Chronic pain

Intrusion and accommodation

Mary Casey Jacob, Robert D. Kerns, Roberta Rosenberg, Jennifer Haythornthwaite

Research output: Contribution to journalArticle

Abstract

Cognitive-behavioral and self-management perspectives on chronic pain emphasize the central role that patients' appraisals of their pain problems may have in determining aspects of the pain experience. This paper reports the development of a self-report instrument measuring two aspects of patients' appraisals of their pain and its impact on their lives. Two reliable and meaningful scales were derived via factor analysis, and a second sample was submitted to confirmatory factor analysis. Further analyses offered support for the internal consistency and stability of the scales. Pain Intrusion is related to greater depressive symptom severity and pain behaviors reflecting affective distress. Pain Accommodation is related to self-reports of greater self-control, viewing oneself as a problem-solver, fewer depressive symptoms, and fewer pain behaviors reflecting affective distress. This report introduces these constructs and the Chronic Pain Intrusion and Accommodation Scales that measure them, and discusses their theoretical and clinical relevance.

Original languageEnglish (US)
Pages (from-to)519-527
Number of pages9
JournalBehaviour Research and Therapy
Volume31
Issue number5
DOIs
StatePublished - 1993

Fingerprint

Chronic Pain
Pain
Self Report
Statistical Factor Analysis
Depression
Self Care

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Clinical Psychology

Cite this

Chronic pain : Intrusion and accommodation. / Jacob, Mary Casey; Kerns, Robert D.; Rosenberg, Roberta; Haythornthwaite, Jennifer.

In: Behaviour Research and Therapy, Vol. 31, No. 5, 1993, p. 519-527.

Research output: Contribution to journalArticle

Jacob, Mary Casey ; Kerns, Robert D. ; Rosenberg, Roberta ; Haythornthwaite, Jennifer. / Chronic pain : Intrusion and accommodation. In: Behaviour Research and Therapy. 1993 ; Vol. 31, No. 5. pp. 519-527.
@article{6ce22f7682a74e8195a39ef66c7cd5eb,
title = "Chronic pain: Intrusion and accommodation",
abstract = "Cognitive-behavioral and self-management perspectives on chronic pain emphasize the central role that patients' appraisals of their pain problems may have in determining aspects of the pain experience. This paper reports the development of a self-report instrument measuring two aspects of patients' appraisals of their pain and its impact on their lives. Two reliable and meaningful scales were derived via factor analysis, and a second sample was submitted to confirmatory factor analysis. Further analyses offered support for the internal consistency and stability of the scales. Pain Intrusion is related to greater depressive symptom severity and pain behaviors reflecting affective distress. Pain Accommodation is related to self-reports of greater self-control, viewing oneself as a problem-solver, fewer depressive symptoms, and fewer pain behaviors reflecting affective distress. This report introduces these constructs and the Chronic Pain Intrusion and Accommodation Scales that measure them, and discusses their theoretical and clinical relevance.",
author = "Jacob, {Mary Casey} and Kerns, {Robert D.} and Roberta Rosenberg and Jennifer Haythornthwaite",
year = "1993",
doi = "10.1016/0005-7967(93)90134-G",
language = "English (US)",
volume = "31",
pages = "519--527",
journal = "Behaviour Research and Therapy",
issn = "0005-7967",
publisher = "Elsevier Limited",
number = "5",

}

TY - JOUR

T1 - Chronic pain

T2 - Intrusion and accommodation

AU - Jacob, Mary Casey

AU - Kerns, Robert D.

AU - Rosenberg, Roberta

AU - Haythornthwaite, Jennifer

PY - 1993

Y1 - 1993

N2 - Cognitive-behavioral and self-management perspectives on chronic pain emphasize the central role that patients' appraisals of their pain problems may have in determining aspects of the pain experience. This paper reports the development of a self-report instrument measuring two aspects of patients' appraisals of their pain and its impact on their lives. Two reliable and meaningful scales were derived via factor analysis, and a second sample was submitted to confirmatory factor analysis. Further analyses offered support for the internal consistency and stability of the scales. Pain Intrusion is related to greater depressive symptom severity and pain behaviors reflecting affective distress. Pain Accommodation is related to self-reports of greater self-control, viewing oneself as a problem-solver, fewer depressive symptoms, and fewer pain behaviors reflecting affective distress. This report introduces these constructs and the Chronic Pain Intrusion and Accommodation Scales that measure them, and discusses their theoretical and clinical relevance.

AB - Cognitive-behavioral and self-management perspectives on chronic pain emphasize the central role that patients' appraisals of their pain problems may have in determining aspects of the pain experience. This paper reports the development of a self-report instrument measuring two aspects of patients' appraisals of their pain and its impact on their lives. Two reliable and meaningful scales were derived via factor analysis, and a second sample was submitted to confirmatory factor analysis. Further analyses offered support for the internal consistency and stability of the scales. Pain Intrusion is related to greater depressive symptom severity and pain behaviors reflecting affective distress. Pain Accommodation is related to self-reports of greater self-control, viewing oneself as a problem-solver, fewer depressive symptoms, and fewer pain behaviors reflecting affective distress. This report introduces these constructs and the Chronic Pain Intrusion and Accommodation Scales that measure them, and discusses their theoretical and clinical relevance.

UR - http://www.scopus.com/inward/record.url?scp=0027255903&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0027255903&partnerID=8YFLogxK

U2 - 10.1016/0005-7967(93)90134-G

DO - 10.1016/0005-7967(93)90134-G

M3 - Article

VL - 31

SP - 519

EP - 527

JO - Behaviour Research and Therapy

JF - Behaviour Research and Therapy

SN - 0005-7967

IS - 5

ER -