Skip to main content
Top
Published in: Current Pain and Headache Reports 3/2013

01-03-2013 | Psychiatric Management of Pain (MR Clark, Section editor)

Disposition and Adjustment to Chronic Pain

Authors: Carmen Ramírez-Maestre, Rosa Esteve

Published in: Current Pain and Headache Reports | Issue 3/2013

Login to get access

Abstract

Several empirical studies have shown that personal characteristics act as differential variables, which determine how pain is experienced and how the chronic pain patient adjusts to pain. The main aim of the present research is to review the relationships between some dispositional characteristics and pain adjustment. Taking into account the empirical literature, 6 personality traits that are relevant to the pain experience have been selected: neuroticism, anxiety sensitivity, and experiential avoidance as risk factors that increase the probability of patients experiencing a disability; and extraversion, optimism, and resilience as personal resources that increase their capacity to manage pain effectively. The results suggest that it would be useful to include an assessment of normal personality structure during the multi-dimensional evaluation of a person with chronic pain. Understanding these individual personality characteristics will aid in designing pain intervention programs and help predict possible treatment outcomes.
Literature
1.
go back to reference Gatchel RJ, Weisberg JN. Personality characteristics of patients with pain. Washington: American Psychological Association; 2000.CrossRef Gatchel RJ, Weisberg JN. Personality characteristics of patients with pain. Washington: American Psychological Association; 2000.CrossRef
2.
go back to reference Asmundson GJG, Norton PJ, Norton GR. Beyond pain: the role of fear and avoidance in chronicity. Clin Psychol Rev. 1999;19:97–119.PubMedCrossRef Asmundson GJG, Norton PJ, Norton GR. Beyond pain: the role of fear and avoidance in chronicity. Clin Psychol Rev. 1999;19:97–119.PubMedCrossRef
3.
go back to reference Asmundson GJG, Norton PJ, Vlaeyen JWS. Fear-avoidance models of chronic pain: an overview. In: Asmundson GJG, Vlaeyen JWS, Crombez G, editors. Understanding and treating fear of pain. Oxford: Oxford University Press; 2004. p. 3–24. Asmundson GJG, Norton PJ, Vlaeyen JWS. Fear-avoidance models of chronic pain: an overview. In: Asmundson GJG, Vlaeyen JWS, Crombez G, editors. Understanding and treating fear of pain. Oxford: Oxford University Press; 2004. p. 3–24.
4.
go back to reference Norton PJ, Asmundson GJG. Amending the fear-avoidance model of chronic pain: what is the role of physiological arousal? Behav Ther. 2003;34:17–30.CrossRef Norton PJ, Asmundson GJG. Amending the fear-avoidance model of chronic pain: what is the role of physiological arousal? Behav Ther. 2003;34:17–30.CrossRef
5.
go back to reference Vlaeyen JWS, Linton SJ. Fear avoidance and its consequences in chronic musculoskeletal pain: a state of the art. Pain. 2000;85:317–32.PubMedCrossRef Vlaeyen JWS, Linton SJ. Fear avoidance and its consequences in chronic musculoskeletal pain: a state of the art. Pain. 2000;85:317–32.PubMedCrossRef
6.
go back to reference Asghari A, Nicholas MK. Personality and pain-related beliefs/coping strategies: a prospective study. Clin J Pain. 2006;22:10–8.PubMedCrossRef Asghari A, Nicholas MK. Personality and pain-related beliefs/coping strategies: a prospective study. Clin J Pain. 2006;22:10–8.PubMedCrossRef
7.
go back to reference Esteve MR, Ramírez-Maestre C, López AE. Adjustment to chronic pain: the role of pain acceptance, coping strategies and pain-related cognitions. Ann Behav Med. 2007;33:179–88.PubMedCrossRef Esteve MR, Ramírez-Maestre C, López AE. Adjustment to chronic pain: the role of pain acceptance, coping strategies and pain-related cognitions. Ann Behav Med. 2007;33:179–88.PubMedCrossRef
8.
go back to reference Ramírez-Maestre C, Esteve R, López AE. Neuroticismo, afrontamiento y dolor crónico. Anales de Psicología. 2001;17:129–37. Ramírez-Maestre C, Esteve R, López AE. Neuroticismo, afrontamiento y dolor crónico. Anales de Psicología. 2001;17:129–37.
9.
go back to reference Ramírez-Maestre C, López AE, Esteve R. Personality characteristics as differential variables of the pain experience. J Behav Med. 2004;27:147–65.PubMedCrossRef Ramírez-Maestre C, López AE, Esteve R. Personality characteristics as differential variables of the pain experience. J Behav Med. 2004;27:147–65.PubMedCrossRef
10.
go back to reference Ramírez-Maestre C, Esteve R, López AE. Cognitive appraisal and coping in chronic pain patients. Eur J Pain. 2008;12:749–56.PubMedCrossRef Ramírez-Maestre C, Esteve R, López AE. Cognitive appraisal and coping in chronic pain patients. Eur J Pain. 2008;12:749–56.PubMedCrossRef
11.
