Problem-solving appraisal and psychological adjustment of persons with chronic low-back pain

被引:20
作者
Witty, TE
Heppner, PP
Bernard, CB
Thoreson, RW
机构
[1] N Mississippi Med Ctr, Dept Behav Hlth, Tupelo, MS 38801 USA
[2] Univ Missouri, Dept Counseling & Educ Psychol, Columbia, MO USA
[3] Harry S Truman Mem Vet Hosp, Dept Psychol, Columbia, MO 65201 USA
关键词
chronic pain; low-back pain; problem solving; psychological adjustment;
D O I
10.1023/A:1011361418436
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
To examine the role of self-appraised problem-solving ability in the prediction of psychosocial impairment, depression, hopelessness, average pain unpleasantness, and current pain ratings among persons with chronic low-back pain. A second purpose was to enhance theoretical understanding of the mechanisms by which problem-solving appraisal influences adjustment. Correlational and regression procedures were used to test the hypothesized relations procedures between elements of self-appraised problem-solving ability and each criterion variable. Seventy-eight persons enrolled in an inpatient multidisciplinary chronic pain management program. The psychosocial subscale of the Sickness Impact Profile, the Beck Depression Inventory, the Beck Hopelessness Scale, the McGill Pain Questionnaire, and Visual Analogue Scales of Pain Sensory Intensity and Affective Response were the main outcome measures. After first controlling demographic characteristics, elements of self-appraised problem-solving ability assessed by the Problem-Solving Inventory were significantly predictive of depression, hopelessness, psychosocial impairment, and average-pain unpleasantness (accounting for 20, 26, 29, and 11% of the respective variance in these constructs). Results indicate complex relations among the elements of problem-solving appraisal, suggesting that the Approach-Avoidance link to psychological adjustment was mediated by Problem-Solving Confidence. Comprehensive problem-solving interventions may be beneficial to persons with chronic pain.
引用
收藏
页码:149 / 160
页数:12
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