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Chronic pain couples: Perceived marital interactions and pain behaviors

Patient adjustment to chronic pain can be influenced by the spouse and his or her response to the patient's expressions of pain. The aim of this study was to investigate details within patient-spouse interactions. Couples (95) completed questionnaires relating to mood, marital satisfaction, and communication, and 80 couples were interviewed. Data were analysed using quantitative and qualitative methods. Results showed that spouses of chronic pain patients reported engaging in a far wider variety of responses to pain behaviors than previously recognized. New response categories of 'hostile-solicitous' and 'observe only' were identified. Male spouses identified fewer pain-related situations than female spouses but were more likely to report responding solicitously to patient pain behaviors. Marital satisfaction was significantly higher in patients who reported that they talked more frequently about their pain. Spouse perceived frequency of pain talk was not related to spouse marital satisfaction. There were no gender differences in marital satisfaction. The results of this study challenged some of the assumptions that have been held regarding chronic pain patient-spouse interactions. Newton-John T, Williams A. Adapted from Pain. 2006 Jul 1;123(1-2).

PMID 16563628
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed

Credit: PubMed, developed by the National Center for Biotechnology Information (NCBI) at the National Library of Medicine (NLM).




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