Skip to main content
Top
Gepubliceerd in: Journal of Behavioral Medicine 4/2014

01-08-2014 | Original Paper

Associations among pain, pain attitudes, and pain behaviors in patients with metastatic breast cancer

Auteurs: Megan Johnson Shen, William H. Redd, Gary Winkel, Hoda Badr

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 4/2014

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

Metastatic breast cancer (MBC) patients often experience pain which can trigger pain behaviors, such as distorted ambulation. Psychological variables, such as individuals’ attitudes toward pain, play a role in pain intervention. In this study, we used the cognitive-behavioral model of pain to examine the influence of patients’ attitudes toward pain (as measured by the survey of pain attitudes or SOPA) on their pain behaviors (as measured by the pain behaviors checklist). Two hundred-one MBC patients completed surveys at treatment initiation and again 3 and 6 months later. Linear Mixed Model with repeated measures analyses showed that SOPA-solicitude, SOPA-emotions, SOPA-cure, SOPA-disability, and SOPA-medication pain attitudes were consistently significantly associated with pain behaviors at each assessment time point. Additionally, the belief that a medical cure for pain exists buffered the positive association between pain severity and pain behaviors. Our findings support and extend the cognitive-behavioral model of pain and suggest that it may be useful to target pain attitudes in pain management interventions for MBC patients.
Voetnoten
1
In a base repeated measures mixed model, in which time was included as the sole predictor of PBCL, time was not a significant predictor of PBCL (F = .86, p = .43).
 
