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Anger expression and chronic pain

R D Kerns1, R Rosenberg, M C Jacob

  • 1West Haven VA Medical Center, Connecticut 06516.

Journal of Behavioral Medicine
|February 1, 1994
PubMed
Summary
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Inhibiting anger expression strongly predicts chronic pain intensity and behavior. Anger intensity also impacts pain interference and daily activity levels in patients.

Area of Science:

  • Psychology
  • Pain Management
  • Behavioral Medicine

Background:

  • Chronic pain affects millions globally, significantly impacting quality of life.
  • Understanding psychological factors influencing pain perception is crucial for effective management.
  • Anger and its expression are frequently observed in chronic pain populations.

Purpose of the Study:

  • To investigate the relationship between anger intensity, anger expression styles, and the chronic pain experience.
  • To identify specific anger-related factors that predict pain intensity, pain behavior, pain interference, and activity levels.

Main Methods:

  • 142 chronic pain patients participated in the study.
  • Multiple regression analyses were employed to examine predictors of pain experience.

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  • Hierarchical regression analyses were used for conservative statistical support.

    • Main Results:

    • Inhibiting anger expression emerged as the strongest predictor of pain intensity and pain behavior.
    • Anger intensity significantly predicted perceived pain interference and reduced activity levels.
    • Findings were consistent across different regression approaches.

    Conclusions:

    • The inability to express intense negative emotions, particularly anger, may play a significant role in the development and maintenance of chronic pain and disability.
    • Clinical interventions targeting anger expression may be beneficial for chronic pain patients.
    • Further research into the psychological underpinnings of chronic pain is warranted.