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Relatinship of Sexual and Physical Abuse to Pain Descriptin, Coping, Psychlological Distress, and Health-Care Utilization in a chronic Pain Sample

Toomey Timothy C. Ph.D.; Seville, Janette L. Ph.D.; Mann, J. Douglas M.D.; Abashian, Sandra W. B.S.N.; Grant, Jill R.
The Clinical Journal of Pain: December 1995
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Objective: We investigated the associationof physical/sexual abuse to pain description coping. Psychlogical distress, and health-care utilization ina heterogeneous sample of chronic pain patients.

Design: A cross-sectonal retrospective design was used. Patients were categorized as abused (n=22)or nonabused (n=58) based on responses to a valild and reliable sexual/physical abuse questionnnaire.

Main Outcome Measures: Pain description (Visual Analog Scale measures of pain intensity and frequency and the McGill pain questionnaire); coping ability and attriutional style (functonal Interference Esimate, Self-Contol Schedule, Pain Locus of Control Scale); psychlogical distress ( SCL-90-R Global Severityu Index); and Health-care utililzation measure.

Results and Conclusion: differences between abused abnd nonabused groups were found for the pain description or functional interference variables. Compared to the nonabused group, the abused group had significantly lower Self-Control Schedule score, higher Pain Locus of Control Scale Chance Factor score, and higher SCL-90-R Globale severtiy Index scores and was more likely to use the emergency room for pain sysptoms. these results replicate samples and underscore the importance of assessment of abuse in patients with chronic painThe data suggest that interventions which invlove coping-skills training or self control management of pain may be afected by an abuse history via reduced perceptions of efficacy, resourcefulness, and beliefs taht external variables are responsible for pain.

© Lippincott-Raven Publishers.