Title: PERSONALITY, COPING STYLES AND CHRONIC PAIN
1PERSONALITY,COPING STYLES AND CHRONIC PAIN
- Toward a structural approach to adjustment
2Outline
- 1. Introduction
- 2. Goal
- 3. Definitions
- 4. Hypotheses
- 5. Sample and Measures
- 6. Results
- 7. Conclusion
3Outline
- 1. Introduction
- 2. Goal
- 3. Definitions
- 4. Hypotheses
- 5. Sample and Measures
- 6. Results
- 7. Conclusion
41.1. The biopsychosocial model of pain
- The Gate Control Theory
- Melzack Wall (1965)
- Multidimensional model of pain
- 4 components sensory-discriminative
- affective-emotional
- cognitive
- behavioral
- Definition of the IASP
-
51.2. Models of Personality
- Trait ? State Model
- (Cottraux Blackburn, 1995)
- Big Five Model (Digman, 1990)
- The Five-Factor Theory
- (McAdams, 1996 Costa McCrae, 1999)
61.3. Coping and correlates
- Dispositional vs. Situational approach
- Coping styles vs. Coping responses
- Regulating role vs. Outcomes
- Adjustment vs. Adaptation
71.4. Model proposed
- Structural approach
- Postulate Regularities in behavior
- Type of relationship between variables
- A three-level hierarchical model
8Outline
- 1. Introduction
- 2. Goal
- 3. Definitions
- 4. Hypotheses
- 5. Sample and Measures
- 6. Results
- 7. Conclusion
92. Goal
- Answer this question
- Does taking into consideration usual patterns of
cognition and behavior allow a better
understanding of specific cognitive-behavioral
responses to the experience of chronic pain ?
10Outline
- 1. Introduction
- 2. Goal
- 3. Definitions
- 4. Hypotheses
- 5. Sample and Measures
- 6. Results
- 7. Conclusion
113. Definitions
- A theoretical position constrains
- the definition of concepts
- the operationalization of variables
123.1. Usual patterns of behavior
- Three levels of patterns
- personality dimensions (Big Five)
- coping styles
- usual coping responses to pain
- characterized by
- temporal stability
- cross-situational consistency
133.2. Components of adjustment
-
- Sensory component of pain
- Sensory / affective descriptors
- Functional component Impact on everyday
life - Emotional component
- Depressive / Anxious states
14Outline
- 1. Introduction
- 2. Goal
- 3. Definitions
- 4. Hypotheses
- 5. Sample and Measures
- 6. Results
- 7. Conclusion
154.1. Main Hypothesis
- Chronic pain patients adopt specific pain-related
behaviors that depend on their personality traits
and coping styles - The components of their adjustment to pain
are related to their usual patterns of behavior
164.2. Operationalization
- The relationship between usual patterns of
behavior and specific pain-related adjustment
responses differs according to the aspect of pain
experience measured - intensity and description of pain
- functional status (daily activities)
- emotional state (depression, anxiety)
17Outline
- 1. Introduction
- 2. Goal
- 3. Definitions
- 4. Hypotheses
- 5. Sample and Measures
- 6. Results
- 7. Conclusion
185.1. Population and Sample
- Outpatients from a multidisciplinary pain clinic
- A specific category of pain patients
- An heterogeneous sample.
- Random diversity of pathologies
- Average duration of pain 7.8 years
195.2. Measures of usual patterns of
behavior
- 3 degrees of predictors
- Personality traits
- Coping styles
- Coping responses to pain
205.3. Measures of pain adjustment
- 4 categories of outcome variables
- Intensity of pain
- Description of pain
- Functional impact
- Emotional impact
21Outline
- 1. Introduction
- 2. Goal
- 3. Definitions
- 4. Hypotheses
- 5. Sample and Measures
- 6. Results
- 7. Conclusion
226.1. Proportions of variance
explained
- Sensory components
- intensity of pain 21
- description of pain 41
- Functional impact
- daily activities 30
- outdoor and social activities 44
- Emotional impact
- Depressive state 53
- Anxious state 52
236.3. Prediction of pain intensity
Proportion of variance explained
D5D
246.2. Partial Correlations
256.4. Prediction of affective
description of pain
Proportion of variance explained
D5D
266.2. Partial Correlations
276.5. Prediction of functional impact of
pain On everyday life
Proportion of variance explained
D5D
286.5. Prediction of functional impact of
pain On household chores
Proportion of variance explained
D5D
296.2. Partial correlations
306.5. Prediction of functional impact of
pain On outdoor and social activities
Proportion of variance explained
D5D
316.2. Partial correlations
326.6. Prediction of emotional impact of
pain Depressive state (BDI 13)
Proportion of variance explained
D5D
336.2. Partial correlations
346.6. Prediction of emotional impact of
pain Depressive state (HAD Depression)
Proportion of variance explained
D5D
356.6. Prediction of emotional impact of
pain Anxious state (HAD Anxiety)
Proportion of variance explained
D5D
366.2. Partial correlations
37Outline
- 1. Introduction
- 2. Goal
- 3. Definitions
- 4. Hypotheses
- 5. Sample and Measures
- 6. Results
- 7. Conclusion
387. Conclusion
- Usual patterns of behavior
- distal variables personality
- proximal variables coping
- ? are significantly correlated with the
components of pain adjustment - ? Different patterns of predictors with different
aspects of adjustment
397. Conclusion Personality Dimensions
- Neuroticism is associated
- with poorer adjustment to pain
- Emotional stability, openness, and
conscientiousness are associated - with better adjustment to pain
407. Conclusion Coping Styles
- Emotion-oriented coping is associated with poorer
adjustment to pain - Task-oriented coping and avoidance are associated
with better adjustment to pain
417. Conclusion Coping responses to pain
- Catastrophizing, praying and hoping, and
distraction are associated with poorer adjustment
to pain - Coping self-statements and reinterpreting
sensations are associated with better adjustment
to pain