Journal of Behavioral Medicine

, Volume 40, Issue 2, pp 281–292

Spousal autonomy support, need satisfaction, and well-being in individuals with chronic pain: A longitudinal study


DOI: 10.1007/s10865-016-9783-1

Cite this article as:
Uysal, A., Ascigil, E. & Turunc, G. J Behav Med (2017) 40: 281. doi:10.1007/s10865-016-9783-1


The present research examined the effect of spousal autonomy support on the need satisfaction and well-being of individuals with chronic pain. Married individuals with a diagnosed musculoskeletal chronic pain condition (N = 109) completed a baseline questionnaire and a follow-up questionnaire after a 6-month time period. Cross-lagged analyses indicated that spousal autonomy support predicted increases in basic need satisfaction, and need satisfaction predicted increases in well-being. Moreover, the analyses in the opposite direction were not significant. Similarly, cross-lagged analyses were more supportive of the direction from pain intensity to lower well-being, rather than well-being to pain intensity. Finally, we tested a longitudinal structural model using pain intensity and spousal autonomy support as the predictors, basic needs as the mediator, and well-being as the outcome. The model provided a good fit to the data. Results showed that spousal autonomy support had a positive effect on the need satisfaction and well-being of individuals with chronic pain, independent of pain intensity. These findings extend self-determination theory to the chronic pain context and lay the groundwork for future chronic pain studies using the self-determination theory framework.


Chronic pain Self-determination theory Need satisfaction Autonomy support Spousal support Well-being 

Copyright information

© Springer Science+Business Media New York 2016

Authors and Affiliations

  1. 1.Department of PsychologyMiddle East Technical UniversityAnkaraTurkey

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