Associations among pain, pain attitudes, and pain behaviors in patients with metastatic breast cancer Journal Article


Authors: Shen, M. J.; Redd, W. H.; Winkel, G.; Badr, H.
Article Title: Associations among pain, pain attitudes, and pain behaviors in patients with metastatic breast cancer
Abstract: Metastatic breast cancer (MBC) patients often experience pain which can trigger pain behaviors, such as distorted ambulation. Psychological variables, such as individuals' attitudes toward pain, play a role in pain intervention. In this study, we used the cognitive-behavioral model of pain to examine the influence of patients' attitudes toward pain (as measured by the survey of pain attitudes or SOPA) on their pain behaviors (as measured by the pain behaviors checklist). Two hundred-one MBC patients completed surveys at treatment initiation and again 3 and 6 months later. Linear Mixed Model with repeated measures analyses showed that SOPA-solicitude, SOPA-emotions, SOPA-cure, SOPA-disability, and SOPA-medication pain attitudes were consistently significantly associated with pain behaviors at each assessment time point. Additionally, the belief that a medical cure for pain exists buffered the positive association between pain severity and pain behaviors. Our findings support and extend the cognitive-behavioral model of pain and suggest that it may be useful to target pain attitudes in pain management interventions for MBC patients.
Keywords: pain; therapy; model; distress; adjustment; metaanalysis; support; beliefs; cancer; pain attitudes; pain behaviors; cognitive-behavioral model; of pain
Journal Title: Journal of Behavioral Medicine
Volume: 37
Issue: 4
ISSN: 0160-7715
Publisher: Springer  
Date Published: 2014-08-01
Start Page: 595
End Page: 606
Language: English
ACCESSION: WOS:000339113200003
DOI: 10.1007/s10865-013-9529-2
PROVIDER: wos
PMCID: PMC3923846
PUBMED: 23943140
Notes: Article -- Source: Wos
Altmetric
Citation Impact
MSK Authors
  1. Megan Johnson Shen
    24 Shen