Current Pain and Headache Reports

, Volume 13, Issue 2, pp 127–132 | Cite as

Does spirituality as a coping mechanism help or hinder coping with chronic pain?

Article

Abstract

Chronic pain is a complex experience stemming from the interrelationship among biological, psychological, social, and spiritual factors. Many chronic pain patients use religious/spiritual forms of coping, such as prayer and spiritual support, to cope with their pain. This article explores empirical research that illustrates how religion/spirituality may impact the experience of pain and may help or hinder the coping process. This article also provides practical suggestions for health care professionals to aid in the exploration of spiritual issues that may contribute to the pain experience.

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References and Recommended Reading

  1. 1.
    Engel GL: The need for a new medical model: a challenge for biomedicine. Science 1977, 196:129–136.PubMedCrossRefGoogle Scholar
  2. 2.
    Sulmasy DP: A biopsychosocial-spiritual model for the care of patients at the end of life. Gerontologist 2002, 42:24–33.PubMedGoogle Scholar
  3. 3.
    Association of American Medical Colleges (AAMC): Consensus Conference for Spirituality and Health. Washington DC; 1998.Google Scholar
  4. 4.
    Daaleman T, Nease DE: Patient attitudes regarding physician inquiry into spiritual and religious issues. J Fam Pract 1994, 39:564–568.PubMedGoogle Scholar
  5. 5.
    MacLean C, Susi B, Phifer N, et al.: Patient preference for physician discussion and practice of spirituality: results from a multicenter patient survey. J Gen Intern Med 2003, 18:38–43.PubMedCrossRefGoogle Scholar
  6. 6.
    Gallup G: Religion in America. Princeton, NJ: Princeton Religion Research Center; 2005.Google Scholar
  7. 7.
    Astin JA: Why patients use alternative medicine: results of a national study. JAMA 1998, 279:548–1553.CrossRefGoogle Scholar
  8. 8.
    Melzack R, Wall PD: Pain mechanisms: a new theory. Science 1965, 150:971–979.PubMedCrossRefGoogle Scholar
  9. 9.
    Melzack R: From the gate to the neuromatrix. Pain 1999, S6:S121–S126.CrossRefGoogle Scholar
  10. 10.
    Middleton P, Pollard H: Are chronic low back pain outcomes improved with co-management of concurrent depression? Chiropr Osteopat 2005, 13:8.PubMedCrossRefGoogle Scholar
  11. 11.
    Covic T, Adamson B, Spencer D, et al.: A biopsychosocial model of pain and depression in rheumatoid arthritis: a 12-month longitudinal study. Rheumatology 2003, 42:1287–1294.PubMedCrossRefGoogle Scholar
  12. 12.
    Lefebvre JC, Keefe FJ, Affleck G, et al.: The relationship of arthritis self-efficacy to daily pain, daily mood, and daily pain coping in rheumatoid arthritis patients. Pain 1999, 80:425–435.PubMedCrossRefGoogle Scholar
  13. 13.
    Seybold K: Physiological mechanisms involved in religiosity/spirituality and health. J Behav Med 2007, 30:303–309.PubMedCrossRefGoogle Scholar
  14. 14.
    Borg J, Andree B, Soderstrom H, et al.: The serotonin system and spiritual experiences. Am J Psychiatry 2003, 160:1965–1969.PubMedCrossRefGoogle Scholar
  15. 15.
    Harrison MO, Edwards CL, Koenig HG, et al.: Religiosity, spirituality, and pain in patients with sickle cell disease. J Nerv Ment Dis 2005, 193:250–257.PubMedCrossRefGoogle Scholar
  16. 16.
    Contrada RJ, Goyal TM, Cather C, et al.: Psychosocial factors in outcomes of heart surgery: the impact of religious involvement and depressive symptoms. Health Psychol 2004, 23:227–238.PubMedCrossRefGoogle Scholar
