The Communal Coping Model and Cancer Pain: The Roles of Catastrophizing and Attachment Style

详细信息    查看全文

• 作者：Lynn R. Gauthier^&lowast ; ; ^&dagger ; ; Gary Rodin^&dagger ; ; ^&Dagger ; ; ^§ ; ; Camilla Zimmermann^&Dagger ; ; ^§ ; ; David Warr^§ ; ; ^¶ ; ; S. Lawrence Librach^§ ; ; ^¡¬ ; Malcolm Moore^§ ; ; ^¶ ; ; Frances A. Shepherd^§ ; ; ^¶ ; ; Lucia Gagliese^&lowast ; ; ^&dagger ; ; ^&Dagger ; ; ^§ ; ; ^{lucia.gagliese@uhn.ca}
• 关键词：Cancer pain ; pain catastrophizing ; attachment style ; Communal Coping Model ; biopsychosocial
• 刊名：The Journal of Pain
• 出版年：2012
• 出版时间：December, 2012
• 年：2012
• 卷：13
• 期：12
• 页码：1258-1268
• 全文大小：348 K

文摘

Pain is among the most common symptoms of cancer, with impacts on multiple domains of well-being. Biopsychosocial factors play an important role in adjustment to cancer pain. The Communal Coping Model (CCM), which may elucidate the social context of cancer pain, suggests that people catastrophize to convey distress and elicit support. Attachment style, one's ability to elicit and respond to available support, may be an important factor, but this has not been tested in people with cancer pain. This study examined pain catastrophizing, attachment style and relational context in relation to perceived solicitous, distracting, and punishing responses of significant others to pain in 191 patients with advanced cancer. Consistent with the CCM, higher pain catastrophizing was related to more frequent solicitous and distracting responses. Pain catastrophizing, attachment anxiety, and significant other type interacted in relation to punishing responses. Higher pain catastrophizing was related to less frequent punishing responses only in anxiously attached patients who identified their spouse/partner as their significant other. These results provide support for the CCM of cancer pain, and contribute to refinement of the model. Future research that includes patients and their caregivers is required to further explicate the social context of cancer pain.

Perspective

This article investigates the Communal Coping Model in people with cancer pain. In partial support of the model, we found that pain catastrophizing was related to more frequent solicitous and distracting responses but less frequent punishing responses only in anxiously attached patients who identified their spouse/partner as their significant other.