Pain and patienthood

Clin J Pain. 1997 Mar;13(1):9-21. doi: 10.1097/00002508-199703000-00004.

Abstract

Objective: The objective of this study was to identify possible differences between chronic pain patients (consumers) and persons with chronic pain lasting > 1 year who had not consulted a doctor because of the pain during the last year (nonconsumers). Group differences were studied from the perspective of a stress-response model and a taxometric approach to chronic pain.

Methods: Both samples were compared on data acquired through questionnaires. Data-reduction techniques were applied.

Results: Nonconsumers differ from patients who are still seeking a medical solution for their pain problem. These differences are reflected in lower levels of distorted cognition, less pain-related distress, higher activity levels, and higher levels of internal orientation. Furthermore, nonconsumers used fewer analgesics.

Conclusions: Nonconsumers appear to lead a "better life" with pain than do chronic pain patients who still wish to lead a life without pain. The idea of having learned to live with pain can be very meaningful and could cause a change in quality of life (QOL). We suggest that this may be a very legitimate goal for interventions.

Publication types

  • Clinical Trial

MeSH terms

  • Adaptation, Psychological
  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Analysis of Variance
  • Cognition / physiology
  • Female
  • Humans
  • Internal-External Control
  • Male
  • Middle Aged
  • Pain / psychology*
  • Pain Measurement
  • Patients / psychology*
  • Psychometrics
  • Quality of Life
  • Socioeconomic Factors