Abstract
Objectives: ‘Mental defeat’ (MD) has been identified among people with chronic pain as a type of self-processing related to social role and rank. Research has linked it to anxiety, pain interference and functional disability. The relationship between MD and other cognitive constructs, such as hopelessness and depression, remains poorly understood. This study considers the association between MD, pain symptomatology and self-efficacy in the context of other cognitive factors. Methods: In total, 59 participants completed a questionnaire pack assessing anxiety, depression, hopelessness, pain catastrophising and MD in order to examine the relationship with pain symptomatology and self-efficacy. Results: Linear multiple regression analyses showed that anxiety was most strongly associated with pain symptomatology, accounting for 26% of the variance, while catastrophising showed the strongest association with sensory pain and MD the strongest association with affective pain. Finally, MD was found to be strongly associated with pain-related self-efficacy, accounting for 47% of the variance. Conclusion: This research has demonstrated the potential importance of assessing MD in chronic pain patients, suggesting that targeting these cognitions during interventions and therapy could be valuable. Furthermore, the study indicates that MD differs from related cognitive constructs involved in pain, such as depression, hopelessness and catastrophising.
| Original language | English |
|---|---|
| Pages (from-to) | 87-94 |
| Number of pages | 8 |
| Journal | British Journal of Pain |
| Volume | 12 |
| Issue number | 2 |
| Early online date | 16 Feb 2018 |
| DOIs | |
| Publication status | Published - 1 May 2018 |
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Keywords
- Anxiety
- catastrophisation
- chronic pain
- mental defeat
- self-efficacy
ASJC Scopus subject areas
- Anesthesiology and Pain Medicine
Cite this
Understanding the link between feelings of mental defeat, self-efficacy and the experience of chronic pain. / Hazeldine-Baker, Charlotte E.; Salkovskis, Paul M.; Osborn, Mike; Gauntlett-Gilbert, Jeremy.
In: British Journal of Pain, Vol. 12, No. 2, 01.05.2018, p. 87-94.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Understanding the link between feelings of mental defeat, self-efficacy and the experience of chronic pain
AU - Hazeldine-Baker, Charlotte E.
AU - Salkovskis, Paul M.
AU - Osborn, Mike
AU - Gauntlett-Gilbert, Jeremy
PY - 2018/5/1
Y1 - 2018/5/1
N2 - Objectives: ‘Mental defeat’ (MD) has been identified among people with chronic pain as a type of self-processing related to social role and rank. Research has linked it to anxiety, pain interference and functional disability. The relationship between MD and other cognitive constructs, such as hopelessness and depression, remains poorly understood. This study considers the association between MD, pain symptomatology and self-efficacy in the context of other cognitive factors. Methods: In total, 59 participants completed a questionnaire pack assessing anxiety, depression, hopelessness, pain catastrophising and MD in order to examine the relationship with pain symptomatology and self-efficacy. Results: Linear multiple regression analyses showed that anxiety was most strongly associated with pain symptomatology, accounting for 26% of the variance, while catastrophising showed the strongest association with sensory pain and MD the strongest association with affective pain. Finally, MD was found to be strongly associated with pain-related self-efficacy, accounting for 47% of the variance. Conclusion: This research has demonstrated the potential importance of assessing MD in chronic pain patients, suggesting that targeting these cognitions during interventions and therapy could be valuable. Furthermore, the study indicates that MD differs from related cognitive constructs involved in pain, such as depression, hopelessness and catastrophising.
AB - Objectives: ‘Mental defeat’ (MD) has been identified among people with chronic pain as a type of self-processing related to social role and rank. Research has linked it to anxiety, pain interference and functional disability. The relationship between MD and other cognitive constructs, such as hopelessness and depression, remains poorly understood. This study considers the association between MD, pain symptomatology and self-efficacy in the context of other cognitive factors. Methods: In total, 59 participants completed a questionnaire pack assessing anxiety, depression, hopelessness, pain catastrophising and MD in order to examine the relationship with pain symptomatology and self-efficacy. Results: Linear multiple regression analyses showed that anxiety was most strongly associated with pain symptomatology, accounting for 26% of the variance, while catastrophising showed the strongest association with sensory pain and MD the strongest association with affective pain. Finally, MD was found to be strongly associated with pain-related self-efficacy, accounting for 47% of the variance. Conclusion: This research has demonstrated the potential importance of assessing MD in chronic pain patients, suggesting that targeting these cognitions during interventions and therapy could be valuable. Furthermore, the study indicates that MD differs from related cognitive constructs involved in pain, such as depression, hopelessness and catastrophising.
KW - Anxiety
KW - catastrophisation
KW - chronic pain
KW - mental defeat
KW - self-efficacy
UR - http://www.scopus.com/inward/record.url?scp=85042134334&partnerID=8YFLogxK
U2 - 10.1177/2049463718759131
DO - 10.1177/2049463718759131
M3 - Article
C2 - 29796260
AN - SCOPUS:85042134334
VL - 12
SP - 87
EP - 94
JO - British Journal of Pain
JF - British Journal of Pain
SN - 2049-4637
IS - 2
ER -