Article

OBJECTIVE: To systematically review the research findings regarding the
associations between psychosocial factors and adjustment to chronic pain in
persons with physical disabilities. DATA SOURCES:
A key word literature search
was conducted using articles listed in PubMed, PsychInfo, and CINAHL up to March
2010, and manual searches were made of all retrieved articles to identify
published articles that met the review inclusion criteria. STUDY SELECTION: To be
included in the review, articles needed to (1) be written in English, (2) include
adults with a physical disability who report having pain, (3) include at least 1
measure of a psychosocial predictor domain, (4) include at least 1 criterion
measure of pain or patient functioning, and (5) report the results of
associations between the psychosocial factors and criterion measures used in the
study. Twenty-nine studies met the inclusion criteria. DATA EXTRACTION: Three
reviewers tabulated study details and findings. DATA SYNTHESIS: The disability
groups studied included spinal cord injury (SCI), acquired amputation, cerebral
palsy (CP), multiple sclerosis (MS), and muscular dystrophy (MD). Psychosocial
factors were shown to be significantly associated with pain and dysfunction in
all disability groups. The psychosocial factors most closely associated with pain
and dysfunction across the samples included (1) catastrophizing cognitions; (2)
task persistence, guarding, and resting coping responses; and (3) perceived
social support and solicitous responding social factors. Pain-related beliefs
were more strongly associated with pain and dysfunction in the SCI, CP, MS, and
MD groups than in the acquired amputation group. CONCLUSIONS: The findings
support the importance of psychosocial factors as significant predictors of pain
and functioning in persons with physical disabilities. Clinical trials to test
the efficacy of psychosocial treatments for pain and dysfunction are warranted,
as are studies to determine whether psychosocial factors have a causal influence
on pain and adjustment in these populations.
CI - Copyright A(c) 2011 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS