Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
1-2
pubmed:dateCreated
2006-12-25
pubmed:abstractText
Biopsychosocial models of chronic pain that recognize psychological and environmental factors as important aspects of adjustment to pain have been proposed for understanding chronic pain and related suffering in persons with multiple sclerosis (MS), but such models have not been empirically tested. The objective of this study was to test such a model by evaluating the associations of several psychosocial variables (i.e., pain-related catastrophizing, perceived social support, pain beliefs, and pain coping) with pain intensity, pain interference with functioning, and psychological functioning in persons with chronic pain and MS, after controlling for demographic and disease-related factors. Participants were 125 community-dwelling persons with MS and pain who completed a mailed questionnaire that included measures of pain intensity and interference, psychological functioning, catastrophizing, social support, and pain beliefs and coping. The psychosocial variables accounted for an additional 25% of the variance in average pain intensity after controlling for demographic and disease-related variables (p<.001). These variables explained an additional 22% of the variance in pain-related interference (p<.001) and 43% of the variance in psychological functioning (p<.001), after adjusting for demographic and MS-related variables and average pain intensity. Catastrophizing was consistently and independently associated with all criterion measures, whereas social support, pain beliefs, and pain coping were associated with some criterion measures but not others. The results provide empirical support for a biopsychosocial understanding of chronic pain in MS and suggest that specific psychosocial factors (e.g., catastrophizing) may be important regarding adjustment to pain in persons with MS.
pubmed:grant
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Jan
pubmed:issn
1872-6623
pubmed:author
pubmed:issnType
Electronic
pubmed:volume
127
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
52-62
pubmed:dateRevised
2007-12-3
pubmed:meshHeading
pubmed-meshheading:16950570-Activities of Daily Living, pubmed-meshheading:16950570-Adaptation, Psychological, pubmed-meshheading:16950570-Anxiety, pubmed-meshheading:16950570-Attitude to Health, pubmed-meshheading:16950570-Comorbidity, pubmed-meshheading:16950570-Female, pubmed-meshheading:16950570-Humans, pubmed-meshheading:16950570-Male, pubmed-meshheading:16950570-Middle Aged, pubmed-meshheading:16950570-Multiple Sclerosis, pubmed-meshheading:16950570-Pain, pubmed-meshheading:16950570-Pain Measurement, pubmed-meshheading:16950570-Prevalence, pubmed-meshheading:16950570-Psychology, pubmed-meshheading:16950570-Questionnaires, pubmed-meshheading:16950570-Risk Assessment, pubmed-meshheading:16950570-Risk Factors, pubmed-meshheading:16950570-Severity of Illness Index, pubmed-meshheading:16950570-Washington
pubmed:year
2007
pubmed:articleTitle
Psychosocial factors associated with pain intensity, pain-related interference, and psychological functioning in persons with multiple sclerosis and pain.
pubmed:affiliation
Department of Rehabilitation Medicine, Box 356490, 1959 NE Pacific Street, University of Washington School of Medicine, Seattle, WA 98104-2499, USA. tosborne@ebtseattle.com
pubmed:publicationType
Journal Article, Research Support, U.S. Gov't, Non-P.H.S., Research Support, N.I.H., Extramural