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What are the marital problems of patients with chronic pain?

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Abstract

Throughout the past two decades, researchers have studied the close relationships of patients to understand the role that these relationships play in the maintenance and alleviation of pain and the role that pain plays in affecting relationships. In this article, a brief review of the evidence is provided, showing a link between marital functioning and pain, and the marital problems reported by patients with chronic pain in our studies also are described. We provide information about several promising couples pain management and couples therapy approaches that appear to help couples manage pain together. Recommendations for clinical and research directions also are offered.

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References and Recommended Reading

  1. Flor H, Kerns R, Turk DC: The role of spouse reinforcement, perceived pain, and activity levels of chronic pain patients. J Psychosom Res 1987, 31:251–259.

    Article  PubMed  CAS  Google Scholar 

  2. Romano JM, Turner JA: Chronic pain and depression: Does the evidence support a relationship? Psychol Bull 1985, 97:18–34.

    Article  PubMed  CAS  Google Scholar 

  3. Fordyce WE: Behavioral Methods for Chronic Pain and Illness. Saint Louis, MO: The CV Mosby Company; 1976.

    Google Scholar 

  4. Turk DC, Meichenbaum D, Genest M: Pain and Behavioral Medicine: A Cognitive-Behavioral Perspective. New York: Guilford Press; 1983.

    Google Scholar 

  5. Banks SM, Kerns RC: Explaining high rates of depression in chronic pain: a diathesis-stress framework. Psychol Bull 1996, 119:95–110. Provides a systematic review of the evidence linking pain with depression and provides a diathesis-stress model concerning the co-occurrence of chronic pain and depression.

    Article  Google Scholar 

  6. Burns JW, Johnson BJ, Mahoney N, et al.: Anger management style, hostility, and spouse responses: gender differences in predictors of adjustment among chronic pain patients. Pain 1996, 64:445–453.

    Article  PubMed  CAS  Google Scholar 

  7. Cano A: Pain catastrophizing and social support in married individuals with chronic pain: the moderating role of pain duration. Pain 2004, 110:656–664.

    Article  PubMed  Google Scholar 

  8. Cano A, Gillis M, Heinz W, et al.: Marital functioning, chronic pain, and psychological distress. Pain 2004, 107:99–106.

    Article  PubMed  Google Scholar 

  9. Kerns RD, Haythornthwaite J, Southwick S, Giller EL Jr: The role of marital interaction in chronic pain and depressive symptom severity. J Psychosom Res 1990, 34:401–408.

    Article  PubMed  CAS  Google Scholar 

  10. Schwartz L, Slater MA, Birchler GR: Interpersonal stress and pain behaviors in patients with chronic pain. J Consult Clin Psychol 1994, 62:861–864.

    Article  PubMed  CAS  Google Scholar 

  11. Turk DC, Kerns RD, Rosenberg R: Effects of marital interaction on chronic pain and disability: examining the down side of social support. Rehab Psychol 1992, 37:259–274.

    Article  Google Scholar 

  12. Cano A, Weisberg J, Gallagher M: Marital satisfaction and pain severity mediate the association between negative spouse responses to pain and depressive symptoms in a chronic pain patient sample. Pain Med 2000, 1:35–43.

    Article  PubMed  CAS  Google Scholar 

  13. Flor H, Turk DC, Scholz B: Impact of chronic pain on the spouse: marital, emotional, and physical consequences. J Psychosom Res 1987, 31:63–71.

    Article  PubMed  CAS  Google Scholar 

  14. Revenson TA, Majerovitz DS: Spouses’ support provision to chronically ill patients. J Soc Pers Relation 1990, 7:575–586.

    Article  Google Scholar 

  15. Romano JM, Turner JA, Jensen MP: The family environment in chronic pain patients: comparison to controls and relationship to patient functioning. J Clin Psychol Med Settings 1997, 4:383–395.

    Article  Google Scholar 

  16. Walsh JD, Blanchard EB, Kremer JM, Blanchard CG: The psychosocial effects of rheumatoid arthritis on the patient and the well partner. Behav Res Ther 1998, 37:259–271.

    Article  Google Scholar 

  17. Beach SR, Sandeen E, O’Leary KD: Depression in Marriage. New York: Guilford; 1990.

    Google Scholar 

  18. Hammen CL: The generation of stress in the course of unipolar depression. J Abnorm Psychol 1991, 100:555–561.

    Article  PubMed  CAS  Google Scholar 

  19. Sullivan MJ, Thorn BE, Haythornthwaite JA, et al.: Theoretical perspectives on the relation between catastrophizing and pain. Clin J Pain 2001, 17:52–64. Reviews the evidence for pain catastrophizing as an important theoretical construct with clinical applications. Several models of catastrophizing are offered, including the communal coping hypothesis.

    Article  PubMed  CAS  Google Scholar 

  20. Thorn BE, Ward LC, Sullivan MJL, Boothby JL: Communal coping model of catastrophizing: conceptual model building. Pain 2003, 106:1–2.

