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The role of physical, cognitive and social factors in pain interference with activities of daily living among individuals with chronic cancer pain
Author(s) -
ExpósitoVizcaíno Sonia,
SánchezRodríguez Elisabet,
Miró Jordi
Publication year - 2020
Publication title -
european journal of cancer care
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.849
H-Index - 67
eISSN - 1365-2354
pISSN - 0961-5423
DOI - 10.1111/ecc.13203
Subject(s) - biopsychosocial model , medicine , chronic pain , cognition , activities of daily living , physical therapy , cancer pain , social support , pain catastrophizing , cancer , cross sectional study , gerontology , psychiatry , psychology , pathology , psychotherapist
Objectives The aim of this study was to better understand the role that physical, cognitive and social factors play in pain interference with activities of daily living among individuals with cancer and chronic pain. Method In this cross‐sectional study, interviews with 156 patients with chronic cancer pain were conducted across five tertiary level hospitals in the province of Tarragona (Spain). Participants were interviewed individually and provided information about the presence and characteristics of pain, fatigue, catastrophic thinking, social support and the impact of pain on their daily activities. Results Pain intensity ( β = 0.23, p = .003), fatigue ( β = 0.26, p < .001) and pain catastrophising ( β = 0.39, p < .001) were significantly and positively associated with pain interference in daily activities. Pain interference scores were not explained by social support ( β = 0.12 p = .090) or socio‐demographic factors ( R 2 = .005; p = .94). Conclusion This study provides important new findings regarding the association between physical, cognitive and social factors and function of individuals with cancer and chronic pain, thus supporting a biopsychosocial approach to the management of chronic pain in individuals with cancer.