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Effects of Pain Controllability and Discrepancy in Social Support on Depressed Mood Among Patients with Chronic Pain

Abstract

Background  

Preference of types of social support may vary across recipients, and social support that is less than the amount preferred
may be associated with depressed mood.

Purpose  

This study aimed to investigate the interaction effects between pain controllability and discrepancy in social support and
the additive utility of discrepancy in social support over perceived social support in predicting depressed mood among patients
with chronic pain.

Method  

A total of 173 patients seeking treatment at two outpatient pain management clinics in Hawaii participated.

Results  

The results indicated that (1) patients with low pain controllability preferred significantly more social support than those
with high pain controllability, for all types of social support; (2) patients preferred significantly more informational and
emotional support than instrumental support for both pain controllability levels; (3) discrepancy in informational or instrumental
support was not associated with depressed mood, whereas discrepancy in emotional support was significantly associated with
more depressed mood for low pain controllability, but not for high pain controllability; and (4) discrepancy in emotional
support added a significant increment of variance in predicting depressed mood over and above perceived emotional support,
whereas discrepancy in informational or instrumental support did not.

Conclusion  

Findings suggest the relative importance of discrepancy in emotional support from a significant other, especially for patients
with low pain controllability.

  • Content Type Journal Article
  • Pages 1-10
  • DOI 10.1007/s12529-011-9175-4
  • Authors
    • Sungkun Cho, Department of Psychology, Chung-Ang University, 221 Dongjak-gu, Heukseok-dong, Seoul, South Korea
    • Ira D. Zunin, Manakai-O Malama Integrative Healthcare Group and Rehabilitation Center, Honolulu, HI, USA
    • Puihan J. Chao, Department of Psychology, University of Hawaii at Manoa, 2530 Dole Street, Honolulu, HI 96822, USA
    • Elaine M. Heiby, Department of Psychology, University of Hawaii at Manoa, 2530 Dole Street, Honolulu, HI 96822, USA
    • James McKoy, Neuroscience and Pain/Integrative Medicine, Hawaii Permanente Medical Group, Honolulu, HI, USA
    • Journal International Journal of Behavioral Medicine
    • Online ISSN 1532-7558
    • Print ISSN 1070-5503
Posted in: Journal Article Abstracts on 07/14/2011 | Link to this post on IFP |
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