go back to reference •• Ramírez-Maestre C, Esteve R, López AE. The paths to capacity: resilience and spinal chronic pain. Spine. 2012;37:251–8. This recent study analyzed the relationship between resilience, acceptance, coping, and adjustment in a sample of 299 patients with spinal chronic pain.CrossRef •• Ramírez-Maestre C, Esteve R, López AE. The paths to capacity: resilience and spinal chronic pain. Spine. 2012;37:251–8. This recent study analyzed the relationship between resilience, acceptance, coping, and adjustment in a sample of 299 patients with spinal chronic pain.CrossRef
12.
go back to reference •• Ramírez-Maestre C, Esteve R, López AE. The role of optimism and pessimism in chronic pain patients’ adjustment. Spn J Psychol. 2012;15:286–94. This study analyzes the relationships between patients’ dispositional optimism and pessimism, the coping strategies they use, and their adjustment to chronic pain. •• Ramírez-Maestre C, Esteve R, López AE. The role of optimism and pessimism in chronic pain patients’ adjustment. Spn J Psychol. 2012;15:286–94. This study analyzes the relationships between patients’ dispositional optimism and pessimism, the coping strategies they use, and their adjustment to chronic pain.
13.
go back to reference Friborg O, Hjemdal O, Rosenvinge JH, et al. Resilience as a moderator of pain and stress. J Psychosom Res. 2006;61:213–9.PubMedCrossRef Friborg O, Hjemdal O, Rosenvinge JH, et al. Resilience as a moderator of pain and stress. J Psychosom Res. 2006;61:213–9.PubMedCrossRef
14.
go back to reference Smith BW, Tooley EM, Montague EQ, et al. The role of resilience and purpose in life in habituation to heat and cold pain. J Pain. 2009;10:493–500.PubMedCrossRef Smith BW, Tooley EM, Montague EQ, et al. The role of resilience and purpose in life in habituation to heat and cold pain. J Pain. 2009;10:493–500.PubMedCrossRef
15.
go back to reference Evers AWM, Zautra A, Thieme K. Stress and resilience in rheumatic diseases: a review and glimpse into the future. Nat Rev Rheumatol. 2011;7:409–15.PubMedCrossRef Evers AWM, Zautra A, Thieme K. Stress and resilience in rheumatic diseases: a review and glimpse into the future. Nat Rev Rheumatol. 2011;7:409–15.PubMedCrossRef
16.
go back to reference Velasco Furlong LV, Zautra A, Puente CP, et al. Cognitive-affective assets and vulnerabilities: two factors influencing adaptation to Fibromyalgia. Psychol Health. 2010;25:197–212.CrossRef Velasco Furlong LV, Zautra A, Puente CP, et al. Cognitive-affective assets and vulnerabilities: two factors influencing adaptation to Fibromyalgia. Psychol Health. 2010;25:197–212.CrossRef
17.
go back to reference Peters ML, Vancleef LMG. The Role of personality traits in pain perception and disability. Rev Analg. 2008;10:11–22. Peters ML, Vancleef LMG. The Role of personality traits in pain perception and disability. Rev Analg. 2008;10:11–22.
18.
go back to reference Yeung EWH, Arewasikporn A, Zautra AJ. Resilience and Chronic Pain. J Soc Clin Psychol. 2012;31:593–617.CrossRef Yeung EWH, Arewasikporn A, Zautra AJ. Resilience and Chronic Pain. J Soc Clin Psychol. 2012;31:593–617.CrossRef
19.
go back to reference Affleck G, Tennen H, Zautra A, et al. Women’s pursuit of personal goals in daily life with fibromyalgia: a value-expectancy analysis. J Consult Clin Psychol. 2001;69:587–96.PubMedCrossRef Affleck G, Tennen H, Zautra A, et al. Women’s pursuit of personal goals in daily life with fibromyalgia: a value-expectancy analysis. J Consult Clin Psychol. 2001;69:587–96.PubMedCrossRef
20.
go back to reference Cannella DTL, Lobel M, Glass P, et al. Factors associated with depressed mood in chronic pain patients: the role of interpersonal coping resources. J Pain. 2007;8:256–62.PubMedCrossRef Cannella DTL, Lobel M, Glass P, et al. Factors associated with depressed mood in chronic pain patients: the role of interpersonal coping resources. J Pain. 2007;8:256–62.PubMedCrossRef
21.
go back to reference • Carver CS, Scheier MF, Segerstrom SC. Optimism. Clin Psychol Rev. 2010;30:879–89. This recent study reviews the role of optimism and pessimism in coping behaviors and physical health.PubMedCrossRef • Carver CS, Scheier MF, Segerstrom SC. Optimism. Clin Psychol Rev. 2010;30:879–89. This recent study reviews the role of optimism and pessimism in coping behaviors and physical health.PubMedCrossRef
22.
go back to reference Ferreira VM, Sherman AM. The relationship of optimism, pain, and social support to well-being in older adults with osteoarthritis. Aging Ment Health. 2007;11:89–98.PubMedCrossRef Ferreira VM, Sherman AM. The relationship of optimism, pain, and social support to well-being in older adults with osteoarthritis. Aging Ment Health. 2007;11:89–98.PubMedCrossRef
23.
go back to reference Geers AL, Wellman JA, Fowler SL, et al. Dispositional optimism predicts placebo analgesia. J Pain. 2010;11:1165–71.PubMedCrossRef Geers AL, Wellman JA, Fowler SL, et al. Dispositional optimism predicts placebo analgesia. J Pain. 2010;11:1165–71.PubMedCrossRef
24.
