TY - JOUR
T1 - Psychosocial Subgroups in Persons With Spinal Cord Injuries and Chronic Pain
AU - Widerström-Noga, Eva G.
AU - Felix, Elizabeth Roy
AU - Cruz-Almeida, Yenisel
AU - Turk, Dennis C.
N1 - Funding Information:
Supported by the Department of Veterans Affairs Rehabilitation Research and Development (grant nos. B3070R, B26566C) and The Miami Project to Cure Paralysis.
Copyright:
Copyright 2008 Elsevier B.V., All rights reserved.
PY - 2007/12
Y1 - 2007/12
N2 - Widerström-Noga EG, Felix ER, Cruz-Almeida Y, Turk DC. Psychosocial subgroups in persons with spinal cord injuries and chronic pain. Objectives: To define adaptational subgroups in people with chronic pain and spinal cord injury (SCI), and to compare these subgroups with respect to demographic factors, level of injury, functional independence, pain disability, depressed mood, social support, and life satisfaction. Design: Interviews. Setting: Veterans Affairs medical center and The Miami Project to Cure Paralysis. Participants: Persons with SCI and chronic pain (N=190). Interventions: Not applicable. Main Outcome Measure: The Multidimensional Pain Inventory, SCI version. Results: Cluster analysis revealed 3 subgroups: (1) dysfunctional (34.6% of all participants), characterized by higher pain severity, life interference, and affective distress scores, and lower levels of life control and activities scores; (2) interpersonally supported (33.0% of participants), characterized by moderately high pain severity, and higher life control, support from significant others, distracting responses, solicitous responses, and activities scores; and (3) adaptive copers (32.4% of participants), characterized by lower pain severity, life interference, affective distress, support from significant others, distracting responses, solicitous responses, activities and higher life control scores. Compared with the dysfunctional subgroup, the interpersonally supported subgroup reported significantly greater social support and life satisfaction and less pain disability and emotional distress, despite moderately high pain severity. Conclusion: Three subgroups, independent of sex, pain duration, and functional status, were identified. Although severe pain significantly decreases life satisfaction after SCI, its impact is moderated by perceived social support.
AB - Widerström-Noga EG, Felix ER, Cruz-Almeida Y, Turk DC. Psychosocial subgroups in persons with spinal cord injuries and chronic pain. Objectives: To define adaptational subgroups in people with chronic pain and spinal cord injury (SCI), and to compare these subgroups with respect to demographic factors, level of injury, functional independence, pain disability, depressed mood, social support, and life satisfaction. Design: Interviews. Setting: Veterans Affairs medical center and The Miami Project to Cure Paralysis. Participants: Persons with SCI and chronic pain (N=190). Interventions: Not applicable. Main Outcome Measure: The Multidimensional Pain Inventory, SCI version. Results: Cluster analysis revealed 3 subgroups: (1) dysfunctional (34.6% of all participants), characterized by higher pain severity, life interference, and affective distress scores, and lower levels of life control and activities scores; (2) interpersonally supported (33.0% of participants), characterized by moderately high pain severity, and higher life control, support from significant others, distracting responses, solicitous responses, and activities scores; and (3) adaptive copers (32.4% of participants), characterized by lower pain severity, life interference, affective distress, support from significant others, distracting responses, solicitous responses, activities and higher life control scores. Compared with the dysfunctional subgroup, the interpersonally supported subgroup reported significantly greater social support and life satisfaction and less pain disability and emotional distress, despite moderately high pain severity. Conclusion: Three subgroups, independent of sex, pain duration, and functional status, were identified. Although severe pain significantly decreases life satisfaction after SCI, its impact is moderated by perceived social support.
KW - Pain
KW - Pain measurement
KW - Psychometrics
KW - Rehabilitation
KW - Social support
KW - Spinal cord injuries
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U2 - 10.1016/j.apmr.2007.09.013
DO - 10.1016/j.apmr.2007.09.013
M3 - Article
C2 - 18047878
AN - SCOPUS:36348990092
VL - 88
SP - 1628
EP - 1635
JO - Archives of Physical Medicine and Rehabilitation
JF - Archives of Physical Medicine and Rehabilitation
SN - 0003-9993
IS - 12
ER -