Relationships among illness representation, affective reactions, and lifestyle physical activity in adults with (non-cancer) persistent chronic and neuropathic pain
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Mobley, Aleesa Mae. Relationships among illness representation, affective reactions, and lifestyle physical activity in adults with (non-cancer) persistent chronic and neuropathic pain. Retrieved from https://doi.org/doi:10.7282/T3GX48TB
TitleRelationships among illness representation, affective reactions, and lifestyle physical activity in adults with (non-cancer) persistent chronic and neuropathic pain
DescriptionPurpose: The purpose of this study was to investigate the relationships among illness representations, affective reaction and lifestyle physical activity in community dwelling adults who experience symptoms of (non-cancer) persistent chronic and neuropathic pain. Rationale: Using the framework of the Common Sense model of self-regulation, theoretically derived antecedents to the adaptation of coping behaviors consistent with participation in lifestyle physical activity included illness representations of identity, consequences, personal control, treatment control and level of pain catastrophizing. Methods: The sample population consisted of 115 adults, age 21 through 64, who were scheduled for an intervention pain management procedure at an outpatient surgical center between April and September 2013. Data were collected using a modified Taylor Design Method. Hypotheses were tested using correlational and hierarchical multiple regression analyses. Results: Significant correlations were revealed between several illness representation dimensions (illness identity and illness consequences) and lifestyle physical activity. All dimensions of illness representations tested were significantly correlated with pain catastrophizing. Regression analysis revealed a significant and independent effect of illness consequence representations on lifestyle physical activity and of illness identity (number of symptoms), illness consequence, and personal control representations on pain catastrophizing. Conclusions: The experience of persistent chronic and neuropathic pain with its varied symptom profile is different from that of stable chronic pain and has a negative effect on illness representations. Negative illness representations are highly associated with pain catastrophizing and independently associated with depression and anxiety. Pain catastrophizing may have a greater effect on work-activity rather than life style physical activity. Additional investigations are needed improve nursing assessment of chronic pain and to develop interventions that reduce negative affective reactions and improve work engagement for adults living with persistent, chronic and neuropathic pain.