Abstract
Although research has shown that patients' beliefs about their pain are related to
pain adjustment and treatment outcomes, little is known about the beliefs of their
significant others. The purpose of this study was to develop a measure of pain beliefs
in significant others and to examine the correlates of these beliefs. Participants
were 104 married couples in which 1 partner reported chronic pain. Spouses completed
an amended version of the Survey of Pain Beliefs (SOPA). The scale development procedure
described in Jensen et al was used to select appropriate items for the significant
other version of the SOPA. This procedure yielded 7 subscales that closely resembled
the original SOPA. Spousal pain beliefs about disability, emotion, control, and medication
were significantly correlated with partners' pain severity and other indicators of
pain adjustment. Emotion, disability, and other beliefs were related to spouse responses
to pain, and spouses' depressive symptoms and marital dissatisfaction. Spouses' personal
experiences with pain were not related to their beliefs about their partners' pain.
Additional research on the pain-related beliefs of significant others may extend cognitive-behavioral
theory concerning the social context of pain and provide an additional avenue through
which clinicians can address cognition in patients and families.
Perspective
This study describes a new measure that can be used to assess significant others'
beliefs about their partners' pain problems. Little is known about the beliefs of
family members so this measure is expected to provide a way for clinicians and researchers
to assess and track changes in those beliefs.
Key words
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to The Journal of PainAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Health-related social influence: A social ecological perspective on tactic use.J Soc Person Relat. 2002; 19: 505-526
- The Significant Other Version of the Pain Catastrophizing Scale (PCS-S): Preliminary Validation.Pain. 2005; 119: 26-37
- Prediction in pain outcomes in Korean older adults: Use of a structural equation model.Pain Med. 2007; 8: 75-83
- Parent and child perceptions of chronic pain treatments.Child Healthcare. 2007; 36: 285-301
- Assessment of pain beliefs and pain coping.in: Turk D.C. Melzack R. Handbook of Pain Assessment. Guilford, New York, NY2001: 320-345
- The role of spouse reinforcement, perceived pain, and activity levels of chronic pain patients.J Psychosom Res. 1987; 31: 251-259
- Mini-mental state: A practical method for grading the state of patients for the clinician.J Psychiatr Res. 1975; 31: 251-259
Fordyce WE: Behavioral methods for chronic pain and illness. St. Louis, MO, C.V. Mosby, 1976
- Pediatric pain prevalence and parents' attitudes at a cancer hospital in Jordan.J Pain Sympt Manage. 2005; 31: 440-448
- The biopsychosocial approach to chronic pain: Scientific advances and future directions.Psychol Bull. 2007; 113: 581-624
- Psychometric properties of the Mood and Anxiety Symptom Questionnaire in chronic pain patients.Clin J Pain. 2006; 22: 1-9
- The development and preliminary validation of an instrument to assess patients' attitudes toward pain.J Psychosom Res. 1987; 31: 393-400
- Pain belief assessment: A comparison of the short and long versions of the Survey of Pain Attitudes.J Pain. 2000; 1: 138-150
- Changes after multidisciplinary pain treatment in patient pain beliefs and coping are associated with concurrent changes in patient functioning.Pain. 2007; 131: 38-47
- Relationship of pain-specific beliefs to chronic pain adjustment.Pain. 1994; 57: 301-309
- The self-efficacy of family caregivers for helping cancer patients manage pain at end-of-life.Pain. 2003; 103: 157-162
- Spouse-assisted coping skills training in the management of osteoarthritic knee pain.Arthritis Care Res. 1996; 9: 279-291
- Spouse-assisted coping skills training in the management of knee pain in osteoarthritis: Long-term followup results.Arthritis Care Res. 1999; 12: 101-111
- The Pain Behavior Check List (PBCL): Factor structure and psychometric properties.J Behav Med. 1991; 14: 155-167
- The West Haven-Yale Multidimensional Pain Inventory (WHYMPI).Pain. 1985; 23: 345-356
- Pain affects spouses too: Personal experience with pain and catastrophizing as correlates of spouse distress.Pain. 2006; 126: 139-146
- Chronic pain in a couples context: A review and integration of theoretical models and empirical evidence.J Pain. 2006; 7: 377-390
- Evidence for a direct relationship between cognitive and physical change during an education intervention in people with chronic low back pain.Eur J Pain. 2004; 8: 39-45
- Psychosocial factors associated with pain intensity, pain-related interference, and psychological functioning in persons with multiple sclerosis and pain.Pain. 2007; 127: 52-62
- Beliefs about the controllability of pain: Congruence between older adults with cancer and their family caregivers.J Fam Nursing. 2005; 11: 225-241
- Measuring dyadic adjustment: New scales for assessing the quality of marriage and similar dyads.J Marriage Fam. 1976; 38: 15-28
- The measurement of attitudes towards and beliefs about pain.Pain. 1992; 48: 227-236
- Theoretical perspectives on the relation between catastrophizing and pain.Clin J Pain. 2001; 17: 52-64
- Development of a brief version of the Survey of Pain Attitudes.Pain. 1997; 70: 229-235
- Communal coping model of catastrophizing: Conceptual model building.Pain. 2003; 106: 1-2
Turk DC, Meichenbaum D, Genest M: Pain and behavioral medicine: A cognitive-behavioral perspective, New York, Guilford, 1983
- Testing a tripartite model, II: Exploring the symptom structure of anxiety and depression in student, adult, and patient samples.J Abnorm Psychol. 1995; 104: 15-25
- Testing a tripartite model, I: Evaluating the convergent and discriminant validity of anxiety and depression symptom scales.J Abnorm Psychol. 1995; 104: 3-14
Article info
Publication history
Published online: April 03, 2009
Accepted:
November 7,
2008
Received in revised form:
October 20,
2008
Received:
August 4,
2008
Footnotes
Supported by grant K01 MH 066975.
Identification
Copyright
© 2009 American Pain Society. Published by Elsevier Inc. All rights reserved.