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31-03-2020 | Original Research

Using vignettes to assess the contribution of goal adjustment in the adaptation to chronic musculoskeletal pain

Auteurs: Alicia E. López-Martínez, Carmen Ramírez-Maestre, Elena R. Serrano-Ibáñez, Gema T. Ruiz-Párraga, Madelon L. Peters, Rosa Esteve

Gepubliceerd in: Quality of Life Research | Uitgave 8/2020

Abstract

Purpose

The quality of life of individuals with chronic musculoskeletal pain partly depends on their capacity to adjust their personal goals. Vignettes have been rarely used to assess this ability. Therefore, this study aimed to test the relationships between vignettes assessing different goal strategies and chronic pain adaptation (i.e., daily functioning, pain-related impairment, and psychological well-being).

Methods

The sample comprised 258 individuals with chronic musculoskeletal pain who completed a series of questionnaires and vignettes. The vignettes presented a short description of a situation in which a person with chronic pain experienced a threat to a valued domain-specific goal and had to choose a possible goal management solution (i.e., goal persistence, flexibility reengagement, and disengagement). Hierarchical regression analyses were used to predict chronic pain adaptation using the selected vignette strategies as predictors.

Results

After controlling for age, sex, pain intensity, and the responses to the dispositional goal management scales, persistence, reengagement, and disengagement goal strategies presented in the case scenarios predicted daily functioning (p < .001). Persistence, flexibility, disengagement (p < .001), and reengagement (p < .05) predicted pain-related impairment. Persistence, disengagement (p < .001), and flexibility (p < .05) predicted psychological well-being scores.

Conclusion

The use of vignettes could be useful to assess goal adjustment because this methodology enables respondents to provide more context-specific responses. The results of this approach could be used to improve clinical practice aimed at helping people with chronic musculoskeletal pain to better cope with this health condition.

vorige artikel Role of depressive symptoms in the health-related quality of life of Venezuelan patients with rheumatoid arthritis. Results from a tertiary care center

volgende artikel Challenges and lessons learned from using anchoring vignettes to explore quality of life response behavior

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Titel: Using vignettes to assess the contribution of goal adjustment in the adaptation to chronic musculoskeletal pain
Auteurs: Alicia E. López-Martínez
Carmen Ramírez-Maestre
Elena R. Serrano-Ibáñez
Gema T. Ruiz-Párraga
Madelon L. Peters
Rosa Esteve
Publicatiedatum: 31-03-2020
Uitgeverij: Springer International Publishing
Gepubliceerd in: Quality of Life Research / Uitgave 8/2020
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI: https://doi.org/10.1007/s11136-020-02487-5

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