Three Types of Intimate Relationships among Individuals with Chronic Pain and a History of Trauma Exposure

Individuals with chronic pain often have psychiatric disorders, such as depression and posttraumatic stress disorder (PTSD), which can affect their intimate relationship satisfaction and stability. Little is known about the nature of support stemming from chronic pain patients’ intimate relationship...

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Main Authors: Carissa van den Berk-Clark, Terri L. Weaver, F. David Schneider
Format: Article
Language:English
Published: MDPI AG 2017-09-01
Series:Healthcare
Subjects:
Online Access:https://www.mdpi.com/2227-9032/5/4/68
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author Carissa van den Berk-Clark
Terri L. Weaver
F. David Schneider
author_facet Carissa van den Berk-Clark
Terri L. Weaver
F. David Schneider
author_sort Carissa van den Berk-Clark
collection DOAJ
description Individuals with chronic pain often have psychiatric disorders, such as depression and posttraumatic stress disorder (PTSD), which can affect their intimate relationship satisfaction and stability. Little is known about the nature of support stemming from chronic pain patients’ intimate relationships, and therefore, this study sought to: (1) use cluster modeling to construct specific intimate relationship groups based on types of support patients receive, and (2) determine if there is a relationship between support type and PTSD, chronic pain, anxiety, and depression. Ward’s method of cluster analysis in Stata was used to create groups based on the level of informational, affirmation, confident, emotional, and fun support received from chronic pain patients’ most intimate relationship. Three types of support were identified: high (type 1, n = 17), high emotional/low instrumental (type 2, n = 9), and unstable (type 3, n = 15). Types 1 and 3 included more family members (Type 1: 100%, Type 2: 93%), than type 2 (77%). Type 2 patients experienced more trauma (Mean = 9.4 ± 1.7 vs. 7.5 ± 0.88 for types 1 and 3) and were significantly more likely to have PTSD (X2 = 7.91, p < 0.05. Patients with low familial support may also benefit from PTSD screening and referral but further study is needed.
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spelling doaj.art-a58045e1964348b7ac8f6e3847c4026d2022-12-22T03:10:06ZengMDPI AGHealthcare2227-90322017-09-01546810.3390/healthcare5040068healthcare5040068Three Types of Intimate Relationships among Individuals with Chronic Pain and a History of Trauma ExposureCarissa van den Berk-Clark0Terri L. Weaver1F. David Schneider2Department of Family and Community Medicine, Saint Louis University School of Medicine, St. Louis, MO 63104, USADepartment of Psychology, Saint Louis University School of Arts and Sciences, St. Louis, MO 63110, USADepartment of Family and Community Medicine, University of Texas Southwestern Medical Center, Dallas, TX 75390, USAIndividuals with chronic pain often have psychiatric disorders, such as depression and posttraumatic stress disorder (PTSD), which can affect their intimate relationship satisfaction and stability. Little is known about the nature of support stemming from chronic pain patients’ intimate relationships, and therefore, this study sought to: (1) use cluster modeling to construct specific intimate relationship groups based on types of support patients receive, and (2) determine if there is a relationship between support type and PTSD, chronic pain, anxiety, and depression. Ward’s method of cluster analysis in Stata was used to create groups based on the level of informational, affirmation, confident, emotional, and fun support received from chronic pain patients’ most intimate relationship. Three types of support were identified: high (type 1, n = 17), high emotional/low instrumental (type 2, n = 9), and unstable (type 3, n = 15). Types 1 and 3 included more family members (Type 1: 100%, Type 2: 93%), than type 2 (77%). Type 2 patients experienced more trauma (Mean = 9.4 ± 1.7 vs. 7.5 ± 0.88 for types 1 and 3) and were significantly more likely to have PTSD (X2 = 7.91, p < 0.05. Patients with low familial support may also benefit from PTSD screening and referral but further study is needed.https://www.mdpi.com/2227-9032/5/4/68chronic painsocial supportPTSDtrauma
spellingShingle Carissa van den Berk-Clark
Terri L. Weaver
F. David Schneider
Three Types of Intimate Relationships among Individuals with Chronic Pain and a History of Trauma Exposure
Healthcare
chronic pain
social support
PTSD
trauma
title Three Types of Intimate Relationships among Individuals with Chronic Pain and a History of Trauma Exposure
title_full Three Types of Intimate Relationships among Individuals with Chronic Pain and a History of Trauma Exposure
title_fullStr Three Types of Intimate Relationships among Individuals with Chronic Pain and a History of Trauma Exposure
title_full_unstemmed Three Types of Intimate Relationships among Individuals with Chronic Pain and a History of Trauma Exposure
title_short Three Types of Intimate Relationships among Individuals with Chronic Pain and a History of Trauma Exposure
title_sort three types of intimate relationships among individuals with chronic pain and a history of trauma exposure
topic chronic pain
social support
PTSD
trauma
url https://www.mdpi.com/2227-9032/5/4/68
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