go back to reference Huber A, Suman AL, Biasi G, Carli C. Predictors of psychological distress and well-being in women with chronic musculoskeletal pain: two sides of the same coin? J Psychosom Res. 2008;64:169–75.PubMedCrossRef Huber A, Suman AL, Biasi G, Carli C. Predictors of psychological distress and well-being in women with chronic musculoskeletal pain: two sides of the same coin? J Psychosom Res. 2008;64:169–75.PubMedCrossRef
25.
go back to reference Smith BW, Zautra AJ. Vulnerability and resilience in woman with arthritis: test of a two-factor model. J Consult Clin Psychol. 2008;76:799–810.PubMedCrossRef Smith BW, Zautra AJ. Vulnerability and resilience in woman with arthritis: test of a two-factor model. J Consult Clin Psychol. 2008;76:799–810.PubMedCrossRef
26.
go back to reference Wright LJ, Zautra AJ, Going S. Adaptation to early knee osteoarthritis: the role of risk, resilience, and disease severity on pain and physical functioning. Ann Behav Med. 2008;36:70.PubMedCrossRef Wright LJ, Zautra AJ, Going S. Adaptation to early knee osteoarthritis: the role of risk, resilience, and disease severity on pain and physical functioning. Ann Behav Med. 2008;36:70.PubMedCrossRef
27.
go back to reference Zautra AJ, Johnson LM, Davis MC. Positive affect as a source of resilience for women in chronic pain. J Consult Clin Psychol. 2005;73:212–20.PubMedCrossRef Zautra AJ, Johnson LM, Davis MC. Positive affect as a source of resilience for women in chronic pain. J Consult Clin Psychol. 2005;73:212–20.PubMedCrossRef
29.
go back to reference Rhudy JL, Meagher MW. Fear and anxiety: divergent effects on human pain thresholds. Pain. 2000;84:65–75.PubMedCrossRef Rhudy JL, Meagher MW. Fear and anxiety: divergent effects on human pain thresholds. Pain. 2000;84:65–75.PubMedCrossRef
30.
go back to reference Wasan AD, Davar G, Jamison R. The association between negative affect and opioid analgesia in patients with discogenic low back pain. Pain. 2005;117:450–61.PubMedCrossRef Wasan AD, Davar G, Jamison R. The association between negative affect and opioid analgesia in patients with discogenic low back pain. Pain. 2005;117:450–61.PubMedCrossRef
31.
go back to reference Vossen HG, van Os J, Hermens H, Lousberg R. Evidence that trait-anxiety and trait-depression differentially moderate cortical processing of pain. Clin J Pain. 2006;22:725–9.PubMedCrossRef Vossen HG, van Os J, Hermens H, Lousberg R. Evidence that trait-anxiety and trait-depression differentially moderate cortical processing of pain. Clin J Pain. 2006;22:725–9.PubMedCrossRef
32.
go back to reference Paine P, Kishor J, Worthen SF, et al. Exploring relationships for visceral and somatic pain with autonomic control and personality. Pain. 2009;144:236–44.PubMedCrossRef Paine P, Kishor J, Worthen SF, et al. Exploring relationships for visceral and somatic pain with autonomic control and personality. Pain. 2009;144:236–44.PubMedCrossRef
33.
go back to reference Soriano J, Monsalve V, Gómez-Carretero P, Ibáñez E. Vulnerable personality profile in patients with chronic pain: relationship with coping, quality of life and adaptation to disease. Int J Psychol Res. 2012;5:42–51. Soriano J, Monsalve V, Gómez-Carretero P, Ibáñez E. Vulnerable personality profile in patients with chronic pain: relationship with coping, quality of life and adaptation to disease. Int J Psychol Res. 2012;5:42–51.
34.
go back to reference Schmidt W, Hooten M, Carlson CR. Utility of the NEO-FFI in multi-dimensional assessment of orofacial pain conditions. J Behav Med. 2011;34:170–81.PubMedCrossRef Schmidt W, Hooten M, Carlson CR. Utility of the NEO-FFI in multi-dimensional assessment of orofacial pain conditions. J Behav Med. 2011;34:170–81.PubMedCrossRef
35.
go back to reference Soriano J, Monsalve V, Ibáñez E, Gómez-Carretero P. Personalidad y afrontamiento en dolor crónico neuropático: un divorcio previsible. Psicothema. 2010;22:537–42. Soriano J, Monsalve V, Ibáñez E, Gómez-Carretero P. Personalidad y afrontamiento en dolor crónico neuropático: un divorcio previsible. Psicothema. 2010;22:537–42.
36.
go back to reference Lin RF, Chang JJ, Lu YM, et al. Correlations between quality of life and psychological factors in patients with chronic neck pain. Kaohsiung J Med Sci. 2010;26:13–9.PubMedCrossRef Lin RF, Chang JJ, Lu YM, et al. Correlations between quality of life and psychological factors in patients with chronic neck pain. Kaohsiung J Med Sci. 2010;26:13–9.PubMedCrossRef
37.
go back to reference Liang W, Zhang Y, Li H, et al. Personality and Primary Dysmenorrhea: a study using a five-factor model in Chinese university women. Arch Neuropsychiatry. 2012;49:92–5. Liang W, Zhang Y, Li H, et al. Personality and Primary Dysmenorrhea: a study using a five-factor model in Chinese university women. Arch Neuropsychiatry. 2012;49:92–5.
38.
39.
go back to reference Razali SM, Khalib AQ. Pain symptoms in Malay patients with major depression. Asian J Psych. 2012;5:297–302. Razali SM, Khalib AQ. Pain symptoms in Malay patients with major depression. Asian J Psych. 2012;5:297–302.
40.
