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The Role of Optimism and Pessimism in Chronic Pain Patients Adjustment

Published online by Cambridge University Press:  10 January 2013

Carmen Ramírez-Maestre*
Affiliation:
Universidad de Málaga (Spain)
Rosa Esteve
Affiliation:
Universidad de Málaga (Spain)
Alicia E. López
Affiliation:
Universidad de Málaga (Spain)
*
Correspondence concerning this article should be addressed to Carmen Ramírez-Maestre, Departamento de Personalidad, Evaluación y Tratamiento Psicológico, Facultad de Psicología, Universidad de Málaga, Campus de Teatinos, 29071 Málaga (Spain). Phone: +34 952132649. Fax: +34 952132425. E-mail: [email protected]

Abstract

This study analyses the relationships between patients' dispositional optimism and pessimism and the coping strategies they use. In addition, the coping strategies repercussions on adjustment to chronic pain were studied. Ninety-eight patients with heterogeneous chronic pain participated. The assessment tools were as follows: Life Orientation Test (LOT), the Vanderbilt Pain Management Inventory (VPMI), the McGill Pain Questionnaire (MPQ), Hospital Anxiety and Depression Scale (HADS), and the Impairment and Functioning Inventory for Chronic Pain Patients (IFI). The hypothetical model establishes positive relationships between optimism and the use of active coping strategies, whereas pessimism is related to the use of passive coping. Active coping is associated with low levels of pain, anxiety, depression and impairment and high levels of functioning. However, passive coping is related to high levels of pain, anxiety, depression and impairment and low levels of functioning. The hypothetical model was empirically tested using the LISREL 8.20 software package and the unweighted least squares method. The results support the hypotheses formulated regarding the relations among optimism, pessimism, coping and adjust of chronic pain patients. By analysing optimism among chronic pain patients, clinicians could make better predictions regarding coping and adjustment.

Este trabajo analiza la relación entre el optimismo y pesimismo disposicional del paciente con dolor crónico y las estrategias de afrontamiento que utiliza. De igual forma, se estudia el efecto del tipo de afrontamiento sobre la adaptación del paciente a su dolor. Participaron 98 pacientes con dolor crónico heterogéneo. Los instrumentos de medida utilizados han sido: Test de Orientación Vital (LOT), Inventario Vanderbilt de afrontamiento al Dolor (VPMI), Cuestionario McGill de Dolor (MPQ), Escala Hospitalaria de Ansiedad y Depresión (HADS), y el Inventario de Deterioro y Funcionamiento para pacientes con dolor crónico (IDF). En el modelo hipotético se establecen relaciones entre el optimismo y el uso de estrategias activas de afrontamiento, mientras que el pesimismo se relaciona con las estrategias pasivas. A su vez, se establecen relaciones entre las estrategias activas y menores niveles de dolor percibido, baja depresión, ansiedad y deterioro y mayor nivel de funcionamiento, relacionándose las estrategias pasivas con altos niveles de dolor, ansiedad, depresión y deterioro y con bajos de funcionamiento diario. Este modelo hipotético fue contrastado empíricamente a través del programa LISREL 8.20. y el método de mínimos cuadrados no ponderados. Los resultados apoyan las hipótesis formuladas.

