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Rehabilitation psychology
Aug, 2022;67 (3): 304-314.

Active or passive pain coping: Which predicts daily physical and psychosocial functioning in people with chronic pain and spinal cord injury?

Duygu Kuzu, Samsuk Kim, Anna L Kratz
Author Information
  1. Duygu Kuzu: Department of Physical Medicine and Rehabilitation. ORCID
  2. Samsuk Kim: Department of Psychology.
  3. Anna L Kratz: Department of Physical Medicine and Rehabilitation.
PMID: 35834204 DOI: 10.1037/rep0000457

Abstract

PURPOSE/OBJECTIVE: Despite medical and psychotherapeutic treatments, chronic pain is one of the most challenging and disabling conditions for individuals with spinal cord injury (SCI). A growing body of research has demonstrated that pain coping strategies are effective for the adjustment of pain. However, we still lack an understanding of how passive pain coping and active pain coping relate to daily physical and psychosocial functioning for people with chronic pain and SCI. The current study used end-of-day (EOD) diary data to examine associations of passive and active pain coping with same-day independence, positive affect and well-being, social participation, pain catastrophizing, depressive symptoms, and pain interference in adults with chronic pain and SCI.
RESEARCH METHOD/DESIGN: This observational study in = 124 individuals with SCI (mean age = 47.53 years; 74.2% male, 25.8% female) used a combination of baseline surveys and seven consecutive days of end-of-day (EOD) diaries.
RESULTS: Results of multilevel modeling showed that, beyond the effects of key demographic variables, clinical variables (e.g., time since injury, mobility) and daily pain intensity, increased daily passive coping (from that person's average) related to increased same-day depressive symptoms ( = .29; < .001), pain catastrophizing ( = .28; < .001) and decreased same-day positive affect and well-being ( = -.31; = .02). Increased daily active coping was related to higher same-day catastrophizing ( = .09; < .05).
CONCLUSIONS/IMPLICATIONS: Behavioral interventions for pain often emphasize adoption and practice of new active coping strategies. Findings highlight the potential importance of also addressing passive coping strategies in services of improvement in physical and psychosocial outcomes in individuals with chronic pain and SCI. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

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Grants

  1. 90ARCP0003/ACL HHS

MeSH Term

Adaptation, Psychological
Adult
Chronic Pain
Female
Humans
Male
Middle Aged
Pain Measurement
Psychosocial Functioning
Spinal Cord Injuries
Surveys and Questionnaires
Journal Article Observational Study

Word Cloud

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