go back to reference Connor-Smith J, Flachsbart C. Relations between personality and coping: a meta-analysis. J Pers Soc Psychol. 2007;93:1080–1107.PubMedCrossRef Connor-Smith J, Flachsbart C. Relations between personality and coping: a meta-analysis. J Pers Soc Psychol. 2007;93:1080–1107.PubMedCrossRef
41.
go back to reference Lightsey OR, Wells AG, Wang MC, et al. Emotion-oriented coping, avoidance coping, and fear of pain as mediators of the relationship between positive affect, negative affect, and pain-related distress among African American and Caucasian college women. Con Psychol. 2009;37:116–46. Lightsey OR, Wells AG, Wang MC, et al. Emotion-oriented coping, avoidance coping, and fear of pain as mediators of the relationship between positive affect, negative affect, and pain-related distress among African American and Caucasian college women. Con Psychol. 2009;37:116–46.
42.
go back to reference Janowski K, Steuden S, Kuryłowicz J. Factors accounting for psychosocial functioning in patients with low back pain. Eur Spine J. 2010;19:613–23.PubMedCrossRef Janowski K, Steuden S, Kuryłowicz J. Factors accounting for psychosocial functioning in patients with low back pain. Eur Spine J. 2010;19:613–23.PubMedCrossRef
43.
go back to reference Martínez MP, Sánchez AI, Miró E, et al. The relationship between the Fear-Avoidance Model of Pain and personality traits in fibromyalgia patients. J Clin Psychol Med Settings. 2011;18:380–91.PubMedCrossRef Martínez MP, Sánchez AI, Miró E, et al. The relationship between the Fear-Avoidance Model of Pain and personality traits in fibromyalgia patients. J Clin Psychol Med Settings. 2011;18:380–91.PubMedCrossRef
44.
go back to reference Goubert L, Crombez G, Van Damme S. The role of neuroticism, pain catastrophizing and pain-related fear in vigilance to pain: a structural equations approach. Pain. 2004;107:234–41.PubMedCrossRef Goubert L, Crombez G, Van Damme S. The role of neuroticism, pain catastrophizing and pain-related fear in vigilance to pain: a structural equations approach. Pain. 2004;107:234–41.PubMedCrossRef
45.
go back to reference Lee JE, Watson D, Law LAF. Lower-order pain-related constructs are more predictive of cold pressor pain ratings than higher-order personality traits. J Pain. 2010;11:681–91.PubMedCrossRef Lee JE, Watson D, Law LAF. Lower-order pain-related constructs are more predictive of cold pressor pain ratings than higher-order personality traits. J Pain. 2010;11:681–91.PubMedCrossRef
46.
go back to reference Reiss S, McNally RJ. Expectancy model of fear. In: Reiss S, Bootzin RR, editors. Theoretical issues in behavior therapy. San Diego: Academic Press; 1985. p. 107–21. Reiss S, McNally RJ. Expectancy model of fear. In: Reiss S, Bootzin RR, editors. Theoretical issues in behavior therapy. San Diego: Academic Press; 1985. p. 107–21.
47.
go back to reference Lilienfeld SO, Turner SM, Jacob RG. Anxiety sensitivity: an examination of theoretical and methodological issues. Adv Behav Res Ther. 1993;15:147–83.CrossRef Lilienfeld SO, Turner SM, Jacob RG. Anxiety sensitivity: an examination of theoretical and methodological issues. Adv Behav Res Ther. 1993;15:147–83.CrossRef
48.
go back to reference Vancleef LMG, Vlaeyen JWS, Peter ML. Dimensional and componential structure of a hierarchical organization of pain-related anxiety constructs. Psychol Assess. 2009;21:340–51.PubMedCrossRef Vancleef LMG, Vlaeyen JWS, Peter ML. Dimensional and componential structure of a hierarchical organization of pain-related anxiety constructs. Psychol Assess. 2009;21:340–51.PubMedCrossRef
49.
go back to reference Stewart SH, Asmundson GJG. Anxiety sensitivity and its impact on pain experiences and conditions: a state of the art. Cogn Behav Ther. 2006;35:185–8.PubMedCrossRef Stewart SH, Asmundson GJG. Anxiety sensitivity and its impact on pain experiences and conditions: a state of the art. Cogn Behav Ther. 2006;35:185–8.PubMedCrossRef
50.
go back to reference •• Ocáñez KLS, McHugh RK, Otto MW. A meta-analytic review of the association between anxiety sensitivity and pain. Dep Anx. 2010;27:760–7. This recent meta-analytic review article summarizes the research on the relationship between anxiety sensitivity and pain in clinical and nonclinical samples. •• Ocáñez KLS, McHugh RK, Otto MW. A meta-analytic review of the association between anxiety sensitivity and pain. Dep Anx. 2010;27:760–7. This recent meta-analytic review article summarizes the research on the relationship between anxiety sensitivity and pain in clinical and nonclinical samples.
51.
go back to reference Asmundson GJG, Hadjistavropoulos HD. Is high fear of pain associated with attentional biases for pain-related or general threat? A categorical reanalysis. J Pain. 2007;8:11–8.PubMedCrossRef Asmundson GJG, Hadjistavropoulos HD. Is high fear of pain associated with attentional biases for pain-related or general threat? A categorical reanalysis. J Pain. 2007;8:11–8.PubMedCrossRef
52.
