Social and Behavioral Sciences Commons^™

Utilizing Primary Care To Engage Patients On Opioids In A Psychological Intervention For Chronic Pain, Sikander Chohan, Lyuba Gavrilova Bs, Leah Hect, Kristi Autio, Erin Tobin, Brian K. Ahmedani, Lisa R. Miller-Matero

Medical Student Research Symposium

Introduction: Chronic pain is commonly encountered in primary care. It is often treated with opioids, which can cause overdose and death. Psychological interventions are an effective alternative, yet difficulty engaging patients with opioid prescriptions has led to their underutilization. Offering these interventions in primary care settings may alleviate this barrier.

Objective: Determine whether opioid prescriptions are related to patients engaging in a brief psychological intervention for chronic pain management in primary care.

Study Design: Secondary analysis of a pilot randomized clinical trial (RCT) of a 5-session psychological intervention for chronic pain. Patients with chronic pain (N= 220) were approached to …

The Efficacy Of A Novel Facebook-Based Psychosocial Intervention For Adults With Chronic Pain: A Randomized Clinical Trial, Bethany Danielle Pester

Wayne State University Dissertations

Social networking-based groups such as Facebook groups have become increasingly popular among people with chronic conditions, and the affordances of such groups make them a promising platform for chronic disease intervention. Yet, there have been few controlled tests of the effects of social networking-based groups. Our team developed a Facebook-based intervention that focuses on enhancing social support by connecting adults with peers who also have chronic pain. Using a randomized controlled clinical trial, we aimed to understand the efficacy of this intervention and to explore whether a professional-led support group leads to greater effects than a support group alone. The …

Coping Similarity And Psychosocial Risk Factors In Couples With Chronic Pain, Amy M. Williams

Wayne State University Dissertations

Chronic pain is an important public health problem that is associated with a host of negative individual and relationship outcomes. Chronic pain is a chronic stressor that both the individual in pain and their spouse must cope with. The current study examined how pain coping similarity within the couple predicted not only patient adjustment, but also spouse adjustment in a longitudinal study. Participants were 108 heterosexual couples in which one partner had chronic pain. The participants completed measures at 3 time points at 6 month intervals. Both the patient and spouse individually completed questionnaires pertaining to their marriage, mood, pain …

Emotional Risk Factors For Substance Abuse In A Chronic Pain Population: Developing A Predictive Model And Testing Methods For Assessing Stigmatized Behaviors, Lindsay Margaret-Sander Oberleitner

Wayne State University Dissertations

There are currently few factors guiding physicians' decisions as to whether an individual patient may need additional regulation of pain medications because of risks. The limited predictive factors applied to prescription opioid abuse in chronic pain patients is surprising given the breadth of personal, cognitive, and emotional factors explored in both chronic pain and substance abuse literatures broadly. The present study had two purposes. First, concurrent risk factors for prescription misuse and substance abuse in chronic pain patients were explored, specifically examining whether the addition of emotional factors to the traditionally used risk factors improves prediction of prescription and substance …

Social Interaction In Pain: Reinforcing Pain Behaviours Or Building Intimacy?, Annmarie Cano, A. C. De C. Williams

Psychology Faculty Research Publications

To date, pain research has focused almost exclusively on operant models to interpret the function and predict the consequences of pain-related interaction in chronic pain couples. However, evidence suggests that intimacy models of interaction may provide additional and alternative explanations for pain interaction. Specifically, intimacy models conceptualize verbal complaints about pain-related distress as emotional disclosure, which the partner may validate or invalidate. This review compares and contrasts models of pain-related interaction in chronic pain couples, describes limitations of the existing research, and offers directions for future research drawing upon a social support framework.

Evaluating Outcomes And Response Profiles Of A Psychological Treatment For People With Chronic Pain, Amanda J. Burger

Wayne State University Dissertations

Chronic pain is a leading cause of suffering, disability, and high health care costs. Traditional treatment approaches such as medical or cognitive-behavioral interventions have produced variable and often limited results. Research has suggested

that increased rates of stressful life events, emotional disorders, and emotion regulation deficits contribute to the development and maintenance of chronic pain problems that lack clear, peripheral, biological causes. This study examined the effectiveness of an

innovative, emotion-focused treatment that directly targets patients' unresolved stress and emotional avoidance and sought to identify predictors of treatment outcome. Additionally, this study explored the effects of a novel, emotional assessment …

Spouse Beliefs About Partner Chronic Pain, Annmarie Cano, L. R. Miller, A. Loree

Psychology Faculty Research Publications

While research has shown that patients’ beliefs about their pain are related to pain adjustment and treatment outcomes, little is known about the beliefs of their significant others. The purpose of this study was to develop a measure of pain beliefs in significant others and to examine the correlates of these beliefs. Participants were 104 married couples in which one partner reported chronic pain. Spouses completed an amended version of the Survey of Pain Beliefs (SOPA) [14]. The scale development procedure described in Jensen et al.[12] was used to select appropriate items for the significant other version of the SOPA. …

Empathic And Nonempathic Interaction In Chronic Pain Couples, Annmarie Cano, Justin A. Barterian, Jaclyn B. Heller

Psychology Faculty Research Publications

Empathy and empathic response are receiving greater attention in pain research as investigators acknowledge that other forms of interaction may impact the pain process. The purpose of this study was to examine validation and invalidation as forms of empathic and nonempathic responses in chronic pain couples. Participants were 92 couples in which at least one spouse reported chronic musculoskeletal pain. Each couple participated in two videotaped interactions about the ways in which the pain has impacted their lives together. Trained raters then coded interactions for each partner’s use of validation and invalidation. Couples also completed surveys on spouse responses to …

