Please use this identifier to cite or link to this item:
|Scopus||Web of Science®||Altmetric|
|Title:||Psychological functioning of people living with chronic pain: a meta-analytic review|
|Citation:||British Journal of Clinical Psychology, 2015; 54(3):345-360|
|Publisher:||John Wiley and Sons|
|Anne L. J. Burke, Jane L. Mathias and Linley A. Denson|
|Abstract:||Objectives. Chronic pain (CP; >3 months) is a common condition that is associated with signiﬁcant psychological problems. Many people with CP do not ﬁt into discrete diagnostic categories, limiting the applicability of research that is speciﬁc to a particular pain diagnosis. This meta-analysis synthesized the large extant literature from a general CP, rather than diagnosis-speciﬁc, perspective to systematically identify and compare the psychological problems most commonly associated with CP. Methods. Four databases were searched from inception to December 2013 (PsychINFO, The Cochrane Library, Scopus, and PubMed) for studies comparing the psychological functioning of adults with CP to healthy controls. Data from 110 studies were meta-analysed and Cohen’s d effect sizes calculated. Results. The CP group reported experiencing signiﬁcant problems in a range of psychological domains (depression, anxiety, somatization, anger/hostility, self-efﬁcacy, self-esteem and general emotional functioning), with the largest effects observed for pain anxiety/concern and somatization; followed by anxiety and self-efﬁcacy; and then depression, anger/hostility, self-esteem and general emotional functioning. Conclusions. This study demonstrates, for the ﬁrst time, that individuals with CP are more likely to experience physically focussed psychological problems than other psychological problems and that, unlike self-efﬁcacy, fear of pain is intrinsically tied to the CP experience. This challenges the prevailing view that, for individuals with CP, problems with depression are either equal to, or greater than, problems with anxiety, thereby providing important information to guide therapeutic targets.|
|Keywords:||Chronic pain; anxiety; somatization; depression; psychological function|
|Description:||First published online: 13 March 2015|
|Rights:||© 2015 The British Psychological Society|
|Appears in Collections:||Psychology publications|
Files in This Item:
There are no files associated with this item.
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.