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Does Anxiety Affect Coping with Chronic Pain?
Abstract
Objective To evaluate whether symptoms of emotional distress related to pain affect patients' use of pain coping strategies. Relations between anxiety responses, as assessed by the Pain Anxiety Symptoms Scale, and coping strategies, as assessed by the Coping Strategies Questionnaire, were examined. Design Cross-sectional, retrospective, correlational. Setting A multidisciplinary pain management clinic in a university hospital. Participants One hundred sixty-five patients (49.7% female) with chronic pain complaints. The most frequent complaint was low back pain (73%). Average age was 45.3 years (SD = 13.8). Main outcome measures Pain coping strategy scores and ratings of ability to control and decrease pain. Results Generally, cognitive anxiety was associated with less overall coping with pain, whereas physiological anxiety was associated with a greater coping with pain. Escape and avoidance anxiety responses were associated with greater use of overt pain behaviors for coping. Regression analyses indicated that anxiety symptoms combined across cognitive, motoric, and physiological response types accounted for significant variance in seven of eight coping strategy scores. These analyses also revealed significant unique relations of separate anxiety modalities with coping variables. Relations between anxiety scores and the Catastrophizing subscale of the CSQ were much greater than the relations of anxiety scores with other coping variables, suggesting that catastrophizing may be…
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Patients scoring high on pain-related anxiety and fear score lower on measures of pain coping.
“and lower on measures of pain coping.74”
From Psychological aspects of persistent pain: Current state of the science (2004) · cites this paper as [74]
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Fear-avoidance and its consequences in chronic musculoskeletal pain: a state of the art.
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Psychological aspects of persistent pain: Current state of the science
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Self-citationCoping or acceptance? What to do about chronic pain
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Metadata
- Authors
- MCCRACKEN, L. M., & GROSS, R. T.
- Affiliations
- West Virginia University (US)
- ORCID
- MCCRACKEN, LANCE M.
- Venue
- The Clinical Journal of Pain
- Published
- 1993-12
- Volume
- 9
- Issue
- 4
- Pages
- 253-259
- ISSN
- 0749-8047 (ISSN-L)
- OpenAlex
- W2094180094
- Cited by
- 143
- References
- 0
- Citations by year
- 2026: 1 · 2024: 2 · 2022: 2 · 2020: 5 · 2019: 3 · 2018: 2 · 2017: 5 · 2016: 2 · 2015: 1 · 2014: 2 · 2013: 8 · 2012: 5
- FWCI
- 2.33
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Clinical Journal of Pain (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › 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
- chronic pain, anxiety, pain coping, cognitive anxiety, physiological anxiety, escape-avoidance, catastrophizing, emotional distress, low back pain, Coping Strategies Questionnaire
- MeSH terms
- Adaptation, Psychological, Adult, Anxiety, Chronic Disease, Cognition, Female, Humans, Male, Middle Aged, Pain, Psychiatric Status Rating Scales, Surveys and Questionnaires
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