Presentation is loading. Please wait.

Presentation is loading. Please wait.

Sophie Guellati-Salcedo - April 2001 PERSONALITY, COPING STYLES AND CHRONIC PAIN Toward a structural approach to adjustment.

Similar presentations


Presentation on theme: "Sophie Guellati-Salcedo - April 2001 PERSONALITY, COPING STYLES AND CHRONIC PAIN Toward a structural approach to adjustment."— Presentation transcript:

1 Sophie Guellati-Salcedo - April 2001 PERSONALITY, COPING STYLES AND CHRONIC PAIN Toward a structural approach to adjustment

2 Sophie Guellati-Salcedo - April 2001 Outline 1. Introduction 2. Goal 3. Definitions 4. Hypotheses 5. Sample and Measures 6. Results 7. Conclusion

3 Sophie Guellati-Salcedo - April 2001 Outline 1. Introduction 2. Goal 3. Definitions 4. Hypotheses 5. Sample and Measures 6. Results 7. Conclusion

4 Sophie Guellati-Salcedo - April 2001 The Gate Control Theory Melzack & Wall (1965) Multidimensional model of pain 4 components :sensory-discriminative affective-emotional cognitive behavioral Definition of the IASP 1.1. The biopsychosocial model of pain

5 Sophie Guellati-Salcedo - April 2001 Trait  State Model (Cottraux & Blackburn, 1995) “Big Five” Model (Digman, 1990) The Five-Factor Theory ( McAdams, 1996; Costa & McCrae, 1999 ) 1.2. Models of Personality

6 Sophie Guellati-Salcedo - April 2001 Dispositional vs. Situational approach Coping styles vs. Coping responses Regulating role vs. Outcomes Adjustment vs. Adaptation 1.3. Coping and correlates

7 Sophie Guellati-Salcedo - April 2001 Structural approach Postulate: Regularities in behavior Type of relationship between variables A three-level hierarchical model 1.4. Model proposed

8 Sophie Guellati-Salcedo - April 2001 Outline 1. Introduction 2. Goal 3. Definitions 4. Hypotheses 5. Sample and Measures 6. Results 7. Conclusion

9 Sophie Guellati-Salcedo - April 2001 Answer this question: Does taking into consideration usual patterns of cognition and behavior allow a better understanding of specific cognitive-behavioral responses to the experience of chronic pain ? 2. Goal

10 Sophie Guellati-Salcedo - April 2001 Outline 1. Introduction 2. Goal 3. Definitions 4. Hypotheses 5. Sample and Measures 6. Results 7. Conclusion

11 Sophie Guellati-Salcedo - April Definitions A theoretical position constrains: the definition of concepts the operationalization of variables

12 Sophie Guellati-Salcedo - April Usual patterns of behavior Three levels of patterns… :  personality dimensions (Big Five)  coping styles  usual coping responses to pain … characterized by :  temporal stability  cross-situational consistency

13 Sophie Guellati-Salcedo - April Components of adjustment  Sensory component of pain: Sensory / affective descriptors  Functional component: Impact on everyday life  Emotional component: Depressive / Anxious states

14 Sophie Guellati-Salcedo - April 2001 Outline 1. Introduction 2. Goal 3. Definitions 4. Hypotheses 5. Sample and Measures 6. Results 7. Conclusion

15 Sophie Guellati-Salcedo - April Main Hypothesis Chronic pain patients adopt specific pain- related behaviors that depend on their personality traits and coping styles  The components of their adjustment to pain are related to their usual patterns of behavior

16 Sophie Guellati-Salcedo - April Operationalization The relationship between usual patterns of behavior and specific pain-related adjustment responses differs according to the aspect of pain experience measured:  intensity and description of pain  functional status (daily activities)  emotional state (depression, anxiety)

17 Sophie Guellati-Salcedo - April 2001 Outline 1. Introduction 2. Goal 3. Definitions 4. Hypotheses 5. Sample and Measures 6. Results 7. Conclusion

18 Sophie Guellati-Salcedo - April Population and Sample Outpatients from a multidisciplinary pain clinic A specific category of pain patients An heterogeneous sample. Random diversity of pathologies Average duration of pain: 7.8 years

