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Gepubliceerd in:

01-06-2015

Attachment insecurity predicts responses to an interdisciplinary chronic pain rehabilitation program

Auteurs: John Kowal, Lachlan A. McWilliams, Katherine Péloquin, Keith G. Wilson, Peter R. Henderson, Dean A. Fergusson

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 3/2015

Abstract

The aim of this study was to examine the hypothesis that attachment insecurity is associated with poorer responses to interdisciplinary treatment for chronic pain. Patients (n = 235) admitted to a 4-week interdisciplinary rehabilitation program were recruited. At pre-treatment, participants completed a battery of questionnaires assessing adult attachment styles and dimensions, as well as pain intensity, disability, self-efficacy, pain catastrophizing, and depressive symptoms. The latter measures were completed again at post-treatment. Nearly two-thirds of participants (65.5 %) reported having an insecure attachment style. Attachment insecurity was unrelated to pre- and post-treatment reports of pain intensity and pain-related disability, but was significantly associated with most other clinical variables at both time points. Regression analyses controlling for pre-treatment functioning indicated that attachment insecurity was associated with less improvement in pain catastrophizing, pain self-efficacy, and depressive symptoms. Further research is warranted to investigate the processes by which attachment characteristics influence patients’ responses to chronic pain rehabilitation.

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Titel: Attachment insecurity predicts responses to an interdisciplinary chronic pain rehabilitation program
Auteurs: John Kowal
Lachlan A. McWilliams
Katherine Péloquin
Keith G. Wilson
Peter R. Henderson
Dean A. Fergusson
Publicatiedatum: 01-06-2015
Uitgeverij: Springer US
Gepubliceerd in: Journal of Behavioral Medicine / Uitgave 3/2015
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI: https://doi.org/10.1007/s10865-015-9623-8

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