, M. P. (1994). Psicología diferencial: Diversidad e individualidad humanas, Ramón Areces, Madrid.
- Soriano, J., and Monsalve, V. (1999). Valoración, afrontamiento and emoción en pacientes con dolor crónico. Bol. Psicol. 62: 43-64.
- Turk, D. C., and Okifuji, A. (1999). {Does sex make a difference in the prescription of treatments and the adaptation to chronic pain by cancer and non-cancer patients?} Pain 82: 139-148. · DOI
- Vaillant, G. L. (1976). Natural history of male psychological health: 5. The relation of choice of ego mechanisms of defense to adult adjustment. Arch. Gen. Psychiat. 33: 535-545. · DOI
- Vaillant, G. L. (1977). Adaptation of Life, Little, Brown, Boston.
- Wade, J. B., Dougherty, L. M., Hart, R. P., and Cook, D. B. (1992a). Patterns of normal personality structure among chronic pain patients. Pain 48: 37-43. · DOI
- Wade J. B., Dougherty, L. M., Hart, R. P., and Rafii, A. (1992b). A canonical correlation analysis of the influence of neuroticism and extraversion on chronic pain, suffering and pain behavior. Pain 51: 67-73. · DOI
- Williamson, G., and Schultz, R. (1995). Activity restriction mediates the association between pain and depressed affect: A study of younger and older adult cancer patients. Psychol. Aging 10: 369-378. · DOI
- Wu, K. (1991). Family support, age, and emotional states of terminally ill cancer patients. Omega-J. Death Dying 22: 139-151. · DOI
- Ziesat, H. A., Jr. and Gentry, W. D. (1978). Pain Apperception Test: An investigation of concurrent validity. J. Clin. Psychol. 34: 786-789. · DOI
- Zimbardo, P. G., Cohen, A. R., Weisenberg, M., Dwokin, L., and Firestone, I. (1966). Control of pain motivation by cognitive dissonance. Science 151: 217-219. · DOI
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Metadata
- Authors
- Ramírez-Maestre, C., Martínez, A. E. L., & Zarazaga, R. E.
- Venue
- Journal of Behavioral Medicine
- Published
- 2004-04
- Volume
- 27
- Issue
- 2
- Pages
- 147-165
- ISSN
- 0160-7715 (ISSN-L)
- 1573-3521
- OpenAlex
- W2096785055
- Cited by
- 144
- References
- 0
- Citations by year
- 2026: 4 · 2025: 4 · 2024: 5 · 2023: 4 · 2022: 8 · 2021: 4 · 2020: 3 · 2019: 7 · 2018: 5 · 2017: 6 · 2016: 7 · 2015: 11 · 2014: 14 · 2013: 6 · 2012: 14
- FWCI
- 3.00
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- Journal of Behavioral Medicine (publishedVersion)
- PubMed (publishedVersion)
- Funders
- McGill University
- Universidad de Málaga
- Topics
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
- Social Sciences › Psychology › Clinical Psychology › Personality Traits and Psychology
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Opioid Use
- Keywords
- personality traits, neuroticism, extraversion, chronic pain, pain intensity, pain coping, sex differences, age differences, passive coping, active coping
- MeSH terms
- Adaptation, Psychological, Adolescent, Adult, Aged, Aged, 80 and over, Female, Humans, Male, Middle Aged, Pain, Personality Disorders
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