Differential effects of avoidant and attentional coping strategies on adaptation to chronic and recent-onset pain
Open accessAbstract
Examined the effectiveness of attentional and avoidant coping strategies for somatic, behavioral, and psychological adaptation to clinical pain. Subjects were 30 chronic and 30 recent-onset pain patients who used either attentional or avoidant coping strategies in response to their pain. Based on a review of the coping literature, it was hypothesized that subjects with recent-onset pain would demonstrate greater adaptation (lower anxiety, depression, lower pain severity and somatization ratings, and higher levels of social activity) when employing avoidant rather than attentional strategies. Chronic pain subjects using attentional strategies were predicted to demonstrate greater adaptation than chronic pain subjects using avoidant strategies. The results supported this "time x strategy" hypothesis. Implications for pain treatment programs are discussed, and suggestions are made for matching pain duration with patient coping style.
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Women show greater sensitivity than men across multiple modalities of experimental pain.
“women demonstrate a greater sensitivity to multiple modalities of experimental pain when compared with men 161.”
From Evaluating psychosocial contributions to chronic pain outcomes (2018) · cites this paper as [161]
Compared with males, females have lower pain threshold and tolerance and greater pain intensity and unpleasantness for heat, cold, ischemic, and pressure pain.
“compared to males, females demonstrate a decreased threshold and tolerance for pain and increased pain intensity and unpleasantness for heat, cold, ischemic, and pressure pain 150, 161–164”
From Evaluating psychosocial contributions to chronic pain outcomes (2018) · cites this paper as [161]
Anxiety is associated with greater clinical pain and greater experimental pain sensitivity.
“Anxiety, which is associated with increased clinical pain and experimental pain sensitivity 161, 207”
From Evaluating psychosocial contributions to chronic pain outcomes (2018) · cites this paper as [161]
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References 19 · Cited by 122
- Authors
- Holmes, J. A., & Stevenson, C. A.
- Affiliations
- Advocate Lutheran General Hospital (US)
- Venue
- Health Psychology
- Published
- 1990
- Volume
- 9
- Issue
- 5
- Pages
- 577-584
- ISSN
- 0278-6133 (ISSN-L)
- 1930-7810
- OpenAlex
- W2088796572
- Cited by
- 122
- References
- 19
- Citations by year
- 2025: 1 · 2021: 3 · 2020: 3 · 2019: 3 · 2018: 3 · 2017: 2 · 2016: 6 · 2015: 3 · 2014: 5 · 2013: 6 · 2012: 3
- FWCI
- 2.85
- Type
- journal article
- Language
- en
- Open access
- green
- ecommons.luc.edu
- Licence
- cc-by-nc-nd
- Locations
- Health Psychology (publishedVersion)
- PubMed (publishedVersion)
- Loyola eCommons (Loyola University of Chicago) (submittedVersion, cc-by-nc-nd)
- Topics
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
- Life Sciences › Neuroscience › Cognitive Neuroscience › Pain Management and Placebo Effect
- Keywords
- coping strategies, avoidance coping, chronic pain, pain adaptation, anxiety, depression, somatization, pain intensity, social activity
- MeSH terms
- Adaptation, Psychological, Adult, Anxiety, Attention, Chronic Disease, Defense Mechanisms, Depression, Female, Humans, Male, Pain, Pain Measurement, Sick Role
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