  17. 17.
    Pargament KI: The Psychology of Religion and Coping. New York: Guilford Press; 1997.Google Scholar
  18. 18.
    Pargament KI: Spiritually Integrated Psychotherapy: Understanding and Addressing the Sacred. New York: Guilford Press; 2007.Google Scholar
  19. 19.
    Wachholtz AB, Pearce MJ, Koenig H: Exploring the relationship between spirituality, coping, and pain. J Behav Med 2007, 30:311–318.PubMedCrossRefGoogle Scholar
  20. 20.
    Pargament KI, Koenig HG, Perez LM: Comprehensive measure of religious coping: development and initial validation of the RCOPE. J Clin Psychol 2000, 56:519–543.PubMedCrossRefGoogle Scholar
  21. 21.
    Pargament KI, Smith BW, Koenig HG, et al.: Patterns of positive and negative religious coping with major life stressors. J Sci Study Relig 1998, 37:710–724.CrossRefGoogle Scholar
  22. 22.
    Koenig HG, Pargament KI, Nielsen J: Religious coping and health status in medically ill hospitalized older adults. J Nerv Ment Dis 1998, 186:513–521.PubMedCrossRefGoogle Scholar
  23. 23.
    Mickley JR, Pargament KI, Brant CR, et al.: God and the search for meaning among hospice caregivers. Hosp J 1998, 13:1–17.PubMedCrossRefGoogle Scholar
  24. 24.
    Nooney J, Woodrum E: Religious coping and church-based social support as predictors of mental health outcomes: testing a conceptual model. J Sci Study Relig 2002, 41:359–368.CrossRefGoogle Scholar
  25. 25.
    Pargament KI, Kennell J, Hathaway W, et al.: Religion and the problem-solving process: three styles of coping. J Sci Study Relig 1988, 27:90–104.CrossRefGoogle Scholar
  26. 26.
    Pargament KI, Koenig HG, Tarakeshwar N, et al.: Religious coping methods as predictors of psychological, physical and spiritual outcomes. J Health Psychol 2004, 9:713–730.PubMedCrossRefGoogle Scholar
  27. 27.
    Phillips RE, Lynn Q, Crossley C, et al.: Self-directing religious coping: a deistic God, abandoning God, or no God at all? J Sci Study Relig 2004, 43:409–418.CrossRefGoogle Scholar
  28. 28.
    Dunn KS, Horgas AL: Religious and nonreligious coping in older adults experiencing chronic pain. Pain Manag Nurs 2004, 5:19–28.PubMedCrossRefGoogle Scholar
  29. 29.
    Koenig HG: Religion and medicine IV: religion, physical health, and clinical implications. Int J Psychiatry Med 2001, 31:321–336.PubMedCrossRefGoogle Scholar
  30. 30.
    Rippentrop AE: A review of the role of religion and spirituality in chronic pain populations. Rehab Psychol 2005, 50:278–284.CrossRefGoogle Scholar
  31. 31.
    McCaffrey AM, Eisenberg DM, Legedza ATR, et al.: Prayer for health concerns: results of a national survey on prevalence and patterns of use. Arch Intern Med 2004, 164:858–862.PubMedCrossRefGoogle Scholar
  32. 32.
    Turner JA, Clancy S: Strategies for coping with chronic low back pain: relationship to pain and disability. Pain 1986, 24:355–364.PubMedCrossRefGoogle Scholar
  33. 33.
    Glover-Graf NM, Marini I, Baker J, et al.: Religious and spiritual beliefs and practices of persons with chronic pain. Rehabil Couns Bull 2007, 51:21–33.CrossRefGoogle Scholar
  34. 34.
    Abraido-Lanza AF, Vasquex E, Echeverria SE: En las manos de Dios (in God’s hands): religious and other forms of coping among Latinos with arthritis. J Consult Clin Psychol 2004, 72:91–102.PubMedCrossRefGoogle Scholar
  35. 35.
