Abstract
Chronic low back pain (CLBP) is a prevalent pain condition associated with increased
disability, lower quality of life, and poor relationship satisfaction. However, little
research has examined the impact of the psychosocial environment in predicting relationship
satisfaction among persons with CLBP. This study examined empirically supported psychosocial
variables as potential mediators in the association between pain and relationship
satisfaction. Patients with CLBP completed depression, partner support, pain, relationship
satisfaction, pain catastrophizing, and pain-related fear measures (N = 54). Negative
responses by a partner and depression were found to mediate the association between
pain and relationship satisfaction, with negative responses emerging as the most important
mediator. The current findings are consistent with a biopsychosocial framework of
chronic pain and suggest that negative interpersonal interactions in patients with
CLBP may be of central importance when considering psychosocial intervention. Theoretical
and practical implications for treatment are discussed.
Perspective
This study suggests that psychosocial variables, specifically depression and perceived
negative partner responses, have a significant impact on relationship satisfaction
among individuals with CLBP. These findings highlight issues integral to the social
adjustment of patients with CLBP.
Key words
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Article info
Publication history
Published online: March 04, 2008
Accepted:
December 26,
2007
Received in revised form:
December 21,
2007
Received:
October 19,
2007
Footnotes
Supported by Social Science Humanities Research Council of Canada.
Identification
Copyright
© 2008 American Pain Society. Published by Elsevier Inc. All rights reserved.
