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Goal conflict in chronic pain: day reconstruction method
Nathalie Claes1,2, Johan W S Vlaeyen1,3, Emelien Lauwerier2,4
1Research Group Health Psychology, KU Leuven, Leuven, Belgium.
Peerj
|August 22, 2018
Summary
Chronic pain patients experience goal conflicts differently than healthy individuals, with pain management often clashing with valued activities. These conflicts are perceived as more distressing and harder to resolve by patients.
Area of Science:
- Psychology
- Pain Management
- Behavioral Science
Background:
- Chronic pain significantly impacts daily life, often creating a
- goal conflict
- where pain management competes with other valued activities.
- The prevalence and effects of these goal conflicts in chronic pain populations are not well understood.
Purpose of the Study:
- To systematically compare the presence and experience of goal conflicts in patients with fibromyalgia versus healthy controls.
Main Methods:
- A semi-structured interview was used to reconstruct daily activities and identify goal conflicts.
- Participants classified conflicting goals into nine categories and rated their experience of the conflicts.
- 40 fibromyalgia patients and 37 healthy controls participated.
Main Results:
- Fibromyalgia patients did not report more frequent goal conflicts than controls.
- Patients reported more conflicts related to pain and fewer work, social, or pleasure-related conflicts.
- Patients experienced conflicts as more aversive and difficult to resolve compared to controls.
Conclusions:
- Goal conflicts between pain management and other activities are a significant aspect of daily life for chronic pain patients.
- Patients with chronic pain perceive goal conflicts as more distressing and challenging to resolve than healthy individuals.
- This research offers insights into the lived experience of goal conflict in chronic pain.
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