Attachment insecurity predicts responses to an interdisciplinary chronic pain rehabilitation program.

The aim of this study was to examine the hypothesis that attachment insecurity is associated with poorer responses to interdisciplinary treatment for chronic pain. Patients ( n = 235) admitted to a 4-week interdisciplinary rehabilitation program were recruited. At pre-treatment, participants complet...

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Publicado en:Journal of Behavioral Medicine Vol. 38; no. 3; pp. 518 - 527
Autores principales: Kowal, John, McWilliams, Lachlan, Péloquin, Katherine, Wilson, Keith, Henderson, Peter, Fergusson, Dean
Formato: research tables/charts Journal Article
Publicado: Springer Nature Jun2015
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jun2015
      vid: 38
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      pub: Springer Nature
      place: New York, New York
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        atl: Attachment insecurity predicts responses to an interdisciplinary chronic pain rehabilitation program.
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          Kowal, John
          McWilliams, Lachlan
          Péloquin, Katherine
          Wilson, Keith
          Henderson, Peter
          Fergusson, Dean
        affil: Department of Psychology, University of Saskatchewan, Saskatoon Canada
      sug:
        subj:
          Chronic Pain Rehabilitation
          Attachment Behavior
          Treatment Outcomes
          Chronic Pain Psychosocial Factors
          Human
          Questionnaires
          Descriptive Statistics
          Pretest-Posttest Design
          Regression
          Adult
          Middle Age
          Aged
          Male
          Female
          Prospective Studies
          Data Analysis Software
          Unpaired T-Tests
          Chi Square Test
          Multiple Regression
          Funding Source
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab: The aim of this study was to examine the hypothesis that attachment insecurity is associated with poorer responses to interdisciplinary treatment for chronic pain. Patients ( n = 235) admitted to a 4-week interdisciplinary rehabilitation program were recruited. At pre-treatment, participants completed a battery of questionnaires assessing adult attachment styles and dimensions, as well as pain intensity, disability, self-efficacy, pain catastrophizing, and depressive symptoms. The latter measures were completed again at post-treatment. Nearly two-thirds of participants (65.5 %) reported having an insecure attachment style. Attachment insecurity was unrelated to pre- and post-treatment reports of pain intensity and pain-related disability, but was significantly associated with most other clinical variables at both time points. Regression analyses controlling for pre-treatment functioning indicated that attachment insecurity was associated with less improvement in pain catastrophizing, pain self-efficacy, and depressive symptoms. Further research is warranted to investigate the processes by which attachment characteristics influence patients' responses to chronic pain rehabilitation.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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