OTOtherRehabilitation psychology2019

Personal resource profiles of individuals with chronic pain: Sociodemographic and pain interference differences.

Chung Jung Mun, Mary C Davis, Ivan R Molton and 6 others

PMID 30688480

WHAT IT FOUND

Personal resource groups were found in chronic pain samples, but pain interference differences were mixed: fibromyalgia low versus high groups did not differ after depression was considered, while disability pain groups stayed different over four years.

Key findings

01Three personal resource groups, labeled Low, Moderate, and High, were identified in each chronic pain sample.

02In the fibromyalgia sample, the Moderate group reported 0.4 points higher afternoon pain interference across 21 days on a 1-to-5 scale than the High group after controlling for morning pain severity, depressive symptoms, and age, while the Low and High groups did not differ.

03In the disability chronic pain sample, the Low group had a baseline pain interference T-score 5.33 points higher than the High group, and baseline group differences remained stable over 4 years.

STILL TO COME

How it was doneWhat they foundWhat it means for OTs

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What it does not show

All measures were self-report, which may increase common method variance. The Study 1 social support diary measure was not previously validated. Personal resource indicators and measurement methods were not identical across Study 1 and Study 2. Study 2 had large missing data at Time 2 (45%) and Time 3 (48%), related to age, education, and marital status. The samples differed: Study 1 was treatment-seeking fibromyalgia, while Study 2 was non-treatment-seeking chronic pain with disability conditions. Important possible resources such as pain catastrophizing and perceived disability were not included.

Declared interests

The authors reported no conflicts of interest.

The easy way to misread this

Do not conclude that improving personal resources will reduce pain interference. The study only showed group differences, and in fibromyalgia the low versus high group difference was not seen after depression was considered.

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