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Perceived future in chronic pain: the relationship between outlook on future and empirically derived psychological patient profiles.

Artikel i vetenskaplig tidskrift
Författare Christina Hellström
Bengt Jansson
Sven G. Carlsson
Publicerad i European journal of pain (London, England)
Volym 4
Nummer/häfte 3
Sidor 283-90
ISSN 1090-3801
Publiceringsår 2000
Publicerad vid Psykologiska institutionen
Sidor 283-90
Språk en
Länkar dx.doi.org/10.1053/eujp.2000.0184
Ämnesord Adaptation, Psychological, Adult, Chronic Disease, Cluster Analysis, Female, Forecasting, Humans, Male, Middle Aged, Pain, physiopathology, psychology, Pain Measurement, Self Concept
Ämneskategorier Tillämpad psykologi

Sammanfattning

Perceived (subjective) future has been found to be a significant factor in explaining the relationship between pain and pain-related distress. The present study is based on the assumption that chronic pain patients with the three psychological profiles introduced by Turk and Rudy in 1988 could also be found in a sample of chronic pain patients and if so, these profiles have different perspectives on the future. The Multidimensional Pain Inventory (MPI) and The Future Scale were used to collect data from 569 patients with heterogeneous non-malignant chronic pain. A cluster analysis was conducted, where the resulting clusters closely resembled the profiles labelled by Turk and Rudy as 'dysfunctional', 'interpersonally distressed' and 'adaptive coper'. The results indicated that patients with adaptive coper profile have a more positive perception, while those with an interpersonally distressed profile have a more negative perception of the future. With an increased duration of pain, the proportion of the adaptive coper category decreased linearly, while an opposite trend was noted for the interpersonally distressed category. These results may better enable profiled psychological interventions in clinical pain treatment, e.g. by providing patients with therapies focused on positive future orientation, resulting in increased motivation for health-seeking behaviour and better abilities to cope with pain.

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