A Preliminary Investigation Of Affective Interaction In Chronic Pain Couples, Ayna B. Johansen, Annmarie Cano

Psychology Faculty Research Publications

The objective of this preliminary study was to examine the extent to which affective marital interaction related to depressive symptoms in persons with chronic pain and their spouses and to pain severity in persons with pain. Couples from the community completed self-report surveys and engaged in a videotaped conversation on a topic of mutual disagreement that was coded for three affect types (i.e., anger/contempt, sadness, humor). Humor was positively related to marital satisfaction in both partners. Spouse anger/contempt and sadness were positively related to depressive symptoms in spouses. Several significant interaction effects between couple pain status (i.e., whether one or …

Pain Affects Spouses Too: Personal Experience With Pain And Catastrophizing As Correlates Of Spouse Distress, Michelle T. Leonard, Annmarie Cano

Psychology Faculty Research Publications

Chronic pain has adverse effects on individuals with chronic pain (ICPs) as well as their family members. Borrowing from an empathy model described by Goubert et al. (2005), we examined topdown and bottom-up factors that may be related to psychological well-being in the spouses of ICPs. A diverse community sample of 113 middle-aged spouses of individuals with chronic pain (ICPs) completed measures on pain severity and spouse pain catastrophizing (PCS-S; Cano et al., 2005). Results showed that almost half (48.7%) of spouses reported chronic pain themselves and that pain in the spouse accounted for within-couple differences on psychological distress. That …

Perceived Spouse Responses To Pain: The Level Of Agreement In Couple Dyads And The Role Of Catastrophizing, Marital Satisfaction, And Depression, Laura Pence, Annmarie Cano, Beverly Thorn, Charles Ward

Psychology Faculty Research Publications

The primary objective of this study was to examine whether individuals with chronic pain (“participants”) and their spouses agree on perceptions of solicitous, distracting, and punishing spouse responses to pain. The second aim was to examine the role of participant catastrophizing (a negative mental set about pain), participant and spouse marital satisfaction, and participant and spouse depression in participant perceptions of spouse responses, spouse perceptions of their responses, and agreement between participants and spouses. Individuals with chronic musculoskeletal pain and their spouses (N=108 couples) completed questionnaire packets. Examination of overall group averages (participants vs. spouses) indicated little or no differences …

Coping, Pain Severity, Interference, And Disability: The Potential Mediating And Moderating Roles Of Race And Education, Annmarie Cano, Ainoa Mayo, Matthew Ventimiglia

Psychology Faculty Research Publications

Researchers have demonstrated that certain types of pain coping are correlated with less pain severity and disability and that there are differences between Caucasians and African-American pain patients in their use of specific coping strategies. However, the extent to which racial group differences exist in the associations between pain coping strategies and pain severity, interference, and disability is unclear. Furthermore, the role of education in these associations is uncertain. We recruited a diverse community sample of individuals with chronic pain and their spouses to examine this issue (N =105). Participants completed the Coping Strategies Questionnaire, Multidimensional Pain Inventory, and Sickness …

Chronic Pain In A Couples Context: A Review And Integration Of Theoretical Models And Empirical Evidence, Michelle T. Leonard, Annmarie Cano, Ayna B. Johansen

Psychology Faculty Research Publications

Researchers have become increasingly interested in the social context of chronic pain conditions. The purpose of this article is to provide an integrated review of the evidence linking marital functioning with chronic pain outcomes including pain severity, physical disability, pain behaviors, and psychological distress. We first present an overview of existing models that identify an association between marital functioning and pain variables. We then review the empirical evidence for a relationship between pain variables and several marital functioning variables including marital satisfaction, spousal support, spouse responses to pain, and marital interaction. On the basis of the evidence, we present a …

Spousal Congruence On Disability, Pain, And Spouse Responses To Pain, Annmarie Cano, Ayna B. Johansen, Michael Geisser

Psychology Faculty Research Publications

We examined congruence between chronic pain patients and their spouses on their reports of patient pain severity, patient disability, and spouse responses to pain. Patients reported that they were more physically and psychosocially disabled than their spouses reported them to be. However, spouses reported that the patients’ pain was more severe than patients reported. Depressive disorders in the patient and gender interacted with patient–spouse ratings. For physical and psychosocial disability, depressed patient couples reported significantly larger differences in disability ratings than nondepressed patient couples. In addition, female patients’ disability was rated as more severe by the female patients than by …

Marital Functioning, Chronic Pain, And Psychological Distress, Annmarie Cano, Mazy Gillis, Wanda Heinz, Michael Geisser, Heather Foran

Psychology Faculty Research Publications

This study examined whether marital functioning variables related uniquely to psychological distress and diagnoses of depressive disorder independent of pain severity and physical disability. Participants were 110 chronic musculoskeletal pain patients. Hierarchical regression results showed that marital variables (i.e. marital satisfaction, negative spouse responses to pain) contributed significantly to depressive and anxiety symptoms over and above the effects of pain severity and physical disability. In contrast, marital variables were not significantly related to diagnoses of depressive disorder (i.e. major depression, dysthymia, or both) after controlling for pain variables. In multivariate analyses, physical disability and marital satisfaction were uniquely related to …