title: Analyzing pain in rheumatoid arthritis patients. Pain coping strategies in patients who have had knee replacement surgery.
abstract: This study used the Coping Strategies Questionnaire (CSQ) to investigate pain coping strategies in 52 rheumatoid arthritis patients who reported having knee pain 1 year or more following knee replacement surgery. Data analysis revealed that, as a group, these patients were active copers in that they reported frequent use of a variety of pain coping strategies. Pain coping strategies were found to be related to measures of pain and adjustment. Patients who rated their ability to control and decrease pain high and who rarely engaged in catastrophizing (i.e., who scored high on the Pain Control and Rational Thinking factor of the CSQ) had much lower levels of pain and psychological disability than patients who did not. Coping strategies were not found to relate to age, gender, obesity status or disability/compensation status. Taken together, these results suggest that an analysis of pain coping strategies may be helpful in understanding pain in arthritis patients who have pain following joint replacement surgery.
authors.affiliation: Department of Psychiatry, Duke University Medical Center, Durham, NC 27710 U.S.A.
authors.forename: Francis J
authors.initials: FJ
authors.lastname: Keefe
authors.forename: David S
authors.initials: DS
authors.lastname: Caldwell
authors.forename: Salutario
authors.initials: S
authors.lastname: Martinez
authors.forename: James
authors.initials: J
authors.lastname: Nunley
authors.forename: Jean
authors.initials: J
authors.lastname: Beckham
authors.forename: David A
authors.initials: DA
authors.lastname: Williams
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D000375:Aging / Q000523:psychology; D001172:Arthritis, Rheumatoid / Q000523:psychology* / Q000601:surgery; D002908:Chronic Disease; D005260:Female; D006801:Humans; D007720:Knee Prosthesis; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000523:psychology; D010146:Pain / Q000523:psychology*; D010147:Pain Measurement; D012044:Regression Analysis; D012737:Sex Factors; D011795:Surveys and Questionnaires; D016138:Walking