go back to reference Esteve R, Camacho L. Anxiety sensitivity, body vigilance and fear of pain. Behav Res Ther. 2008;46:715–27.PubMedCrossRef Esteve R, Camacho L. Anxiety sensitivity, body vigilance and fear of pain. Behav Res Ther. 2008;46:715–27.PubMedCrossRef
53.
go back to reference Esteve R, Muñoz M. Fear of pain and anxiety sensitivity: related or redundant constructs? In: Colombus AM, editor. Advances in psychology research. New York: Nova Science Publishers; 2010. p. 25–42. Esteve R, Muñoz M. Fear of pain and anxiety sensitivity: related or redundant constructs? In: Colombus AM, editor. Advances in psychology research. New York: Nova Science Publishers; 2010. p. 25–42.
54.
go back to reference González A, Zvolensky MJ, Hogan J, et al. Anxiety sensitivity and pain-related anxiety in the prediction of fear responding to bodily sensations: a laboratory test. J Psychosom Res. 2011;70:258–66.PubMedCrossRef González A, Zvolensky MJ, Hogan J, et al. Anxiety sensitivity and pain-related anxiety in the prediction of fear responding to bodily sensations: a laboratory test. J Psychosom Res. 2011;70:258–66.PubMedCrossRef
55.
go back to reference Ochsner KN, Ludlow DH, Knierim K, et al. Neural correlates of individual differences in pain-related fear and anxiety. Pain. 2006;120:69–77.PubMedCrossRef Ochsner KN, Ludlow DH, Knierim K, et al. Neural correlates of individual differences in pain-related fear and anxiety. Pain. 2006;120:69–77.PubMedCrossRef
56.
go back to reference Hayes SC, Wilson KG, Gifford E, et al. Emotional avoidance and behavior disorders: a functional dimensional approach to diagnosis and treatment. J Consult Clin Psychol. 1996;64:1152–68.PubMedCrossRef Hayes SC, Wilson KG, Gifford E, et al. Emotional avoidance and behavior disorders: a functional dimensional approach to diagnosis and treatment. J Consult Clin Psychol. 1996;64:1152–68.PubMedCrossRef
57.
go back to reference Berman NC, Wheaton MG, McGrath P, Abramowitz JS. Predicting anxiety: the role of experiential avoidance and anxiety sensitivity. J Anxiety Disord. 2010;24:109–13.PubMedCrossRef Berman NC, Wheaton MG, McGrath P, Abramowitz JS. Predicting anxiety: the role of experiential avoidance and anxiety sensitivity. J Anxiety Disord. 2010;24:109–13.PubMedCrossRef
58.
go back to reference Kämpfe CK, Gloster AT, Wittchen HU, et al. Experiential avoidance and anxiety sensitivity in patients with panic disorder and agoraphobia: do both constructs measure the same? Int J Clin Health Psychol. 2012;12:5–22. Kämpfe CK, Gloster AT, Wittchen HU, et al. Experiential avoidance and anxiety sensitivity in patients with panic disorder and agoraphobia: do both constructs measure the same? Int J Clin Health Psychol. 2012;12:5–22.
59.
go back to reference Álvarez N, Esteve R. Deshabituación en drogodependientes y dolor crónico. Psicothema. 2009;21:204–10. Álvarez N, Esteve R. Deshabituación en drogodependientes y dolor crónico. Psicothema. 2009;21:204–10.
60.
go back to reference McCracken LM, Keogh E. Acceptance, mindfulness, and values-based action may counteract fear and avoidance of emotions in chronic pain: an analysis of anxiety sensitivity. J Pain. 2009;10:408–15.PubMedCrossRef McCracken LM, Keogh E. Acceptance, mindfulness, and values-based action may counteract fear and avoidance of emotions in chronic pain: an analysis of anxiety sensitivity. J Pain. 2009;10:408–15.PubMedCrossRef
61.
go back to reference •• Esteve R, Ramírez-Maestre C, López-Martínez AE. Experiential avoidance and anxiety sensitivity as dispositional variables and their relationship to the adjustment to chronic pain. Eur J Pain. 2012;16:718–26. This recent study investigated the relationship between anxiety sensitivity and experiential avoidance and the association of both constructs with pain fear-avoidance.PubMedCrossRef •• Esteve R, Ramírez-Maestre C, López-Martínez AE. Experiential avoidance and anxiety sensitivity as dispositional variables and their relationship to the adjustment to chronic pain. Eur J Pain. 2012;16:718–26. This recent study investigated the relationship between anxiety sensitivity and experiential avoidance and the association of both constructs with pain fear-avoidance.PubMedCrossRef
62.
go back to reference Masedo AI, Esteve R, Van Damme S. The role of anxiety sensitivity, fear of pain and experiential avoidance in experimental pain. Psychology. 2011;2:817–23.CrossRef Masedo AI, Esteve R, Van Damme S. The role of anxiety sensitivity, fear of pain and experiential avoidance in experimental pain. Psychology. 2011;2:817–23.CrossRef
63.
go back to reference Feldner MT, Hekmat H, Zvolensky MJ, et al. The role of experiential avoidance in acute pain tolerance: a laboratory test. J Behav Ther Exp Psychiatr. 2006;37:146–58.CrossRef Feldner MT, Hekmat H, Zvolensky MJ, et al. The role of experiential avoidance in acute pain tolerance: a laboratory test. J Behav Ther Exp Psychiatr. 2006;37:146–58.CrossRef
64.
