Charlotte E Hazeldine-Baker1, Paul M Salkovskis1, Mike Osborn2, Jeremy Gauntlett-Gilbert3,4. 1. Department of Psychology, University of Bath, Bath, UK. 2. Royal United Hospital, Bath, UK. 3. Bath Centre for Pain Services, Royal National Hospital for Rheumatic Diseases, Bath, UK. 4. Faculty of Health and Applied Sciences, University of the West of England, Bristol, UK.
Abstract
OBJECTIVES: 'Mental defeat' (MD) has been identified among people with chronic pain as a type of self-processing related to social role and rank. Research has linked it to anxiety, pain interference and functional disability. The relationship between MD and other cognitive constructs, such as hopelessness and depression, remains poorly understood. This study considers the association between MD, pain symptomatology and self-efficacy in the context of other cognitive factors. METHODS: In total, 59 participants completed a questionnaire pack assessing anxiety, depression, hopelessness, pain catastrophising and MD in order to examine the relationship with pain symptomatology and self-efficacy. RESULTS: Linear multiple regression analyses showed that anxiety was most strongly associated with pain symptomatology, accounting for 26% of the variance, while catastrophising showed the strongest association with sensory pain and MD the strongest association with affective pain. Finally, MD was found to be strongly associated with pain-related self-efficacy, accounting for 47% of the variance. CONCLUSION: This research has demonstrated the potential importance of assessing MD in chronic pain patients, suggesting that targeting these cognitions during interventions and therapy could be valuable. Furthermore, the study indicates that MD differs from related cognitive constructs involved in pain, such as depression, hopelessness and catastrophising.
OBJECTIVES: 'Mental defeat' (MD) has been identified among people with chronic pain as a type of self-processing related to social role and rank. Research has linked it to anxiety, pain interference and functional disability. The relationship between MD and other cognitive constructs, such as hopelessness and depression, remains poorly understood. This study considers the association between MD, pain symptomatology and self-efficacy in the context of other cognitive factors. METHODS: In total, 59 participants completed a questionnaire pack assessing anxiety, depression, hopelessness, pain catastrophising and MD in order to examine the relationship with pain symptomatology and self-efficacy. RESULTS: Linear multiple regression analyses showed that anxiety was most strongly associated with pain symptomatology, accounting for 26% of the variance, while catastrophising showed the strongest association with sensory pain and MD the strongest association with affective pain. Finally, MD was found to be strongly associated with pain-related self-efficacy, accounting for 47% of the variance. CONCLUSION: This research has demonstrated the potential importance of assessing MD in chronic pain patients, suggesting that targeting these cognitions during interventions and therapy could be valuable. Furthermore, the study indicates that MD differs from related cognitive constructs involved in pain, such as depression, hopelessness and catastrophising.
Authors: Adrian Escriche-Escuder; Irene De-Torres; Cristina Roldán-Jiménez; Jaime Martín-Martín; Antonio Muro-Culebras; Manuel González-Sánchez; Maria Ruiz-Muñoz; Fermín Mayoral-Cleries; Attila Biró; Wen Tang; Borjanka Nikolova; Alfredo Salvatore; Antonio I Cuesta-Vargas Journal: Int J Environ Res Public Health Date: 2020-12-09 Impact factor: 3.390
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