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dc.contributor.authorRyum, Truls
dc.contributor.authorJacobsen, Henrik Børsting
dc.contributor.authorBorchgrevink, Petter Chr.
dc.contributor.authorLandrø, Nils Inge
dc.contributor.authorStiles, Tore C
dc.date.accessioned2020-03-23T14:04:25Z
dc.date.available2020-03-23T14:04:25Z
dc.date.created2019-12-01T13:26:26Z
dc.date.issued2019
dc.identifier.citationScandinavian Journal of Pain. 2019, 1-9.en_US
dc.identifier.issn1877-8860
dc.identifier.urihttps://hdl.handle.net/11250/2648178
dc.description.abstractBackground and aims Pain catastrophizing has consistently been related to a variety of negative outcomes within chronic pain conditions, but competing models exist explaining the role of catastrophizing. According to the fear-avoidance model (FAM), catastrophizing is primarily related to the appraisal of pain (i.e. “intrapersonal”), whereas the communal coping model (CCM) suggests that catastrophizing is a strategy to elicit support (i.e. “interpersonal”). In order to examine the interpersonal nature of catastrophizing, this cross-sectional study examined interpersonal problems as a predictor of pain catastrophizing in a sample of patients (n = 97) with chronic pain. Methods Self-report data was taken from patients entering a multidisciplinary, inpatient rehabilitation program. The four quadrants of the Inventory of Interpersonal Problems circumplex model (Hostile-Dominant, Hostile-Submissive, Friendly-Submissive, Friendly-Dominant) were used as predictors of pain catastrophizing in a series of separate, hierarchical regression analyses. Results After controlling for relevant confounding variables such as demographics (gender, age), pain severity, psychiatric symptoms (anxiety/depression, fatigue, insomnia), adverse life experiences and perceived social support, higher levels of Hostile-Dominant interpersonal problems predicted higher levels of pain catastrophizing (p ≤ 0.01, d = 0.56). Conclusions The results add support to the notion that pain catastrophizing may serve a communicative functioning, as predicted by the CCM, with cold, dominant and controlling behaviors as a maladaptive interpersonal strategy to elicit support. It may thus be useful to consider the broader interpersonal context of the individual, and not only the patient’s appraisal of pain, when conceptualizing the role of pain catastrophizing in patients with chronic pain. Implications Future psychosocial research and treatment of chronic pain could be informed by including interpersonal theory as a useful theoretical framework, which may help shed more light on how interpersonal problems relates to pain catastrophizing.en_US
dc.language.isoengen_US
dc.publisherDe Gruyteren_US
dc.titleInterpersonal problems as a predictor of pain catastrophizing in patients with chronic painen_US
dc.typePeer revieweden_US
dc.typeJournal articleen_US
dc.description.versionpublishedVersionen_US
dc.source.pagenumber1-9en_US
dc.source.journalScandinavian Journal of Painen_US
dc.identifier.doi10.1515/sjpain-2019-0064
dc.identifier.cristin1755064
dc.description.localcodeThis article will not be available due to copyright restrictions (c) 2019 by De Gruyteren_US
cristin.unitcode1920,28,0,0
cristin.unitcode194,67,40,0
cristin.unitcode1920,7,0,0
cristin.unitcode194,65,25,0
cristin.unitnameKlinikk for anestesi og intensivmedisin
cristin.unitnameInstitutt for psykologi
cristin.unitnameKlinikk for kliniske servicefunksjoner
cristin.unitnameInstitutt for sirkulasjon og bildediagnostikk
cristin.ispublishedtrue
cristin.fulltextoriginal
cristin.qualitycode1


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