    Bush EG, Rye MS, Brant CR, et al.: Religious coping with chronic pain. Appl Psychophysiol Biofeedback 1999, 24:249–260.PubMedCrossRefGoogle Scholar
  36. 36.
    Keefe FJ, Affleck G, Lefebvre J, et al.: Living with rheumatoid arthritis: the role of daily spirituality and daily religious and spiritual coping. J Pain 2001, 2:101–110.PubMedCrossRefGoogle Scholar
  37. 37.
    Wachholtz AB, Pargament KI: Migraines and meditation: does spirituality matter? J Behav Med 2008, 4:351–366.CrossRefGoogle Scholar
  38. 38.
    Wachholtz AB, Pargament KI: Is spirituality a critical ingredient of meditation? Comparing the effects of spiritual meditation, secular meditation, and relaxation on spiritual, psychological, cardiac, and pain outcomes. J Behav Med 2005, 28:369–384.PubMedCrossRefGoogle Scholar
  39. 39.
    Yates JW, Chalmer BJ, St. James P, et al.: Religion in patients with advanced cancer. Med Pediatr Oncol 1981, 9:121–128.PubMedCrossRefGoogle Scholar
  40. 40.
    Koenig HG: An 83-year-old woman with chronic illness and strong religious beliefs. JAMA 2002, 288:487–493.PubMedCrossRefGoogle Scholar
  41. 41.
    Rosenstiel AK, Keefe FJ: The use of coping strategies in chronic low back pain patients: relationships to patient characteristics and current adjustment. Pain 1983, 17:33–44.PubMedCrossRefGoogle Scholar
  42. 42.
    Rapp SR, Rejeski WJ, Miller ME: Physical function among older adults with knee pain: the role of pain coping skills. Arthritis Care Res 2000, 13:270–279.PubMedCrossRefGoogle Scholar
  43. 43.
    Koenig HG, McCullough ME, Larson DB: Handbook of Religion and Health. New York: Oxford University Press; 2001.Google Scholar
  44. 44.
    Pargament KI, Koenig HG, Tarakeshwar N, et al.: Religious struggle as a predictor of mortality among medically ill elderly patients: a 2-year longitudinal study. Arch Intern Med 2001, 161:1881–1885.PubMedCrossRefGoogle Scholar
  45. 45.
    McCord G, Gilchrist VJ, Grossman SD: Discussing spirituality with patients: a rational and ethical approach. Ann Fam Med 2004, 2:356–361.PubMedCrossRefGoogle Scholar
  46. 46.
    Kristeller JL, Zumbrun CS, Schilling R: “I would if I could”: how oncologists and oncology nurses address spiritual distress in cancer patients. Psychooncology 1999, 8:451–458.PubMedCrossRefGoogle Scholar
  47. 47.
    Kristeller J, Rhodes M, Cripe L, et al.: Oncologist assisted spiritual intervention (OASIS): patient acceptability and initial evidence of effects. Int J Psychiatry Med 2005, 35:329–347.PubMedCrossRefGoogle Scholar
  48. 48.
    Cohen S, Wills TA: Stress, social support, and the buffering hypothesis. Psychol Bull 1985, 98:310–357.PubMedCrossRefGoogle Scholar
  49. 49.
    Daut RL, Cleeland CS, Flanery RC: Development of the Wisconsin Brief Pain Questionnaire to assess pain in cancer and other diseases. Pain 1983, 17:197–210.PubMedCrossRefGoogle Scholar
  50. 50.
    Melzack R: The McGill Pain Questionnaire: major properties and scoring methods. Pain 1975, 1:277–299.PubMedCrossRefGoogle Scholar
  51. 51.
    Maugans TA: The SPIRITual history. Arch Fam Med 1996, 5:11–16.PubMedCrossRefGoogle Scholar
  52. 52.
    Post SG, Puchalski CM, Larson DB: Physicians and patient spirituality: professional boundaries, competency, and ethics. Ann Intern Med 2000, 132:578–583.PubMedGoogle Scholar

Copyright information

© Current Medicine Group, LLC 2009

Authors and Affiliations

  1. 1.Department of PsychiatryUMass Memorial Medical CenterWorcesterUSA

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