go back to reference Zettle RD, Hocker TR, Mick KA, et al. Differential strategies in coping with pain as a function of level of experiential avoidance. Psychol Rec. 2005;55:511–24. Zettle RD, Hocker TR, Mick KA, et al. Differential strategies in coping with pain as a function of level of experiential avoidance. Psychol Rec. 2005;55:511–24.
65.
go back to reference Costa J, Pinto-Gouveia J. The mediation effect of experiential avoidance between coping and psychopathology in chronic pain. Clin Psychol Psychother. 2011;18:34–47.PubMedCrossRef Costa J, Pinto-Gouveia J. The mediation effect of experiential avoidance between coping and psychopathology in chronic pain. Clin Psychol Psychother. 2011;18:34–47.PubMedCrossRef
66.
go back to reference Elliot AJ, Thrash TM. Approach and avoidance temperament as basic dimensions of personality. J Pers. 2010;78:865–905.PubMedCrossRef Elliot AJ, Thrash TM. Approach and avoidance temperament as basic dimensions of personality. J Pers. 2010;78:865–905.PubMedCrossRef
67.
go back to reference Lengua LJ, Sandler IN, West SG, Wolchik SA, Curran PJ. Emotionality and self-regulation, threat appraisal, and coping in children of divorce. Dev Psychopathol. 1999;11:15–37.PubMedCrossRef Lengua LJ, Sandler IN, West SG, Wolchik SA, Curran PJ. Emotionality and self-regulation, threat appraisal, and coping in children of divorce. Dev Psychopathol. 1999;11:15–37.PubMedCrossRef
69.
go back to reference Lynn R, Eysenck HJ. Tolerance for pain, extraversion and neuroticism. Percept Mot Skill. 1961;12:161–2.CrossRef Lynn R, Eysenck HJ. Tolerance for pain, extraversion and neuroticism. Percept Mot Skill. 1961;12:161–2.CrossRef
70.
go back to reference de Carolis A, Ferracuti S. Extraversion and accuracy of aspects of memory for pain in the Cold Water Pressor Test. Percept Mot Skills. 2010;111:91–104.PubMedCrossRef de Carolis A, Ferracuti S. Extraversion and accuracy of aspects of memory for pain in the Cold Water Pressor Test. Percept Mot Skills. 2010;111:91–104.PubMedCrossRef
71.
go back to reference Phillips JM, Gatchel RJ. Extraversion – Introversion and chronic pain. In: Gatchel RJ, Weisberg JN, editors. Personality characteristics of patients with chronic pain. Washington: American Psychological Association; 2000. p. 181–202.CrossRef Phillips JM, Gatchel RJ. Extraversion – Introversion and chronic pain. In: Gatchel RJ, Weisberg JN, editors. Personality characteristics of patients with chronic pain. Washington: American Psychological Association; 2000. p. 181–202.CrossRef
72.
go back to reference Harkins SW, Price DD, Braith J. Effects of extraversion and neuroticism on experimental pain, clinical pain, and illness behavior. Pain. 1989;36:209–18.PubMedCrossRef Harkins SW, Price DD, Braith J. Effects of extraversion and neuroticism on experimental pain, clinical pain, and illness behavior. Pain. 1989;36:209–18.PubMedCrossRef
73.
go back to reference Dubayova T, Nagyova I, Havlikova E, et al. Neuroticism and extraversion in association with quality of life in patients with Parkinson’s disease. Qual Life Res. 2009;18:33–42.PubMedCrossRef Dubayova T, Nagyova I, Havlikova E, et al. Neuroticism and extraversion in association with quality of life in patients with Parkinson’s disease. Qual Life Res. 2009;18:33–42.PubMedCrossRef
74.
go back to reference Scheier MF, Carver CS. Effects of optimism in psychological well-being: theoretical overview and empirical update. Cognit Ther Res. 1992;16:210–28.CrossRef Scheier MF, Carver CS. Effects of optimism in psychological well-being: theoretical overview and empirical update. Cognit Ther Res. 1992;16:210–28.CrossRef
75.
go back to reference Scheier MF, Carver CS, Bridge MW. Distinguishing optimism from neuroticism (and trait anxiety, self-mastery, and self-esteem): a re-evaluation of the Life Orientation Test. J Pers Soc Psychol. 1994;67:1063–78.PubMedCrossRef Scheier MF, Carver CS, Bridge MW. Distinguishing optimism from neuroticism (and trait anxiety, self-mastery, and self-esteem): a re-evaluation of the Life Orientation Test. J Pers Soc Psychol. 1994;67:1063–78.PubMedCrossRef
76.
go back to reference Segerstrom SC. Optimisms and immunity: do positive thoughts always lead to positive effects? Brain Behav Immun. 2005;19:195–200.PubMedCrossRef Segerstrom SC. Optimisms and immunity: do positive thoughts always lead to positive effects? Brain Behav Immun. 2005;19:195–200.PubMedCrossRef
77.
go back to reference Goodin BR, Kronfli T, King CD, et al. Testing the relation between dispositional optimism and conditioned pain modulation: does ethnicity matter? J Behav Med. 2012;2. Goodin BR, Kronfli T, King CD, et al. Testing the relation between dispositional optimism and conditioned pain modulation: does ethnicity matter? J Behav Med. 2012;2.
78.
go back to reference Peters ML, Sommer M, de Rijke JM, et al. Somatic and psychological predictors of long-term unfavorable outcome after surgical intervention. Ann Surg. 2007;245:487–94.PubMedCrossRef Peters ML, Sommer M, de Rijke JM, et al. Somatic and psychological predictors of long-term unfavorable outcome after surgical intervention. Ann Surg. 2007;245:487–94.PubMedCrossRef
