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Related Experiment Videos

Does anxiety affect coping with chronic pain?

L M McCracken1, R T Gross

  • 1Department of Psychology, West Virginia University, Morgantown.

The Clinical Journal of Pain
|December 1, 1993
PubMed
Summary

Emotional distress impacts pain coping. Cognitive anxiety hinders pain management, while physiological anxiety may aid it, influencing patient strategies.

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Area of Science:

  • Psychology
  • Pain Management
  • Health Psychology

Background:

  • Chronic pain affects millions globally, necessitating effective coping strategies.
  • Emotional distress, particularly anxiety, is a common comorbidity in chronic pain patients.
  • Understanding the interplay between anxiety and coping is crucial for optimizing pain management interventions.

Purpose of the Study:

  • To investigate the relationship between emotional distress symptoms, specifically anxiety, and the utilization of pain coping strategies.
  • To determine if different facets of anxiety (cognitive, physiological, escape/avoidance) differentially influence pain coping behaviors.

Main Methods:

  • A cross-sectional, correlational study involving 165 patients with chronic pain complaints.
  • Utilized the Pain Anxiety Symptoms Scale (PASS) to assess anxiety responses.
  • Employed the Coping Strategies Questionnaire (CSQ) to evaluate pain coping strategies.

Main Results:

  • Cognitive anxiety symptoms were linked to reduced overall pain coping.
  • Physiological anxiety symptoms were associated with increased pain coping.
  • Escape and avoidance anxiety predicted greater use of overt pain behaviors for coping.
  • Anxiety symptoms significantly predicted variance in most coping strategy scores, with catastrophizing showing a strong association, potentially indicating it as a distress response.

Conclusions:

  • Different types of anxiety symptoms have distinct relationships with pain coping mechanisms.
  • Cognitive anxiety may impede effective pain coping, whereas physiological anxiety might facilitate it.
  • Findings suggest that interventions targeting specific anxiety components could enhance pain management strategies.

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