Type
Research Article
Copyright
Copyright © Cambridge University Press 2012

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References

Augustson, E. M. (2000). Issues of acceptance in chronic pain populations. Behavior Analyst Today, 1, 1417CrossRefGoogle Scholar
Affleck, G., Tennen, H., Keefe, F. J., Lefevre, K., Kashikar-Zuck, S., Wright, K., … & Caldwell, D. S. (1999). Everyday life with osteoarthritis of rheumatoid arthritis: Independent effects of disease and gender on daily pain, mood and coping. Pain, 83, 601609. http://dx.doi.org/10.1016/S0304-3959(99)00167-0CrossRefGoogle ScholarPubMed
Affleck, G., Tennen, H., Zautra, A., Urrows, S., Abeles, M., & Karoly, P. (2001). Women's pursuit of personal goals in daily life with fibromyalgia: A value-expectancy analysis. Journal of Consulting and Clinical Psychology, 69, 587596.CrossRefGoogle ScholarPubMed
Asghari, M. A., & Nicholas, M. K. (1999). Personality and adjustment to chronic pain. Pain Reviews, 6, 8597. http://dx.doi.org/10.1191/096813099672349888CrossRefGoogle Scholar
Brenes, G. A., Rapp, S. R., Rejeski, W. J., & Miller, M. E. (2002). Do optimism and pessimism predict physical functioning? Journal of Behavioral Medicine, 25, 219231.CrossRefGoogle ScholarPubMed
Brown, G. K., & Nicassio, P. M. (1987). Development of a questionnaire for the assessment of active and passive coping strategies in chronic pain patients. Pain, 31, 5364. http://dx.doi.org/10.1016/0304-3959(87)90006-6CrossRefGoogle ScholarPubMed
Calsals, M., & Samper, D. (2004). Epidemiología, prevalencia y calidad de vida del dolor crónico no oncológico [Epidemiology, prevalence and quality of life of non-malignant chronic pain]. Revista Sociedad Española del Dolor, 11, 260269.Google Scholar
Cannella, D. T. L., Lobel, M., Glass, P., Lokshina, I., & Graham, J. E. (2007). Factors associated with depressed mood in chronic pain patients: The role of interpersonal coping resources. Journal of Pain, 8, 256262. http://dx.doi.org/10.1016/j.jpain.2006.08.007CrossRefGoogle Scholar
Carver, C. S., Scheier, M. F., & Segerstrom, S. C. (2010). Optimism. Clinical Psychology Review, 30, 879889. http://dx.doi.org/10.1016/j.cpr.2010.01.006CrossRefGoogle ScholarPubMed
Esteve, M. R, Ramírez-Maestre, C., & López, A. E. (2005). General versus specific indices in the assessment of chronic pain coping. Psychology in Spain, 16, 421428.Google Scholar
Esteve, M. R., Ramírez-Maestre, C., & López, A. E. (2007). Adjustment to chronic pain: The role of pain acceptance, coping strategies and pain-related cognitions. Annals of Behavioral Medicine, 33, 179188. http://dx.doi.org/10.1007/BF02879899CrossRefGoogle ScholarPubMed
Fernández, E., & Bermúdez, J. (1999). Estructura factorial del Optimismo y el Pesimismo [Factor structure of optimism and pessimism]. Boletín de Psicología, 63, 1726.Google Scholar
Ferreira, V. M., & Sherman, A. M. (2007). The relationship of optimism, pain and social support to well-being in older adults with osteoarthritis. Aging and Mental Health, 11, 8998. http://dx.doi.org/10.1080/13607860600736166CrossRefGoogle ScholarPubMed
Finan, P., Zautra, A., & Tennen, H. (2008). Daily diaries reveal influence of pessimism and anxiety on pain prediction patterns Psychology and Health, 23, 551568. http://dx.doi.org/10.1080/08870440802108892CrossRefGoogle ScholarPubMed
Fredrickson, B. L. (1998). What good are positive emotions? Review of General Psychology, 2, 300319. http://dx.doi.org/10.1037//1089-2680.2.3.300CrossRefGoogle ScholarPubMed
Furlong, L. V., Zautra, A. J., Puente, C. P., López, P., & Valero, P.B. (2010). Cognitive-affective assets and vulnerabilities: Two factors influencing adaptation to Fibromyalgia. Psychology and Health, 25, 197212.CrossRefGoogle ScholarPubMed
Gagliese, L., & Melzack, R. (1997). The assessment of pain in the elderly. In Lomraz, J. & Mostofsky, D. I. (Eds.), Handbook of pain and aging (pp. 6990). New York, NY: Plenum Press.CrossRefGoogle Scholar
Garofalo, J. P. (2000). Perceived optimism and chronic pain. In Gatchel, R.J. & Weisberg, J.N. (Eds.), Personality characteristics of patients with pain (pp. 203217). Washington, DC: APA.CrossRefGoogle Scholar
