Predicting subjective disability in chronic pain patients

  • B. Kröner-Herwig
  • C. Jäkle
  • J. Frettlöh
  • K. Peters
  • H. Seemann
  • C. Franz
  • H. D. Basler
Article

DOI: 10.1207/s15327558ijbm0301_3

Cite this article as:
Kröner-Herwig, B., Jäkle, C., Frettlöh, J. et al. Int. J. Behav. Med. (1996) 3: 30. doi:10.1207/s15327558ijbm0301_3

Abstract

Subjective disability is considered as the variable that reflects the impact of chronic pain on a patient’s life. This study examines the questions of which syndrome or patient characteristics determine subjective disability and whether there are differences between samples of patients with chronic headaches and low back pain. Direct pain variables and depression, pain coping strategies, and pain-related self-statements (including catastrophizing) are introduced into multivariate regression analyses as potential predictors of disability using a sample of 151 pain patients. Disability is not predicted by pain severity in patients with headaches or back pain. Psychological variables, especially coping strategies, are far more influential. Coping explains more variance in disability in the headache sample than in the chronic low back pain group, whereas depression is more relevant for the degree of disability in the back pain sample.

Key words

disability coping depression catastrophizing self-statements headache chronic low back pai 

Copyright information

© International Society of Behavioral Medicine 1996

Authors and Affiliations

  • B. Kröner-Herwig
    • 1
  • C. Jäkle
    • 2
  • J. Frettlöh
    • 3
  • K. Peters
    • 4
  • H. Seemann
    • 4
  • C. Franz
    • 5
  • H. D. Basler
    • 2
  1. 1.Clinical PsychologyGeorg August UniversityGottingenGermany
  2. 2.Medical PsychologyUniversity of MarburgMarburgGermany
  3. 3.Clinical PsychologyUniversity of DüsseldorfDüsseldorfGermany
  4. 4.Psychotherapy and Medical PsychologyUniversity of HeidelbergHeidelbergGermany
  5. 5.Pain CenterUniversity Hospital GöttingenGöttingenGermany

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