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Pain-Related Attitudes and Functioning in Elderly Primary Care Patients

  • Jordi Miró (a1), Rosa Queral (a1) and Maria del Carme Nolla (a2)
Abstract
Abstract

This study examined the associations between specific pain-related beliefs and both mental health and pain interference in elderly patients with chronic pain. A total of 139 patients completed validated questionnaires assessing pain domains (i.e., intensity, duration and location), psychological functioning, pain interference and demographic variables. Pain-related beliefs were related with poorer mental health (Disability = –.27; Harm = –.23; Solicitude = –.24; Control = .18; Emotion = –.29) and greater interference in daily activities (Disability =.41; Harm =.13; Solicitude =.29; Control = –.31). Our findings are consistent with a biopsychosocial model of chronic pain which goes beyond physical variables in an attempt to understand and promote patients’ adjustment to chronic pain problems.

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Corresponding author
*Correspondence concerning this article should be addressed to Jordi Miró. Departament de Psicologia. Universitat Rovira i Virgili. 43007. Tarragona (Spain).E-mail: jordi.miro@urv.cat
References
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Casabella B., & Espinàs J. (1999). Demencias. [Dementias] Barcelona, Spain: Sociedad Española de Medicina de Familia y Comunitaria.
DeGood D. E., & Tait R. (2001). Assessment of pain beliefs and pain coping. In Turk D. C., & Melzack R. (Ed.), Handbook of pain assessment. New York, NY: Guilford Press.
Domingo-Salvany A., Regidor E., Alonso J., Álvarez-Dardet C., Borrell C., Doz F., … & Rodríguez J. (2001). Una propuesta de medida de clase social. [A proposal for social class measure] Atención Primaria, 25, 132–51.
Fayers P. M., Hjermstad M. J., Klepstad P., Loge J. H., Caraceni A., Hanks G. W., … & Kaasa S. (2011). The dimensionality of pain: Palliative care and chronic pain patients differ in their reports of pain intensity and pain interference. Pain, 152, 16081620. http://dx.doi.org/10.1016/j.pain.2011.02.052
Folstein M. F., Folstein S. E., & McHugh P. R. (1975). “Mini-Mental State”. A practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12, 189198.
Gandek B., Ware J. E., Aaronson N. K., Apolone G., Bjorner J. B., & Brazier J. E. (1998). Cross-validation of item selection and scoring for the SF-12 health survey in nine countries: Results from the IQOLA Project. Journal of Clinical Epidemiology, 51, 11711178.
Helme R. D., & Gibson S. J. (2001). The epidemiology of pain in elderly people. Clinics in Geriatric Medicine, 17, 417431. http://dx.doi.org/10.1016/S0749-0690(05)70078-1
Hirsh A. T., Kupper A. E., Carter G. T., & Jensen M. P. (2010). Psychosocial factors and adjustment to pain in individuals with postpolio syndrome. American Journal of Physical Medicine Rehabilitation, 89, 213224. http://dx.doi.org/10.1097/PHM.0b013e3181c9f9a1
Hurley M. V., Walsh N., Bhavnani V., Britten N., & Stevenson F. (2010). Health beliefs before and after participation on an exercise-based rehabilitation program for chronic knee pain: Doing is believing. BMC Musculoskeletal Disorders, 11, 31. http://dx.doi.org/10.1186/1471-2474-11-31
Jensen J., Counte M. A., & Glandon G. L. (1992). Elderly health beliefs, attitudes and maintenance. Preventive Medicine, 21, 483497. http://dx.doi.org/10.1016/0091-7435(92)90055-M
Jensen M. P., Kuehn C. M., Amtmann D., & Cardenas D. D. (2007). Symptom burden in persons with spinal cord injury. Archives of Physical Medicine and Rehabilitation, 88, 638645. http://dx.doi.org/10.1016/j.apmr.2007.02.002
Jensen M. P., Turner J. A., & Romano J. M. (2001). Changes in beliefs, catastrophizing and coping are associated with improvement in multidisciplinary pain treatment. Journal of Consulting and Clinical Psychology, 69, 655662. http://dx.doi.org/10.1037//0022-006X.69.4.655
