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Close relationships as a contributor to chronic pain pathogenesis: Predicting pain etiology and persistence

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  • Woods, Sarah B.
  • Priest, Jacob B.
  • Kuhn, Veronica
  • Signs, Tara

Abstract

Rationale. Chronic stress contributes to the pathogenesis of chronic pain. Yet, the role of close relationship stress in these pathways to pain is not fully understood. Objective. To delineate specific psychosocial pathways associated with chronic pain, specifically emphasizing close relationships for midlife adults. We tested whether relationship strain, relationship support, social integration, depression, anxiety, and pain severity predict chronic pain etiology and persistence over 10 years, highlighting specific associations for acute versus chronic pain. Method. Using data from the National Survey of Midlife in the U.S. (MIDUS 2 and 3, collected in 2004–2006 and 2013–2014, respectively), we used logistic regression to test the etiology of new chronic pain (n = 1591) and persistence of pain for adults with acute (n = 352) and chronic pain (n = 367) conditions at baseline. Results. Of participants who reported they did not have chronic pain at baseline, the development of chronic pain 10 years later was significantly associated with baseline family strain (OR = 1.38, p < .01). For participants with acute pain at baseline, the transition of this pain to chronic a decade later was significantly associated with initial reports of pain interference (OR = 1.24, p < .001), family support (OR = 0.60, p < .05), and depression (OR = 1.20, p < .05). Persistent chronic pain was solely associated with baseline pain interference (OR = 1.21, p < .01). Conclusions. Family strain is an important part of the chronic stress profile associated with chronic pain etiology, whereas family support is associated with a reduced risk of acute pain transitioning to chronic pain over time. Prioritizing family relationships in treatment approaches to pain may be an indicated, innovative approach to preventing pain development and escalation and requires systems training in healthcare.

Suggested Citation

  • Woods, Sarah B. & Priest, Jacob B. & Kuhn, Veronica & Signs, Tara, 2019. "Close relationships as a contributor to chronic pain pathogenesis: Predicting pain etiology and persistence," Social Science & Medicine, Elsevier, vol. 237(C), pages 1-1.
    • Handle: RePEc:eee:socmed:v:237:y:2019:i:c:16
    DOI: 10.1016/j.socscimed.2019.112452
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    References listed on IDEAS

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    1. Gruenewald, Tara L. & Karlamangla, Arun S. & Hu, Perry & Stein-Merkin, Sharon & Crandall, Carolyn & Koretz, Brandon & Seeman, Teresa E., 2012. "History of socioeconomic disadvantage and allostatic load in later life," Social Science & Medicine, Elsevier, vol. 74(1), pages 75-83.
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    5. Anne Case & Angua Deaton, 2015. "Rising morbidity and mortality in midlife among white non-Hispanic Americans in the 21st century," Working Papers 15078.full.pdf, Princeton University, Woodrow Wilson School of Public and International Affairs, Research Program in Development Studies..
    6. Roberson, Patricia N.E. & Shorter, Rebecca L. & Woods, Sarah & Priest, Jacob, 2018. "How health behaviors link romantic relationship dysfunction and physical health across 20 years for middle-aged and older adults," Social Science & Medicine, Elsevier, vol. 201(C), pages 18-26.
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    1. Ng, Wee Qin & Hartanto, Andree, 2022. "The effect of executive function on the development of chronic pain: A prospective longitudinal study," Social Science & Medicine, Elsevier, vol. 314(C).

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