    Article  PubMed  CAS  Google Scholar 

  21. Keefe FJ, Lipkus I, Lefebvre JC, et al.: The social context of gastrointestinal cancer pain: a preliminary study examining the relation of patient pain catastrophizing to patient perceptions of social support and caregiver stress and negative responses. Pain 2003, 103:151–156.

    Article  PubMed  Google Scholar 

  22. Giardino ND, Jense MP, Turner JA, et al.: Social environment moderates the association between catastrophizing and pain among persons with a spinal cord injury. Pain 2003, 106:19–25.

    Article  PubMed  Google Scholar 

  23. Thorn BE, Keefe FJ, Anderson T: The communal coping model and interpersonal context: problems or process? Pain 2004, 110:505–507.

    Article  PubMed  Google Scholar 

  24. Moos RH: Family Environment Scale, edn 2. Palo Alto, CA: Consulting Psychologists Press; 1986.

    Google Scholar 

  25. Dura JR, Beck SJ: A comparison of family functioning when mothers have chronic pain. Pain 1988, 35:78–89.

    Article  Google Scholar 

  26. Feuerstein M, Sult S, Houle M: Environmental stressors and chronic low back pain: life events, family, and work environment. Pain 1985, 22:295–307.

    Article  PubMed  CAS  Google Scholar 

  27. Naidoo P, Pillay YG: Correlations among general stress, family environment, psychological distress, and pain experience. Percept Mot Skills 1994, 78:1291–1296.

    PubMed  CAS  Google Scholar 

  28. Ahern DK, Adams AE, Follick MJ: Emotional and marital disturbance in spouses of chronic low back pain patients. Clin J Pain 1985, 1:69–74.

    Article  Google Scholar 

  29. Maruta T, Osborne D, Swanson DW, Halling JM: Chronic pain patients and spouses: marital and sexual adjustment. Mayo Clinic Proc 1981, 56:307–310.

    CAS  Google Scholar 

  30. Romano JM, Turner JA, Clancy SL: Sex differences in the relationship of pain patient dysfunction to spouse adjustment. Pain 1989, 39:289–295.

    Article  PubMed  CAS  Google Scholar 

  31. Bigatti SM, Cronan TA: An examination of the physical health, health care use, and psychological well-being of spouses of people with fibromyalgia syndrome. Health Psychol 2002, 21:157–166.

    Article  PubMed  Google Scholar 

  32. Locke HJ, Wallace KM: Short marital-adjustment and prediction tests: their reliability and validity. Marriage Fam Liv 1959, 21:251–255.

    Article  Google Scholar 

  33. Spanier GB: Measuring dyadic adjustment: new scales for assessing the quality of marriage and similar dyads. J Marriage Fam 1976, 38:15–28.

    Article  Google Scholar 

  34. Cano A, Johansen AB, Geisser M: Spousal congruence on disability, pain, and spouse responses to pain. Pain 2004, 109:258–265.

    Article  PubMed  Google Scholar 

  35. Sanford K: Problem-solving conversations in marriage: Does it matter what topics couples discuss? Pers Relatsh 2003, 10:97–112.

    Article  Google Scholar 

  36. Keefe FJ, Caldwell DS, Baucom D, et al.: Spouse-assisted coping skills training in the management of knee pain in osteoarthritis: long-term follow-up results. Arthr Care Res 1999, 12:101–111.

    Article  CAS  Google Scholar 

  37. Keefe FJ, Blumenthal J, Baucom D, et al.: Effects of spouseassisted coping skills training and exercise training in patients with osteoarthritic knee pain: a randomized, controlled study. Pain 2004, 110:539–549. The only randomized, controled trial comparing spouse-assisted coping skills training in addition to an exercise program, an exercise program alone, and standard care.

    Article  PubMed  Google Scholar 

  38. Martire LM, Schulz R, Keefe FJ, et al.: Feasibility of a dyadic intervention for management of osteoarthritis: a pilot study with older patients and their spousal caregivers. Aging Ment Health 2003, 7:53–60.

    Article  PubMed  CAS  Google Scholar 

  39. Moore JE, Chaney EF: Outpatient group treatment of chronic pain: effects of spouse involvement. J Consult Clin Psychol 1985, 53:326–334.

    Article  PubMed  CAS  Google Scholar 

  40. Saarijärvi S, Rytöjisjum U, Alanen E: A controlled study of couple therapy in chronic low back pain patients: no improvement of disability. J Psychosom Res 1991, 35:671–677. One of two studies employing couples therapy as an adjunct to pain management.

    Article  PubMed  Google Scholar 

  41. Saarijärvi S, Alanen E, Rytökoski U, Hyyppä MT: Couple therapy improves mental well-being in chronic low back pain patients: a controlled 5-year follow-up study. J Psychosom Res 1992, 36:651–656. One of two studies employing couples therapy as an adjunct to pain management.

    Article  PubMed  Google Scholar 

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Cano, A., Johansen, A.B., Leonard, M.T. et al. What are the marital problems of patients with chronic pain?. Current Science Inc 9, 96–100 (2005). https://doi.org/10.1007/s11916-005-0045-0

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