A Reduction in Pain Intensity Is More Strongly Associated With Improved Physical Functioning in Frustration Tolerant Individuals: A Longitudinal Moderation Study in Chronic Pain Patients
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A Reduction in Pain Intensity Is More Strongly Associated With Improved Physical Functioning in Frustration Tolerant Individuals: A Longitudinal Moderation Study in Chronic Pain PatientsAutoria
Data de publicació
2019-04-26Editor
Frontiers MediaCita bibliogràfica
SUSO-RIBERA, Carlos; CAMACHO GUERRERO, Laura; OSMA LÓPEZ, Jorge Javier; SUSO-VERGARA, Santiago; GALLARDO-PUJOL, David (2019). A Reduction in Pain Intensity Is More Strongly Associated With Improved Physical Functioning in Frustration Tolerant Individuals: A Longitudinal Moderation Study in Chronic Pain Patients. Frontiers in Psychology, v. 10Tipus de document
info:eu-repo/semantics/articleVersió de l'editorial
https://www.frontiersin.org/articles/10.3389/fpsyg.2019.00907/fullVersió
info:eu-repo/semantics/publishedVersionParaules clau / Matèries
Resum
Objective: The onset and chronification of pain often has devastating consequences
on the physical and mental functioning of individuals. Medical interventions are
quite efficacious in reducing pain levels. However, ... [+]
Objective: The onset and chronification of pain often has devastating consequences
on the physical and mental functioning of individuals. Medical interventions are
quite efficacious in reducing pain levels. However, changes in physical and mental
health status after medical interventions are not proportional. In the past decades,
rational/irrational beliefs, especially catastrophizing, have contributed to a better
understanding of the pain experience. This study explores whether pain reduction efforts
are more beneficial for individuals scoring high in rational thinking (moderation).
Methods: The study design was longitudinal. Patients were assessed twice, 2 weeks
prior to the start of medical treatment at the pain clinic and 6 months after. A total of
163 patients with heterogeneous pain (mostly low back and neck pain) participated in
the study. Their mean age was 58.74 years (SD = 14.28) and 61.3% were female.
Results: Overall, there was a reduction in pain intensity (t = 4.25, p < 0.001, d = 0.32).
An improvement in physical functioning (t = 4.02, p < 0.001, d = 0.19), but not
mental health (t = −0.66, p = 0.511, d = 0.11) was also observed. In the regression
analyses, a decrease in pain intensity was moderately associated with improved physical
health (b = 0.87, t = 4.96, p < 0.001, R2 change = 0.177). This association was
found to be moderated by frustration tolerance (b = −0.49, t = −2.80, p = 0.006, R2
change = 0.039). Specifically, post hoc analyses indicated that changes in pain intensity
only correlated with changes in physical health when patients reported high frustration
tolerance levels (r = 0.47, p = 0.006, M = 7, n = 32), but not when patients were
intolerant to frustration (r = 0.28, p = 0.078, M = 17, n = 41).
Conclusion: The results suggest that frustration tolerance may render adaptive by
facilitating the positive effect that a reduction in pain intensity has on physical health
status. The study findings are discussed in the context of personalized therapy with an
emphasis on how to maximize the effectiveness of current interventions for pain. [-]
Publicat a
Frontiers in Psychology (2019), v. 10Proyecto de investigación
This study was supported by 1) Grant FPU-AP2010-5585 from the Ministerio de Educación y Cultura (Spanish Government) and 2) Grant POSDOC/2016/15 from the Universitat Jaume I.Drets d'accés
info:eu-repo/semantics/openAccess
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