Survive or Thrive? Longitudinal Relation Between Chronic Pain and Well-Being

Background The minimal literature on the relation between chronic pain and both eudaimonic (EWB) and hedonic well-being (HWB) examines the relation cross-sectionally, and most studies have examined chronic pain’s effect only on psychopathology. Methods Using a sample of 473 midlife and older adults...

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Bibliographic Details
Published in:International journal of behavioral medicine 2019-10, Vol.26 (5), p.486-498
Main Authors: Kim, Shin Ye, Shigemoto, Yuki, Neduvelil, Ashley
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Chronic pain
Chronic Pain - psychology
Cross-Sectional Studies
Family Medicine
Female
General Practice
Health Psychology
Humans
Long-term effects
Longitudinal Studies
Male
Medicine
Medicine & Public Health
Middle Aged
Pain
Psychopathology
Well being
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Summary:Background The minimal literature on the relation between chronic pain and both eudaimonic (EWB) and hedonic well-being (HWB) examines the relation cross-sectionally, and most studies have examined chronic pain’s effect only on psychopathology. Methods Using a sample of 473 midlife and older adults with chronic pain, this study examined both the cross-sectional and longitudinal relations between chronic pain and EWB and HWB in addition to psychological distress. Results Multiple-group longitudinal structural equation modeling revealed that chronic pain was related significantly and negatively to EWB and HWB, and significantly and positively to distress among both men and women. When examined longitudinally, chronic pain at time 1 was associated significantly only with decreased EWB at time 2, suggesting chronic pain’s risk to psychological functioning, especially because of its long-term effects on future EWB. Conclusions Our study provides a comprehensive picture of the way chronic pain is associated both with EWB and HWB, in addition to psychological distress. Further, chronic pain may have a lasting influence on EWB, while it may have little predictive value for future HWB and psychological distress. Our study supports well-being’s relevance to chronic pain research and has the potential to guide prevention strategies and treatment for chronic pain using a positive psychological framework.
ISSN:1070-5503
1532-7558
DOI:10.1007/s12529-019-09805-3