Pain Attitudes and Pain Outcomes among People with Bleeding Disorders: Results from Community Voices in Research
Journal article
Pierce, C, Branscum, A., Irvin, V.L., Elander, J., Bovbjerg, M., Witkop, M. and Smit, E. 2024. Pain Attitudes and Pain Outcomes among People with Bleeding Disorders: Results from Community Voices in Research. Haemophilia. pp. 1-8. https://doi.org/10.1111/hae.14942
| Authors | Pierce, C, Branscum, A., Irvin, V.L., Elander, J., Bovbjerg, M., Witkop, M. and Smit, E. |
|---|---|
| Abstract | Introduction: Among people with bleeding disorders (PwBD), pain is a major problem and pain treatments are often ineffective. Understanding of psychological factors involved in pain processing is limited. Maladaptive pain attitudes are associated with worse pain outcomes and adaptive pain attitudes are associated with better outcomes in high pain conditions, but relationships between pain attitudes and pain outcomes are so far unexplored among PwBD. Aim: To investigate relationships between pain attitudes and pain outcomes among PwBD. Methods: Pain attitudes were measured with the Survey of Pain Attitudes, containing two adaptive scales (Control and Emotion) and five maladaptive scales (Disability, Harm, Results: After adjustment for covariates, greater Control attitudes were associated with lower odds of more severe pain, and greater Disability, Harm, and Medication attitudes were all associated with higher odds of more severe pain and with higher odds of any prescribed pain medication use and opioid pain medication use. Conclusions: We presented compelling evidence of relationships between pain attitudes and pain outcomes in PwBD, though corroboration is needed from other populations. Our findings suggest that modification of pain attitudes presents a possible avenue for interventions to improve pain outcomes and increase patient satisfaction with pain management. |
| Keywords | Attitude; Chronic pain; Coping; Disability; Haemophilia; Inherited bleeding disorders; Opioids |
| Year | 2024 |
| Journal | Haemophilia |
| Journal citation | pp. 1-8 |
| Publisher | Wiley |
| ISSN | 1365-2516 |
| Digital Object Identifier (DOI) | https://doi.org/10.1111/hae.14942 |
| Web address (URL) | https://onlinelibrary.wiley.com/doi/10.1111/hae.14942 |
| Accepted author manuscript | License File Access Level Controlled |
| Publisher's version | File Access Level Restricted |
| Output status | Published |
| Publication dates | |
| Online | 28 Feb 2024 |
| Publication process dates | |
| Accepted | 13 Dec 2023 |
| Deposited | 27 Mar 2024 |
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