Locus of control in the patient with chronic pain.

Author(s):  
Janette L. Seville ◽  
Amy B. Robinson
1993 ◽  
Vol 9 (4) ◽  
pp. 242-247 ◽  
Author(s):  
TIMOTHY C. TOOMEY ◽  
J. DOUGLAS MANN ◽  
SANDRA W. ABASHIAN ◽  
C. L. M. CARNRIKE ◽  
JEANNE T. HERNANDEZ

2019 ◽  
Vol Volume 12 ◽  
pp. 2095-2099 ◽  
Author(s):  
Elian Zuercher-Huerlimann ◽  
Julian A. Stewart ◽  
Niklaus Egloff ◽  
Roland von Känel ◽  
Martina Studer ◽  
...  

2013 ◽  
Vol 18 (4) ◽  
pp. e48-e54 ◽  
Author(s):  
Francisco Javier Cano-García ◽  
Luis Rodríguez-Franco ◽  
Ana María López-Jiménez

BACKGROUND: Locus of control (LOC) is related to the impact of headaches and chronic pain; however, literature evidence regarding LOC is not always consistent. Several authors consider this to be due, in part, to the separate interpretation of LOC factors, during which the interaction among them is ignored. In 1982, Wallston and Wallston proposed eight possible LOC health patterns depending on whether the individual scored high or low in each of three dimensions.OBJECTIVE: To identify these LOC patterns in patients with headaches and chronic pain, and to validate them in terms of their association with a selection of the main pain indicators.METHODS: A total of 228 individuals were recruited at three public centres in Seville, Spain. Participants completed a semistructured clinical interview and several questionnaires assessing psychological variables related to pain. The main statistical analyses used were two-step cluster analysis and ANCOVA.RESULTS: The six-cluster solution was optimal. The patterns observed coincided with: the believer in control; the yea-sayer; the pure chance; the pure internal; the pure professional; and the nay-sayer clusters. The double external or type VI clusters were not observed. Clusters could be classified from the best to the worst adjustment to chronic pain.CONCLUSIONS: These results support the empirical validity of the theoretical model of LOC patterns proposed in 1982 by Wallston and Wallston among a chronic pain population. The analysis of patterns provides more accurate information regarding the adjustment to pain compared with analysis of the LOC factors separately.


PLoS ONE ◽  
2021 ◽  
Vol 16 (8) ◽  
pp. e0256001
Author(s):  
Aminata Bicego ◽  
Justine Monseur ◽  
Alain Collinet ◽  
Anne-Françoise Donneau ◽  
Robert Fontaine ◽  
...  

Background In chronic pain, it seems that the effect of cognitive-behavioral therapy (CBT) is boosted when it is combined with hypnosis. The aim of this study was to assess the efficacy of self-hypnosis combined with self-care (i.e., a type of CBT) compared to music/self-care, self-care and psychoeducation/CBT and to evaluate their long-term effects. Methods An open label randomized clinical trial enrolled patients with chronic pain and was carried out at the University Hospital of Liège (Belgium). Patients were randomized into four groups: self-hypnosis/self-care, music/self-care, self-care, psychoeducation/CBT (7 monthly sessions of 2 hours). Two follow-up sessions were delivered at 6- and 12-month. Levels of pain, fatigue intensity, anxiety, depression, insomnia severity, disability, health locus of control, mental and physical quality of life and attitudes (control, disability, harm, emotion, medical cure, medication, solicitude) towards pain were assessed before and after the treatments, and at follow-up. Results 203 patients were randomized: 52 in self-hypnosis/self-care, 59 in music/self-care, 47 in self-care, and 45 in psychoeducation/CBT. No group effect was found. A significant time effect was showed. Directly after the treatment, all groups decreased in pain attitudes and physical quality of life. Perceived control increased. At 6-month, all patients kept their levels of physical quality of life and perceived control, and showed decrease in pain intensity, harm, emotion and medical cure. At 12-month, scores that had change previously remained ameliorated, a decrease in insomnia severity and an increase in internal locus of control were observed. Conclusions The present findings are encouraging as they display long-term beneficial effects of complementary biopsychosocial-based treatments in chronic pain. It seems that patients continued to apply the learnt strategies as improvements were observed one year after the treatments had ended.


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