Jensen M. P., Turner J. A., & Romano J. M. (2007). Changes after multidisiciplinary pain treatment in patient pain beliefs and coping are associated with concurrent changes in patient functioning. Pain, 131, 3847. http://dx.doi.org/10.1016/j.pain.2006.12.007
Jensen M. P., Turner J. A., Romano J. M., & Lawler B. K. (1994). Relationship of pain-specific beliefs to chronic pain adjustment. Pain, 57, 301309. http://dx.doi.org/10.1016/0304-3959(94)90005-1
Kaiser H. (1960). The application of electronic computers to factor analysis. Educational and Psychological Measurement, 20, 141151. http://dx.doi.org/10.1177/001316446002000116
Kimball P., Marshall L. A., Micich A., & Cosby G. (2010). Health beliefs related to willingness to accept treatment of pain with potentially addictive drugs. International Journal of Pharmaceutical and Healthcare Marketing, 4, 920.
Lobo A., Saz P., Marcos G., & Grupo ZARADEMP: MMSE. (2002). Examen cognoscitivo Mini-Mental — Adaptación española. [Mini-mental Cognoscitive Exam – Spanish adaptation] Madrid, Spain: Tea Ediciones SA.
Miró J. (2005). Catalan and Spanish versions of the Survey Pain Attitudes: Psychometric properties and characteristics. Unitat per a l’Estudi i Tractament del Dolor – ALGOS. Tarragona, Spain: Universitat Rovira i Virgili.
Miró J., Gertz K. J. Carter G. T., & Jensen M. P. (2012). Chronic pain in neuromuscular disease: Pain site and intensity differentially impacts function. Physical Medicine Rehabilitation Clinics of North America, 23, 895902.
Miró J., Huguet A., & Jensen M. P. (2014). Pain-specific beliefs predict pain intensity and pain status in children: Usefulness of the pediatric version of the Survey of Pain Attitudes. Pain Medicine, 15, 887897.
Miró J., Huguet A., Nieto R., Paredes S., & Baos J. (2005). Evaluation of reliability, validity, and preference for a pain intensity scale for use with the elderly. Journal of Pain, 6, 727–35.
Miró J., Paredes S., Rull M., Queral R., Miralles R., Nieto R., … Baos J. (2007). Pain in older adults: A prevalence study in the Mediterranean region of Catalonia. European Journal of Pain, 11, 8392.
Molton I. R., Stoelb B. L., Jensen M. P., Ehde D. M., Raichle K. A., & Cardenas D. D. (2009). Psychosocial factors and adjustment to chronic pain in spinal injury: Replication and cross-validation. Journal of Rehabilitation Research & Development, 46, 3142.
Raftery M. N., Sarma K., Murphy A. W., De la Harpe D., Normand C., & McGuire B. E. (2011). Chronic pain in the Republic of Ireland-community prevalence, psychosocial profile and predictors of pain-related disability: Results from the Prevalence, Impact and Cost of Chronic Pain (PRIME) Study. Part 1. Pain, 152, 10961103. http://dx.doi.org/10.1016/j.pain.2011.01.019
Strong J., Ashton R., & Chant D. (1992). The measurement of attitudes towards and beliefs about pain. Pain, 48, 227236. http://dx.doi.org/10.1016/0304-3959(92)90062-G
Tabachnick B. G., & Fidell L. S. (1989): Using multivariate statistics (2nd Ed.). Cambridge, UK: Harper & Row.
Tsai Y. F. (2007). Gender differences in pain and depressive tendency among Chinese elders with knee osteoarthritis. Pain, 130, 188194. http://dx.doi.org/10.1016/j.pain.2007.03.014
Uthaikhup S., Sterling M., & Jull G. (2009). Psychological, cognitive and quality of life features in the elderly with chronic headache. Gerontology, 55, 683693. http://dx.doi.org/10.1159/000235655
Von Korff M., Dworkin S. F., & Le Resche L. (1990). Graded chronic pain status: And epidemiologic evaluation. Pain, 40, 279291. http://dx.doi.org/10.1016/0304-3959(90)91125-3
Ware J. E., Kosinski M., & Keller S. D. (1994). SF-36 Physical and Mental Health Summary Scales: A user's manual. Boston, MA: New England Medical Center (Health Institute).
Ware J. E., Kosinski M., & Keller S. D. (1996). A 12-item short-form health survey: Construction of scales and preliminary tests of reliability and validity. Medical Care, 34, 220233.
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The Spanish Journal of Psychology
  • ISSN: 1138-7416
  • EISSN: 1988-2904
  • URL: /core/journals/spanish-journal-of-psychology
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