Literatuur
go back to reference Ahles, T. A., Coombs, D. W., Jensen, L., Stukel, T., Maurer, L. H., & Keefe, F. J. (1990). Development of a behavioral observation technique for the assessment of pain behaviors in cancer patients. Behavior Therapy, 21(4), 449–460. doi:10.1016/S0005-7894(05)80358-2 CrossRef Ahles, T. A., Coombs, D. W., Jensen, L., Stukel, T., Maurer, L. H., & Keefe, F. J. (1990). Development of a behavioral observation technique for the assessment of pain behaviors in cancer patients. Behavior Therapy, 21(4), 449–460. doi:10.​1016/​S0005-7894(05)80358-2 CrossRef
go back to reference Butler, L. D., Koopman, C., Cordova, M., Garlan, R., DiMiceli, S., & Spiegel, D. (2003). Psychological distress and pain significantly increase before death in metastatic breast cancer patients. Psychosomatic Medicine, 65, 416–426.PubMedCrossRef Butler, L. D., Koopman, C., Cordova, M., Garlan, R., DiMiceli, S., & Spiegel, D. (2003). Psychological distress and pain significantly increase before death in metastatic breast cancer patients. Psychosomatic Medicine, 65, 416–426.PubMedCrossRef
go back to reference Cleeland, C. S., & Syrjala, K. (1992). How to assess cancer pain. In D. Turk & R. Melzack (Eds.), Handbook of pain assessment (pp. 362–387). New York: Guilford Press. Cleeland, C. S., & Syrjala, K. (1992). How to assess cancer pain. In D. Turk & R. Melzack (Eds.), Handbook of pain assessment (pp. 362–387). New York: Guilford Press.
go back to reference Jensen, M. P., & Karoly, P. (1991). Control beliefs, coping efforts, and adjustment to chronic pain. Journal of Consulting and Clinical Psychology, 59(3), 431–438.PubMedCrossRef Jensen, M. P., & Karoly, P. (1991). Control beliefs, coping efforts, and adjustment to chronic pain. Journal of Consulting and Clinical Psychology, 59(3), 431–438.PubMedCrossRef
go back to reference Jensen, M. P., & Karoly, P. (1992). Pain-specific beliefs, perceived symptom severity, and adjustment to chronic pain. The Clinical Journal of Pain, 8(2), 123–130.PubMedCrossRef Jensen, M. P., & Karoly, P. (1992). Pain-specific beliefs, perceived symptom severity, and adjustment to chronic pain. The Clinical Journal of Pain, 8(2), 123–130.PubMedCrossRef
go back to reference Kerns, R. D., Haythornthwaite, J., Rosenberg, R., Southwick, S., Giller, E. L., & Jacob, M. C. (1991). The pain behavior check list (PBCL): Factor structure and psychometric properties. Journal of Behavioral Medicine, 14(2), 155–167. doi:10.1007/BF00846177 PubMedCrossRef Kerns, R. D., Haythornthwaite, J., Rosenberg, R., Southwick, S., Giller, E. L., & Jacob, M. C. (1991). The pain behavior check list (PBCL): Factor structure and psychometric properties. Journal of Behavioral Medicine, 14(2), 155–167. doi:10.​1007/​BF00846177 PubMedCrossRef
go back to reference Krueger, C., & Tian, L. (2004). A comparison of the general linear mixed model and repeated measures ANOVA using a dataset with multiple missing data points. Biological Research For Nursing, 6(2), 151–157. doi:10.1177/1099800404267682 PubMedCrossRef Krueger, C., & Tian, L. (2004). A comparison of the general linear mixed model and repeated measures ANOVA using a dataset with multiple missing data points. Biological Research For Nursing, 6(2), 151–157. doi:10.​1177/​1099800404267682​ PubMedCrossRef
go back to reference McGuire, D. B., & Sheidler, V. R. (1992). Pain. In S. L. Groenwald, M. H. Frogge, M. Goodman, & C. H. Yarbro (Eds.), Manifestations of cancer and cancer treatment (pp. 985–1041). Boston: Jones and Bartlett Publishers. McGuire, D. B., & Sheidler, V. R. (1992). Pain. In S. L. Groenwald, M. H. Frogge, M. Goodman, & C. H. Yarbro (Eds.), Manifestations of cancer and cancer treatment (pp. 985–1041). Boston: Jones and Bartlett Publishers.
go back to reference Morley, S., Eccleston, C., & Williams, A. (1999). Systematic review and meta-analysis of randomized controlled trials of cognitive behaviour therapy and behaviour therapy for chronic pain in adults, excluding headache. Pain, 80(1–2), 1–13. doi:10.1016/S0304-3959(98)00255-3 PubMedCrossRef Morley, S., Eccleston, C., & Williams, A. (1999). Systematic review and meta-analysis of randomized controlled trials of cognitive behaviour therapy and behaviour therapy for chronic pain in adults, excluding headache. Pain, 80(1–2), 1–13. doi:10.​1016/​S0304-3959(98)00255-3 PubMedCrossRef
go back to reference Oken, M. M., Creech, R. H., Tormey, D. C., Horton, J., Davis, T. E., McFadden, E. T., et al. (1982). Toxicity and response criteria of the Eastern Cooperative Oncology Group. American Journal of Clinical Oncology, 5(6), 649–655.PubMedCrossRef Oken, M. M., Creech, R. H., Tormey, D. C., Horton, J., Davis, T. E., McFadden, E. T., et al. (1982). Toxicity and response criteria of the Eastern Cooperative Oncology Group. American Journal of Clinical Oncology, 5(6), 649–655.PubMedCrossRef
go back to reference Raphael, J., Ahmedzai, S., Hester, J., Urch, C., Barrie, J., Williams, J., et al. (2010). Cancer pain: Part 1: Pathophysiology; oncological, pharmacological, and psychological treatments: A perspective from the British Pain Society endorsed by the UK Association of palliative medicine and the Royal college of general practitioners. Pain Medicine, 11(5), 742–764. doi:10.1111/j.1526-4637.2010.00840.x PubMedCrossRef Raphael, J., Ahmedzai, S., Hester, J., Urch, C., Barrie, J., Williams, J., et al. (2010). Cancer pain: Part 1: Pathophysiology; oncological, pharmacological, and psychological treatments: A perspective from the British Pain Society endorsed by the UK Association of palliative medicine and the Royal college of general practitioners. Pain Medicine, 11(5), 742–764. doi:10.​1111/​j.​1526-4637.​2010.​00840.​x PubMedCrossRef
go back to reference Romano, J. M., Jensen, M. P., Turner, J. A., Good, A. B., & Hops, H. (2000). Chronic pain patient-partner interactions: Further support for a behavioral model of chronic pain. Behavior Therapy, 31(3), 415–440. doi:10.1016/S0005-7894(00)80023-4 CrossRef Romano, J. M., Jensen, M. P., Turner, J. A., Good, A. B., & Hops, H. (2000). Chronic pain patient-partner interactions: Further support for a behavioral model of chronic pain. Behavior Therapy, 31(3), 415–440. doi:10.​1016/​S0005-7894(00)80023-4 CrossRef
go back to reference Turk, Dennis. C., Meichenbaum, D., & Genest, M. (1987). Pain and behavioral medicine: A cognitive-behavioral perspective. New York: Guilford Press. Turk, Dennis. C., Meichenbaum, D., & Genest, M. (1987). Pain and behavioral medicine: A cognitive-behavioral perspective. New York: Guilford Press.
go back to reference Turk, D. C., Sist, T. C., Okifuji, A., Miner, M. F., Florio, G., Harrison, P., et al. (1998). Adaptation to metastatic cancer pain, regional/local cancer pain and non-cancer pain: Role of psychological and behavioral factors. Pain, 74(2–3), 247–256. doi:10.1016/S0304-3959(97)00187-5 PubMedCrossRef Turk, D. C., Sist, T. C., Okifuji, A., Miner, M. F., Florio, G., Harrison, P., et al. (1998). Adaptation to metastatic cancer pain, regional/local cancer pain and non-cancer pain: Role of psychological and behavioral factors. Pain, 74(2–3), 247–256. doi:10.​1016/​S0304-3959(97)00187-5 PubMedCrossRef
Metagegevens
Titel
Associations among pain, pain attitudes, and pain behaviors in patients with metastatic breast cancer
Auteurs
Megan Johnson Shen
William H. Redd
Gary Winkel
Hoda Badr
Publicatiedatum
01-08-2014
Uitgeverij
Springer US
Gepubliceerd in
Journal of Behavioral Medicine / Uitgave 4/2014
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI
https://doi.org/10.1007/s10865-013-9529-2

Andere artikelen Uitgave 4/2014

Journal of Behavioral Medicine 4/2014 Naar de uitgave