Pain Behavior, Spouse Responsiveness, and Marital Satisfaction in Patients with Rheumatoid Arthritis

  title={Pain Behavior, Spouse Responsiveness, and Marital Satisfaction in Patients with Rheumatoid Arthritis},
  author={D Williamson and Michael Edward Robinson and Barbara G. Melamed},
  journal={Behavior Modification},
  pages={118 - 97}
Although the pain behavior of some diagnostic groups has been shown to be reactive to social influences, the reactivity of pain behavior in a rheumatoid artritis (RA) population remains an open question. The authors in this article combined laboratory and self-report assessment techniques to examine the extent to which the pain report and behavior of 52 RA patients was susceptible to influence of social factors within the marital unit. The authors' findings suggest that (a) different types of… 
Perceived spouse responsiveness to chronic pain: three empirical subgroups.
An exploratory cluster analysis to identify naturally occurring spouse response subgroups using section 2 of the Multidimensional Pain Inventory and to examine pain-relevant variables between subgroups suggests the profiles have conceptual and clinical validity.
Anxiety, Reinforcement Sensitivity and Social Context in Accepting the Experience of Pain Among Rheumatoid Arthritis Patients
The linear regression analyses revealed a negative and significant correlation between anxiety, reinforcement sensitivity, and the significant persons' responses to pain behaviors and pain acceptance.
Marital satisfaction in couples with rheumatoid arthritis.
This study indicates that certain passive coping styles are associated with lower marital satisfaction in persons with rheumatoid arthritis and their spouses and should be examined further in longitudinal studies.
Pain and functioning of rheumatoid arthritis patients based on marital status: is a distressed marriage preferable to no marriage?
The effects of chronic pain on intimate relationships.
The results indicated that relationship satisfaction was lower in couples where one person had chronic pain or a chronic health condition than in those without one, and the best predictors of relationship satisfaction in chronic pain patients were impainnents in social and communication functioning, along with their partners' level of depression and passive coping strategies.
Examination of Perceived Spouse Responses to Patient Well and Pain Behavior in Patients With Headache
The Spouse Response Inventory (SRI) is a valuable addition to available research instruments because it assesses spouse responses to well behaviors and is significantly related to any dependent variable.
Cognitions, coping, and social environment predict adjustment to pain in spinal cord injury.
Partners’ Overestimation of Patients’ Pain Severity: Relationships with Partners’ Interpersonal Responses
Couple concordance in pain perceptions was not related to patients' reports; however, it significantly predicted partners' reports, suggesting partner overestimation of pain severity is associated with partner-reported but not with patient-reported support-related responses.


The assessment of pain in rheumatoid arthritis
The behavioral observation method may be useful in the assessment of RA pain and may be included as an objective outcome measure in clinical trials with RA patients.
An Investigation of the Response of the Spouse to Chronic Pain Behavior1
  • A. Block
  • Psychology, Medicine
    Psychosomatic medicine
  • 1981
Spouses reporting relatively high levels of marital satisfaction showed greater increases in skin conductance to the painful displays of their mates than did relatively unsatisfied spouses, while both groups gave similar ratings to these same displays.
Observation of pain behavior in rheumatoid arthritis patients during physical examination. Relationship to disease activity and psychological variables.
This study examined the reliability and validity of a behavioral observation method for the assessment of arthritis pain in a clinical practice setting and found that pain behavior observed during the exams was significantly associated with patients' self-reports of anxiety and depression.