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Field independence, pain locus of co...
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State University of New York at Albany.
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Field independence, pain locus of control and coping as key predictors of adjustment to chronic pain.
Record Type:
Electronic resources : Monograph/item
Title/Author:
Field independence, pain locus of control and coping as key predictors of adjustment to chronic pain./
Author:
McCann, Michael James.
Description:
130 p.
Notes:
Chair: Marilyn Stern.
Contained By:
Dissertation Abstracts International61-07B.
Subject:
Health Sciences, Mental Health. -
Online resource:
http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=9979518
ISBN:
9780599855915
Field independence, pain locus of control and coping as key predictors of adjustment to chronic pain.
McCann, Michael James.
Field independence, pain locus of control and coping as key predictors of adjustment to chronic pain.
- 130 p.
Chair: Marilyn Stern.
Thesis (Ph.D.)--State University of New York at Albany, 2000.
Theoretical models of chronic pain have postulated that a host of biopsychosocial cognitive behavioral variables interact in determining the adjustment of chronic pain patients. Specifically, these include dispositional factors including the patient as an active processor, coping strategies, control beliefs and pain behaviors. Much research has accumulated supporting the notion that internal locus of control and problem focused coping styles are associated with more positive adjustment in chronic pain patients. However, no study has investigated dispositional variables associated with cognitive style as they might relate to adjustment to chronic pain. The current study proposed that the cognitive style variable of field dependence, along with beliefs in control over pain and problem focus coping styles would be positively associated with adjustment to chronic pain after controlling for processing speed, length of disability, pain level, and depression. Results showed that emotion focused coping and beliefs of control over pain were associated with poorer adjustment after controlling for processing speed, length of disability, and pain level. When depression was controlled for, no significant effects were found.
ISBN: 9780599855915Subjects--Topical Terms:
1017693
Health Sciences, Mental Health.
Field independence, pain locus of control and coping as key predictors of adjustment to chronic pain.
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Field independence, pain locus of control and coping as key predictors of adjustment to chronic pain.
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130 p.
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Chair: Marilyn Stern.
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Source: Dissertation Abstracts International, Volume: 61-07, Section: B, page: 3851.
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Thesis (Ph.D.)--State University of New York at Albany, 2000.
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Theoretical models of chronic pain have postulated that a host of biopsychosocial cognitive behavioral variables interact in determining the adjustment of chronic pain patients. Specifically, these include dispositional factors including the patient as an active processor, coping strategies, control beliefs and pain behaviors. Much research has accumulated supporting the notion that internal locus of control and problem focused coping styles are associated with more positive adjustment in chronic pain patients. However, no study has investigated dispositional variables associated with cognitive style as they might relate to adjustment to chronic pain. The current study proposed that the cognitive style variable of field dependence, along with beliefs in control over pain and problem focus coping styles would be positively associated with adjustment to chronic pain after controlling for processing speed, length of disability, pain level, and depression. Results showed that emotion focused coping and beliefs of control over pain were associated with poorer adjustment after controlling for processing speed, length of disability, and pain level. When depression was controlled for, no significant effects were found.
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The finding that beliefs in control over pain is counter to the majority of previous studies in the area. It is noted that a measure of locus of control specific to pain was used in comparison to the more global measures used in other studies. The finding for control beliefs being associated with poorer adjustment does have some support in the literature particularly among certain pain populations and in certain circumstances. It is also consistent with some recent writings that challenge the notion that beliefs in internal control over pain are always functional. The findings that emotion focused coping is related to poorer adjustment is consistent with previous findings. The use of depression as a control, although controversial, eliminated the effects of the independent variables. This is also consistent with some previous studies and is consistent with recent writings that (1) urge researchers to use more intervening variables in the study of chronic pain and (2) urge clinicians to attend to the comorbidity issues associated with depressed chronic pain patients.
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http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=9979518
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