Cited by 125Musculoskeletal pain and rehabilitationAttachment and Relationship DynamicsEmpathy and Medical Education

The DOI matches its Crossref record; 44 of the 44 references it cites were found in a registry or an index; none of the 34 sources its claims cite is checked for support yet.

Empathic and nonempathic interaction in chronic pain couples.

Open access
Cano, Annmarie, Barterian, Justin A., Heller, Jaclyn B.·2008·The Clinical Journal of Pain

Abstract

OBJECTIVES: Empathy and empathic response are receiving greater attention in pain research as investigators acknowledge that other forms of interaction may impact the pain process. The purpose of this study was to examine validation and invalidation as forms of empathic and nonempathic responses in chronic pain couples. METHODS: Participants were 92 couples in which at least one spouse reported chronic musculoskeletal pain. Each couple participated in 2 videotaped interactions about the ways in which the pain has impacted their lives together. Trained raters then coded interactions for each partner's use of validation and invalidation. Couples also completed surveys on spouse responses to pain, marital satisfaction, and perceived spousal support. RESULTS: Correlations demonstrated validation by spouses of persons with pain was associated with punishing, solicitous, and distracting spouse responses to pain, marital satisfaction, and perceived spousal support. In contrast, spouses' invalidation scores were correlated with punishing spouse responses. Exploratory factor analyses were then conducted to determine the extent to which spouses' responses to pain and spouse validation and invalidation loaded on similar factors. Validation and invalidation are more closely related to punishing spouse responses than to solicitous or distracting spouse responses. DISCUSSION: This work suggests that empathic and nonempathic communication are distinct from solicitous spouse responses. The findings have implications for theoretical and clinical work on social factors in pain.

Overview

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Crossref · 10.1097/ajp.0b013e31816753d8

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  • It may state two separate claims as one. 20
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    The validation and invalidation observed during the two 10-minute laboratory discussions reflect the couples' typical interaction patterns.

    “Couples were encouraged to act as natural as possible and that both partners should be engaged in the discussions.”
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  • Consistentt(88) = 8.96reported p < .0001 · recomputed p < .001

    “t (88) = 8.96, p < .0001”

  • Consistentt(87) = 2.18reported p < .05 · recomputed p = .032

    “t (87) = 2.18, p < .05”

  • Consistentz = 2.59reported p < .01 · recomputed p = .010

    “(z = 2.59, p < .01”

  • Consistentz = 2.58reported p < .01 · recomputed p = .010

    “(z = 2.58, p < .01”

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Metadata

Authors
Cano, A., Barterian, J. A., & Heller, J. B.
Affiliations
Michigan State University (US)
Venue
The Clinical Journal of Pain
Published
2008-10
Volume
24
Issue
8
Pages
678-684
ISSN
0749-8047 (ISSN-L)
OpenAlex
W2113653767
Cited by
125
References
42
Citations by year
2026: 1 · 2025: 3 · 2024: 6 · 2023: 2 · 2022: 4 · 2021: 1 · 2020: 7 · 2019: 7 · 2018: 11 · 2017: 12 · 2016: 8 · 2015: 14 · 2014: 10 · 2013: 16 · 2012: 11
FWCI
2.80
Type
journal article
Language
en
Open access
Locations
  • Clinical Journal of Pain (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
  • Human Biology (submittedVersion)
Funders
National Institute of Mental Health (K01MH066975, K01 MH66975)
Topics
  • Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
  • Social Sciences › Psychology › Social Psychology › Attachment and Relationship Dynamics
  • Health Sciences › Medicine › Psychiatry and Mental health › Empathy and Medical Education
Keywords
chronic pain, couples, empathy, validation, invalidation, marital satisfaction, perceived spousal support, musculoskeletal pain, social factors in pain, marital interaction
MeSH terms
Adaptation, Psychological, Adult, Aged, Chronic Disease, Disability Evaluation, Empathy, Factor Analysis, Statistical, Family Characteristics, Female, Humans, Interpersonal Relations, Longitudinal Studies, Male, Middle Aged, Pain, Pain Measurement, Personal Satisfaction, Personality Inventory, Reproducibility of Results

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