79.
go back to reference Rasmussen HN, Scheie MF, Greenhouse JB. Optimism and physical health: a meta-analytic review. Ann Behav Med. 2009;37:239–56.PubMedCrossRef Rasmussen HN, Scheie MF, Greenhouse JB. Optimism and physical health: a meta-analytic review. Ann Behav Med. 2009;37:239–56.PubMedCrossRef
80.
go back to reference Rosenberger PH, Kerns R, Jokl P, Ickovics JR. Mood and attitude predict pain outcomes following arthroscopic knee surgery. Ann Behav Med. 2009;37:70–6.PubMedCrossRef Rosenberger PH, Kerns R, Jokl P, Ickovics JR. Mood and attitude predict pain outcomes following arthroscopic knee surgery. Ann Behav Med. 2009;37:70–6.PubMedCrossRef
81.
go back to reference Matusiewicz K, Krzyszkowska A. Dispositional optimism and coping with pain. Eur J Med Res. 2009;14:271–4.CrossRef Matusiewicz K, Krzyszkowska A. Dispositional optimism and coping with pain. Eur J Med Res. 2009;14:271–4.CrossRef
82.
go back to reference Geers AL, Wellman JA, Helfer SG, et al. Dispositional optimism and thoughts of well-being determine sensitivity to an experimental pain task. Ann Behav Med. 2008;36:304–13.PubMedCrossRef Geers AL, Wellman JA, Helfer SG, et al. Dispositional optimism and thoughts of well-being determine sensitivity to an experimental pain task. Ann Behav Med. 2008;36:304–13.PubMedCrossRef
83.
go back to reference Morton DL, Watson A, El-Deredy W, Jones AKP. Reproducibility of placebo analgesia: effect of dispositional optimism. Pain. 2009;146:194–8.PubMedCrossRef Morton DL, Watson A, El-Deredy W, Jones AKP. Reproducibility of placebo analgesia: effect of dispositional optimism. Pain. 2009;146:194–8.PubMedCrossRef
84.
go back to reference Goodin SB, McGuire BL. Dispositional optimism buffers the negative influence of catastrophizing on pain response. J Pain. 2009;10:S68. Goodin SB, McGuire BL. Dispositional optimism buffers the negative influence of catastrophizing on pain response. J Pain. 2009;10:S68.
85.
go back to reference Vassend O, Quale AJ, Røise O, Schanke AK. Predicting the long-term impact of acquired severe injuries on functional health status: the role of optimism, emotional distress, and pain. Spinal Cord. 2011;49:1193–7.PubMedCrossRef Vassend O, Quale AJ, Røise O, Schanke AK. Predicting the long-term impact of acquired severe injuries on functional health status: the role of optimism, emotional distress, and pain. Spinal Cord. 2011;49:1193–7.PubMedCrossRef
86.
go back to reference Wright MA, Wren AA, Somers TJ, et al. Pain acceptance, hope, and optimism: relationships to pain and adjustment in patients with chronic musculoskeletal pain. J Pain. 2011;12:1155–62.PubMed Wright MA, Wren AA, Somers TJ, et al. Pain acceptance, hope, and optimism: relationships to pain and adjustment in patients with chronic musculoskeletal pain. J Pain. 2011;12:1155–62.PubMed
87.
go back to reference Haddadi P, Besharat MA. Resilience, vulnerability and mental health. Procedia Soc Behav Sci. 2010;5:639–42.CrossRef Haddadi P, Besharat MA. Resilience, vulnerability and mental health. Procedia Soc Behav Sci. 2010;5:639–42.CrossRef
88.
go back to reference Davydov DM, Steward R, Ritchie K, Chaudieu I. Resilience and mental health. Clin Psychol Rev. 2010;30:479–95.PubMedCrossRef Davydov DM, Steward R, Ritchie K, Chaudieu I. Resilience and mental health. Clin Psychol Rev. 2010;30:479–95.PubMedCrossRef
89.
go back to reference Karoly P, Ruehlman LS. Psychological “resilience” and its correlates in chronic pain: findings from a national community sample. Pain. 2006;123:90–7.PubMedCrossRef Karoly P, Ruehlman LS. Psychological “resilience” and its correlates in chronic pain: findings from a national community sample. Pain. 2006;123:90–7.PubMedCrossRef
90.
go back to reference • Sturgeon JA, Zautra AJ. Resilience: a new paradigm for adaptation to chronic pain. Curr Pain Headache Rep. 2010;14:105–12. This paper offers resilience as an integrative perspective that can illuminate the traits and mechanisms underlying the sustainability of a good life and recovery from distress for individuals with chronic pain.PubMedCrossRef • Sturgeon JA, Zautra AJ. Resilience: a new paradigm for adaptation to chronic pain. Curr Pain Headache Rep. 2010;14:105–12. This paper offers resilience as an integrative perspective that can illuminate the traits and mechanisms underlying the sustainability of a good life and recovery from distress for individuals with chronic pain.PubMedCrossRef
91.
go back to reference Ong AD, Zautra AJ, Reid MC. Psychological resilience predicts decreases in pain catastrophizing through positive emotions. Psychol Aging. 2010;25:516–23.PubMedCrossRef Ong AD, Zautra AJ, Reid MC. Psychological resilience predicts decreases in pain catastrophizing through positive emotions. Psychol Aging. 2010;25:516–23.PubMedCrossRef
93.