Geers, A. L., Wellman, J. A., Helfer, S. G., Fowlers, S. L., & France, C. R. (2008). Dispositional optimism and thoughts of well-being determine sensitivity to an experimental pain task. Annals of Behavioral Medicine, 36, 304313. http://dx.doi.org/10.1007/s12160-008-9073-4CrossRefGoogle Scholar
Goodin, B., Bier, S., & McGuire, L. (2009). Dispositional optimism buffers the negative influence of catastrophizing on pain response. The Journal of Pain, 10, S68. http://dx.doi.org/10.1016/j.jpain.2009.01.236CrossRefGoogle Scholar
Jensen, M. P., Turner, J. A., & Romano, J. M. (2001). Changes in beliefs, catastrophizing, and coping are associated with improvement in multidisciplinary pain treatment. Journal of Consulting and Clinical Psychology, 69, 455462. http://dx.doi.org/10.1037/0022-006X.69.4.655CrossRefGoogle ScholarPubMed
Jöreskog, K. J., & Sorbom, D. (1999). LISREL 8.2. Analysis of linear structural relationships by maximum likelihood instrumental variables and least squares methods. Mooresville, NC: Scientific Software International.Google Scholar
Hanssen, M., Vancleef, L. M. G., & Peters, M. L. (2009). Dispositional optimism protects against a negative healththreatening interpretations bias. European Journal of Pain, 13, S285. http://dx.doi.org/10.1016/S1090-3801(09)60954-XCrossRefGoogle Scholar
Hewitt, P. L., & Flett, G. L. (1996). Personality traits and the coping process. In Zeidner, M. & Endler, M.S. (Eds.), Handbook of coping (pp. 410433). New York, NY: Wiley.Google Scholar
Huber, A., Suman, A. L., Biasi, G., & Carli, C. (2008) Predictors of psychological distress and well-being in women with chronic musculoskeletal pain: Two sides of the same coin? Journal of Psychosomatic Research, 64, 169–75. http://dx.doi.org/10.1016/j.jpsychores.2007.09.005CrossRefGoogle ScholarPubMed
Keefe, F. J., Rumble, M. E., Scipio, C. D., Giordano, L. A., & Perri, L. M. (2004) Psychological aspects of persistent pain: Current state of the science. Journal of Pain, 4, 195211. http://dx.doi.org/10.1016/j.jpain.2004.02.576Google Scholar
Kurtz, M. E., Kurtz, J. C., Given, C. W., & Given, B. A. (2008). Patient optimism and mastery. Do they play a role in cancer patients' management of pain and fatigue? Journal of Pain and Symptom Management, 36, 138.CrossRefGoogle ScholarPubMed
Lázaro, C., Bosch, F., Torrubia, R., & Baños, J. E. (1994). The development of a Spanish questionnaire for assessing pain: Preliminary data concerning reliability and validity. European Journal of Psychological Assessment, 10, 145151.Google Scholar
Matusiewicz, K., & Krzyszkowska, A. (2009). Dispositional optimism and coping with pain. European Journal of Medical Research, 14, 271274.CrossRefGoogle Scholar
Melzack, R. (1975). The McGill Pain Questionnaire: Major properties and scoring methods. Pain, 1, 277299. http://dx.doi.org/10.1016/0304-3959(75)90044-5CrossRefGoogle ScholarPubMed
Peters, M. L. (2009). Optimism as a resiliency for chronic pain. European Journal of Pain, 13, S7. http://dx.doi.org/10.1016/S1090-3801(09)60017-3CrossRefGoogle Scholar
Peters, M. L., Meevissen, Y., Flink, I., Boersma, K., & Linton, S. (2009). Decreasing pain catastrophizing by an optimism intervention. European Journal of Pain, 13, S126. http://dx.doi.org/10.1016/S1090-3801(09)60422-5CrossRefGoogle Scholar
Peters, M. L., Sommer, M., de Rijke, J. M., Kessels, S., Heineman, E., Patjin, J., … & van Kleef, M. (2007). Somatic and psychological predictors of long-term unfavourable outcome after surgical intervention. Annals of Surgery, 245, 487494. http://dx.doi.org/10.1097/01.sla.0000245495.79781.65CrossRefGoogle ScholarPubMed
Phillips, J. M. & Gatchel, R. J. (2000). Extraversion-introversion and chronic pain. In Gatchel, R. J. & Weisberg, J. N. (Eds.), Personality characteristics of patients with chronic pain. (pp.181202). Washington, DC: APA.CrossRefGoogle Scholar
Pincus, T., Fraser, L., & Pearce, S. (1998). Do chronic pain patients “stroop” on pain stimuli? British Journal of Clinical Psychology, 37, 4958.CrossRefGoogle ScholarPubMed