19 Sophie Guellati-Salcedo - April Measures of usual patterns of behavior 3 degrees of “predictors” : Personality traits Coping styles Coping responses to pain  D5D  CISS  CSQ

20 Sophie Guellati-Salcedo - April Measures of pain adjustment 4 categories of “outcome variables”: Intensity of pain Description of pain Functional impact Emotional impact  VAS  QDSA  QUOTI7  MPI III  BDI 13  HAD

21 Sophie Guellati-Salcedo - April 2001 Outline 1. Introduction 2. Goal 3. Definitions 4. Hypotheses 5. Sample and Measures 6. Results 7. Conclusion

22 Sophie Guellati-Salcedo - April Proportions of variance explained Sensory components : intensity of pain21% description of pain41% Functional impact : daily activities30% outdoor and social activities44% Emotional impact : Depressive state53% Anxious state52%

23 Sophie Guellati-Salcedo - April Prediction of pain intensity D5D CISSCSQ  14% 21% Overall Model N.S. D5D CISS N.S.  n.s. Proportion of variance explained

24 Sophie Guellati-Salcedo - April Partial Correlations

25 Sophie Guellati-Salcedo - April Prediction of affective description of pain D5D CISS D5D 14% CSQ  16% 41% Overall Model CISS 24%  11% Proportion of variance explained

26 Sophie Guellati-Salcedo - April Partial Correlations

27 Sophie Guellati-Salcedo - April Prediction of functional impact of pain On everyday life D5D CISS D5D N.S. CSQ  2% 30% Overall Model CISS 14%  7% Proportion of variance explained

28 Sophie Guellati-Salcedo - April Prediction of functional impact of pain On household chores D5D CISS D5D N.S. CSQ  n.s. 20% Overall Model CISS 6%  6% Proportion of variance explained

29 Sophie Guellati-Salcedo - April Partial correlations

30 Sophie Guellati-Salcedo - April Prediction of functional impact of pain On outdoor and social activities D5D CISS D5D 15% CSQ  14% 44% Overall Model CISS 31%  16% Proportion of variance explained

31 Sophie Guellati-Salcedo - April Partial correlations

32 Sophie Guellati-Salcedo - April Prediction of emotional impact of pain Depressive state (BDI 13) D5D CISS D5D 20% CSQ  12% 53% Overall Model CISS 42%  22% Proportion of variance explained

33 Sophie Guellati-Salcedo - April Partial correlations

34 Sophie Guellati-Salcedo - April Prediction of emotional impact of pain Depressive state (HAD Depression) D5D CISS D5D 22% CSQ  9% 49% Overall Model CISS 41%  19% Proportion of variance explained

35 Sophie Guellati-Salcedo - April Prediction of emotional impact of pain Anxious state (HAD Anxiety) D5D CISS D5D 35% CSQ 7% 52% Overall Model CISS 45%  11% Proportion of variance explained

36 Sophie Guellati-Salcedo - April Partial correlations

37 Sophie Guellati-Salcedo - April 2001 Outline 1. Introduction 2. Goal 3. Definitions 4. Hypotheses 5. Sample and Measures 6. Results 7. Conclusion

38 Sophie Guellati-Salcedo - April Conclusion Usual patterns of behavior distal variables: personality proximal variables: coping  are significantly correlated with the components of pain adjustment  Different patterns of predictors with different aspects of adjustment

39 Sophie Guellati-Salcedo - April Conclusion Personality Dimensions Neuroticism is associated with poorer adjustment to pain Emotional stability, openness, and conscientiousness are associated with better adjustment to pain

40 Sophie Guellati-Salcedo - April Conclusion Coping Styles Emotion-oriented coping is associated with poorer adjustment to pain Task-oriented coping and avoidance are associated with better adjustment to pain

41 Sophie Guellati-Salcedo - April Conclusion Coping responses to pain Catastrophizing, praying and hoping, and distraction are associated with poorer adjustment to pain Coping self-statements and reinterpreting sensations are associated with better adjustment to pain


Download ppt "Sophie Guellati-Salcedo - April 2001 PERSONALITY, COPING STYLES AND CHRONIC PAIN Toward a structural approach to adjustment."

Similar presentations


Ads by Google