Influences of social relationships, illness characteristics, and personality on chronic pain and depression
Review TypeNone: Degree-based Submission
Repository Posting Date2020-07-24T21:27:54Z
Author DetailsDr. Julia Faucett, PhD, FAAN
Lead Author Sigma AffliationAlpha Eta
Level of EvidenceDescriptive/Correlational
Research ApproachQuantitative Research
CINAHL HeadingsChronic Pain; Depression; Personality; Interpersonal Relations; Support, Psychosocial; Family Relations; Psychosocial Aspects of Illness; Chronic Pain--Etiology
Subjects with myofascial pain disorders (n = 67) and arthritis (n = 84) were studied to examine the contribution of personality traits and social relationships to their complaints of pain and depression. Structured interviews using standardized questionnaires provided information about personality traits, supportive and conflictual aspects of social network and family relationships, pain-specific responses of the significant other, depression, and affective and sensory pain. Interpersonal conflict and pain-specific punishing responses of the significant other were found to contribute significantly to pain and depression. However, conflict and punishing responses were negatively related to outcomes in arthritis; while they were positively related to outcomes in myofascial disorders. Social network support and conflict had a significant main effect in the regression of depression. Personality traits explained significant proportions of the variance in sensory but not in affective pain. Traits of positive and negative affectivity independently explained large portions of the variance in depression. Subjects with myosfascial pain had significantly less social support, more conflict and punishing responses from others, and more severe pain and depression. The two pain groups did not differ on personality traits or solicitous responses from others. In paired t-tests, arthritis subjects presented their significant others in a more positive light than significant others' own self-reports. Myofascial pain subjects presented their partners in a more negative light than their partners' self-descriptions. The findings suggest that social relationships differ in the two types of disorder and that their contributions to pain and depression are influenced by characteristics of the disorders. These distinctions do not appear to be related to underlying differences between the two groups in demographics, personality traits, or the duration and predictability of pain; although they may be related to the presence or absence of underlying physical findings. These results emphasize the importance of psychosocial assessment in chronic pain syndromes and support investigation of varying interventions based on the etiology of the pain.
DescriptionThis dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 9016381; ProQuest document ID: 303684406. The author still retains copyright.
Degree GrantorUniversity of California, San Francisco
NotesThis item has not gone through this repository's peer-review process, but has been accepted by the indicated university or college in partial fulfillment of the requirements for the specified degree.
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