Cognitions, Coping, and Social Environment Predict Adjustment to Pain in Spinal Cord Injury

Katherine A. Raichle, Marisol Hanley, Mark P. Jensen, Diana D. Cardenas

Research output: Contribution to journalArticle

71 Citations (Scopus)

Abstract

The current study examined the utility of a biopsychosocial model of chronic pain, and the associations between specific pain-related beliefs, coping, and social support and both mental health and pain interference, in persons with Spinal Cord Injury (SCI) and pain. A total of 157 patients completed surveys assessing physical and psychological functioning, as well as psychosocial, demographic, and injury-related variables. Greater catastrophizing and pain-related beliefs (eg, the belief that pain signals damage) were related with increased pain interference and poorer mental health, while coping styles (eg, resting, asking for assistance) were related only with pain interference. Alternatively, greater perceived social support was related with better mental health. The findings are consistent with a biopsychosocial model, implicating the need to consider the impact of process and clinical variables on adjustment to chronic pain in persons with SCI. Perspective: This article identifies several psychosocial variables, including coping, catastrophizing, pain-related beliefs, and social support that are related to adjustment in persons with SCI and pain. These results have implications for interventions designed to treat pain interference in persons with SCI.

Original languageEnglish
Pages (from-to)718-729
Number of pages12
JournalJournal of Pain
Volume8
Issue number9
DOIs
StatePublished - Sep 1 2007
Externally publishedYes

Fingerprint

Social Adjustment
Social Environment
Spinal Cord Injuries
Cognition
Pain
Social Support
Catastrophization
Mental Health
Chronic Pain
Demography
Psychology
Wounds and Injuries

Keywords

  • coping
  • Mental health
  • pain
  • spinal cord injury

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine
  • Clinical Neurology
  • Neurology
  • Nursing(all)

Cite this

Cognitions, Coping, and Social Environment Predict Adjustment to Pain in Spinal Cord Injury. / Raichle, Katherine A.; Hanley, Marisol; Jensen, Mark P.; Cardenas, Diana D.

In: Journal of Pain, Vol. 8, No. 9, 01.09.2007, p. 718-729.

Research output: Contribution to journalArticle

Raichle, Katherine A. ; Hanley, Marisol ; Jensen, Mark P. ; Cardenas, Diana D. / Cognitions, Coping, and Social Environment Predict Adjustment to Pain in Spinal Cord Injury. In: Journal of Pain. 2007 ; Vol. 8, No. 9. pp. 718-729.
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