Quintana, J. M., Padierna, A., Esteban, C., Arostegui, I., Bilbao, A., & Ruiz, I. (2003). Evaluation of the psychometric characteristics of the Spanish Version of the Hospital Anxiety and Depression Scale. Acta Psychiatrica Scandinavica, 107, 216221. http://dx.doi.org/10.1034/j.1600-0447.2003.00062.xCrossRefGoogle ScholarPubMed
Rasmussen, H. N., Scheier, M. F., & Greenhouse, J. B. (2009). Optimism and physical health: A meta-analytic review. Annals of Behavioral Medicine, 37, 239256. http://dx.doi.org/10.1007/s12160-009-9111-xCrossRefGoogle Scholar
Ramírez-Maestre, C., Esteve, R., & López, A. E. (2001). Neuroticismo, afrontamiento y dolor crónico [Neuroticism, coping and chronic pain]. Anales de Psicología, 17, 129137.Google Scholar
Ramírez-Maestre, C., Esteve, R., & López, A. E. (2008). Cognitive appraisal and coping in chronic pain patients. European Journal of Pain, 12, 749756.CrossRefGoogle ScholarPubMed
Ramírez-Maestre, C., López, A. E., & Esteve, R. (2004). Personality characteristics as differential variables of the pain experience. Journal of Behavioral Medicine, 27, 147165.CrossRefGoogle ScholarPubMed
Ramírez-Maestre, C., & Valdivia, Y. (2003). Evaluación del funcionamiento diario en pacientes con dolor crónico [The assessment of daily functioning on chronic pain patients ]. Psicología Conductual, 11, 283291.Google Scholar
Scheier, M. F., & Carver, C. S. (1985). Optimisms, coping, and health: Assessment and implications of generalized outcome expectancies. Health Psychology, 4, 219247. http://dx.doi.org/10.1037//0278-6133.4.3.219CrossRefGoogle Scholar
Scheier, M. F., & Carver, C. S. (1992). Effects of optimism in psychological well-being: Theoretical overview and empirical update. Cognitive Therapy and Research, 16, 210228. http://dx.doi.org/10.1007/BF01173489CrossRefGoogle Scholar
Scheier, M. F., Carver, C. S., & Bridge, M. W. (1994). Distinguishing optimism from neuroticism (and trait anxiety, self-mastery, and self-esteem): A reevaluation of the Life Orientation Test. Journal of Personality and Social Psychology, 67, 10631078. http://dx.doi.org/10.1037//0022-3514.67.6.1063CrossRefGoogle ScholarPubMed
Segerstrom, S. C. (2005). Optimisms and immunity: Do positive thoughts always lead to positive effects? Brain, Behavior, and Immunity, 19, 195200. http://dx.doi.org/10.1016/j.bbi.2004.08.003CrossRefGoogle Scholar
SoldbergNess, L., & Segerstrom, S. C. (2006). Dispositional optimism and coping: A meta-analytic review. Personality and Social Psychology Review, 10, 235251.Google Scholar
Tejero, A., Guimerá, E. M., & Farré, J. M. (1996). Uso clínico del HADS (Hospital Anxiety and Depresión Scale) en población psiquiátrica: Un estudio de su sensibilidad, fiabilidad y validez [Clinical use of the HADS (Hospital Anxiety and Depression Scale) in psychiatric population: a study of its sensitivity, reliability and validity]. Revista del Departamento de Psiquiatría de la Facultad de Medicina de Barna, 13, 133238.Google Scholar
Treharne, G. J., Kitas, G. D., Lyons, A. C., & Booth, D. A. (2005). Well-being in rheumatoid arthritis: The effects of disease duration and psychosocial factors. Journal of Health Psychology, 10, 457474. http://dx.doi.org/10.1177/1359105305051416CrossRefGoogle ScholarPubMed
Turner, J. A., Jensen, M. P., & Romano, J. M. (2000) Do beliefs, coping and catastrophizing, independently predict functioning in patients with chronic pain? Pain, 85, 115125. http://dx.doi.org/10.1016/S0304-3959(99)00259-6CrossRefGoogle ScholarPubMed
Worsham, S. L. (2005) The effects of perceived locus of control and dispositional optimism on chronic pain treatment outcomes. Dissertation Abstracts International: Section B: The Sciences and Engineering, 65(12–B), 6639.Google Scholar
Zautra, A. J., Johnson, L. M., & Davis, M. C. (2005). Positive affect as a source of resilience for women in chronic pain. Journal of Consulting and Clinical Psychology, 73, 212220. http://dx.doi.org/10.1037/0022-006X.73.2.212CrossRefGoogle ScholarPubMed
Zigmond, A. S., & Snaith, R. P. (1983). The Hospital Anxiety and Depression Scale. Acta Psychiatrica Scandinavica, 67, 361370. http://dx.doi.org/10.1111/j.1600-0447.1983.tb09716.xCrossRefGoogle ScholarPubMed