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The Coping Strategies Questionnaire and Chronic Pain Adjustment: A Conceptual and Empirical Reanalysis
Abstract
Objective Some studies have found significant relations between both the factor scores and subscales of the Coping Strategies Questionnaire (CSQ) and various measures of adjustment to chronic pain. In their review of the literature on coping with chronic pain, Jensen et al. (Pain 1991;47:249-83) suggest that conceptual overlap between the subscales may inflate these observed correlations. In the present study, we examine the factor structure of the CSQ subscales which reflect coping, excluding the CSQ subscales which measure appraisal or activity. We then examine the relationship between the CSQ factors and subscales and pain adjustment, while controlling for selected variables. Design and subjects One hundred fifty-two chronic pain patients were administered the CSQ. Seventy-three were also administered the Multidimensional Pain Inventory (MPI). Adjustment to chronic pain was defined based on patients' cluster membership on the MPI and responses to the Interference, Pain Severity, and Negative Affect subscales. Setting Tertiary care center. Results Multiple regression analyses revealed that the Pain Avoidance factor was positively related to pain severity, interference, and MPI cluster membership. In addition, the catastrophizing subscale was positively related to negative affect and MPI cluster membership even when controlling for level of depression, ability to decrease pain was related to lower levels of pain severity, and ability to control pain was related to MPI cluste…
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“Patients with partners showing avoidant and anxious attachment styles are more likely to report increased pain and decreased well-being 103, 124–127.”
From Evaluating psychosocial contributions to chronic pain outcomes (2018) · cites this paper as [124]
In the citing paper
“Within the Communal Coping Model framework, catastrophizing can be conceptualized as a coping strategy that activates the individual’s social environment by soliciting support or empathy 124, 294, 341, 342.”
From Evaluating psychosocial contributions to chronic pain outcomes (2018) · cites this paper as [124]
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Evaluating psychosocial contributions to chronic pain outcomes
Meints, S. M., & Edwards, R. R. (2018) · Progress in Neuro-Psychopharmacology and Biological Psychiatry · doi:10.1016/j.pnpbp.2018.01.017 · Cited by 719
Turner, J. A., Jensen, M. P., & Romano, J. M. (2000) · Pain · doi:10.1016/s0304-3959(99)00259-6 · Cited by 487
Turner, J. A., Jensen, M. P., Warms, C. A., & Cardenas, D. D. (2002) · Pain · doi:10.1016/s0304-3959(02)00045-3 · Cited by 333
Psychosocial predictors of long-term adjustment to lower-limb amputation and phantom limb pain
Hanley, M. A., Jensen, M. P., Ehde, D. M., Hoffman, A. J., Patterson, D. R., & Robinson, L. R. (2004) · Disability and Rehabilitation · doi:10.1080/09638280410001708896 · Cited by 263
Edwards, R. R., Moric, M., Husfeldt, B., Buvanendran, A., & Ivankovich, O. (2005) · Pain Medicine · doi:10.1111/j.1526-4637.2005.05007.x · Cited by 261
Metadata
- Authors
- Geisser, M. E., Robinson, M. E., & Henson, C. D.
- Affiliations
- University of Florida Health (US)
- Venue
- The Clinical Journal of Pain
- Published
- 1994-06
- Volume
- 10
- Issue
- 2
- Pages
- 98-106
- ISSN
- 0749-8047 (ISSN-L)
- OpenAlex
- W2078331019
- Cited by
- 127
- References
- 0
- Citations by year
- 2026: 1 · 2022: 4 · 2021: 1 · 2020: 1 · 2019: 3 · 2018: 3 · 2017: 2 · 2016: 2 · 2015: 3 · 2014: 4 · 2013: 6 · 2012: 7
- FWCI
- 3.58
- 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
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Opioid Use
- Keywords
- Coping Strategies Questionnaire, chronic pain, pain avoidance, catastrophizing, pain intensity, pain interference, negative affect, pain management, coping strategies, factor structure, Multidimensional Pain Inventory, depression
- MeSH terms
- Adaptation, Psychological, Adult, Aged, Chronic Disease, Depression, Evaluation Studies as Topic, Female, Humans, Male, Middle Aged, Pain, Surveys and Questionnaires, Regression Analysis, Severity of Illness Index
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