title: Readiness to self-manage pain is associated with coping and with psychological and physical functioning among patients with chronic pain.
abstract: A patient's readiness to adopt a self-management approach to pain has been suggested as a construct that may explain differences among patients in coping, adjustment, and response to multidisciplinary pain treatment. The pain stages of change questionnaire (PSOCQ; Pain, 72 (1997) 227) was designed to assess four components of this construct. The current study tested the following two hypotheses in two different samples of persons with chronic pain. PSOCQ scales are associated with (1) coping strategies used to manage pain and (2) patient disability and depression. The findings supported the first hypothesis and provided mixed support for the second. The implications of the findings for understanding the readiness to self-manage pain construct and the validity of the PSOCQ for assessing this construct are discussed.
authors.affiliation: Department of Rehabilitation Medicine, P.O. Box 356490, University of Washington School of Medicine, Seattle, WA 98195-6490, USA Multidisciplinary Pain Center, University of Washington Medical Center - Roosevelt, 4245 Roosevelt Way Northeast, Seattle, WA 98105-6920, USA Department of Medicine, Division of Rheumatology, University of Western Ontario, London, Ontario, Canada N6A 5A5 Rheumatology Day Care Programs, St. Joseph's Health Care, London, Ontario, Canada N6A 4V2 Department of Psychiatry and Behavioral Sciences, P.O. Box 356560, University of Washington School of Medicine, Seattle, WA 98195-6560, USA.
authors.forename: Mark P
authors.initials: MP
authors.lastname: Jensen
authors.forename: Warren R
authors.initials: WR
authors.lastname: Nielson
authors.forename: Judith A
authors.initials: JA
authors.lastname: Turner
authors.forename: Joan M
authors.initials: JM
authors.lastname: Romano
authors.forename: Marilyn L
authors.initials: ML
authors.lastname: Hill
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D002908:Chronic Disease; D005260:Female; D005356:Fibromyalgia / Q000453:epidemiology / Q000523:psychology / Q000628:therapy; D006801:Humans; D008297:Male; D008875:Middle Aged; D010146:Pain / Q000453:epidemiology / Q000523:psychology*; D059408:Pain Management; D012044:Regression Analysis; D012648:Self Care / Q000379:methods / Q000523:psychology* / Q000706:statistics & numerical data; D011795:Surveys and Questionnaires