go back to reference Watt MC, Stewart SH, Lefaivre MJ, Uman LS. A brief cognitive-behavioral approach to reducing anxiety sensitivity decreases pain-related anxiety. Cogn Behav Ther. 2006;35:248–56.PubMedCrossRef Watt MC, Stewart SH, Lefaivre MJ, Uman LS. A brief cognitive-behavioral approach to reducing anxiety sensitivity decreases pain-related anxiety. Cogn Behav Ther. 2006;35:248–56.PubMedCrossRef
94.
go back to reference Thompson M, McCracken LM. Acceptance and related processes in adjustment to chronic pain. Curr Pain Headache Rep. 2011;15:144–51.PubMedCrossRef Thompson M, McCracken LM. Acceptance and related processes in adjustment to chronic pain. Curr Pain Headache Rep. 2011;15:144–51.PubMedCrossRef
95.
go back to reference Steinhardt M, Dolbier C. Evaluation of a resilience intervention to enhance coping strategies and protective factors and decrease symptomatology. J Am Coll Health. 2008;4:445–53.CrossRef Steinhardt M, Dolbier C. Evaluation of a resilience intervention to enhance coping strategies and protective factors and decrease symptomatology. J Am Coll Health. 2008;4:445–53.CrossRef
96.
go back to reference Quiceno JM, Vinaccia S, Remor E. Programa de potenciación de la resiliencia para pacientes con artritis reumatoide. Revista de Psicopatología y Psicología Clínica. 2011;16:27–471. Quiceno JM, Vinaccia S, Remor E. Programa de potenciación de la resiliencia para pacientes con artritis reumatoide. Revista de Psicopatología y Psicología Clínica. 2011;16:27–471.
97.
go back to reference Costa PT, McCrae RR. NEO-PI-R Professional manual. Revised NEO Personality Inventory (NEO-PIR) and NEO Five Factor Inventory (NEO-FFI). Odessa, FL: Psychological Assessment Resources; 1992. Costa PT, McCrae RR. NEO-PI-R Professional manual. Revised NEO Personality Inventory (NEO-PIR) and NEO Five Factor Inventory (NEO-FFI). Odessa, FL: Psychological Assessment Resources; 1992.
98.
go back to reference Peterson RA, Reiss S. Anxiety Sensitivity Index Manual. 2nd ed. Worthington, OH: International Diagnostic Systems; 1992. Peterson RA, Reiss S. Anxiety Sensitivity Index Manual. 2nd ed. Worthington, OH: International Diagnostic Systems; 1992.
99.
go back to reference Hayes SC, Stronsahl K, Wilson KG, Bissett RT, Pistorello J, Toarmino D, et al. Measuring experiential avoidance: a preliminary test of a working model. Psychol Rec. 2004;54:553–78. Hayes SC, Stronsahl K, Wilson KG, Bissett RT, Pistorello J, Toarmino D, et al. Measuring experiential avoidance: a preliminary test of a working model. Psychol Rec. 2004;54:553–78.
100.
go back to reference Sullivan MJL, Bishop SC, Pivik J. The pain catastrophizing scale: development and validation. Psychol Assess. 1995;7:524–32.CrossRef Sullivan MJL, Bishop SC, Pivik J. The pain catastrophizing scale: development and validation. Psychol Assess. 1995;7:524–32.CrossRef
101.
go back to reference McCracken LM, Zayfert C, Gross RT. The pain anxiety symptoms scale: development and validation of a scale to measure fear of pain. Pain. 1992;50:67–73.PubMedCrossRef McCracken LM, Zayfert C, Gross RT. The pain anxiety symptoms scale: development and validation of a scale to measure fear of pain. Pain. 1992;50:67–73.PubMedCrossRef
102.
go back to reference Vancleef LMG, Peters ML. Pain catastrophizing, but not injury/illness sensitivity or anxiety sensitivity, enhances attentional interference by pain. J Pain. 2006;7:23–30.PubMedCrossRef Vancleef LMG, Peters ML. Pain catastrophizing, but not injury/illness sensitivity or anxiety sensitivity, enhances attentional interference by pain. J Pain. 2006;7:23–30.PubMedCrossRef
103.
go back to reference Scheier MF, Carver CS. Optimisms, coping, and health: assessment and implications of generalized outcome expectancies. Health Psychol. 1985;4:219–47.PubMedCrossRef Scheier MF, Carver CS. Optimisms, coping, and health: assessment and implications of generalized outcome expectancies. Health Psychol. 1985;4:219–47.PubMedCrossRef
104.
go back to reference Wagnild GM, Young HM. Development and psychometric evaluation of the Resilience Scale. J Nurs Meas. 1993;1:165–78.PubMed Wagnild GM, Young HM. Development and psychometric evaluation of the Resilience Scale. J Nurs Meas. 1993;1:165–78.PubMed
Metadata
Title
Disposition and Adjustment to Chronic Pain
Authors
Carmen Ramírez-Maestre
Rosa Esteve
Publication date
01-03-2013
Publisher
Current Science Inc.
Published in
Current Pain and Headache Reports / Issue 3/2013
Print ISSN: 1531-3433
Electronic ISSN: 1534-3081
DOI
https://doi.org/10.1007/s11916-012-0312-9

Other articles of this Issue 3/2013

Current Pain and Headache Reports 3/2013 Go to the issue

Anesthetic Techniques in Pain Management (K Williams, Section Editor)

Peripheral Nerve Stimulation for the Treatment of Primary Headache

Psychiatric Management of Pain (M Clark, Section Editor)

Temperament, Character, and Personality Disorders in Chronic Pain

Uncommon Headache Syndromes (J Ailani, Section Editor)

Headache and Vasculitis

Cancer Pain (DA Marcus, Section Editor)

Acupuncture for Cancer Pain and Related Symptoms