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Avoidant safety behaviors and catastrophizing: Shared cognitive-behavioral processes and consequences in co-morbid pain and sleep disorders
Örebro University, Department of Behavioural, Social and Legal Sciences. (CHAMP)
Örebro University, Department of Behavioural, Social and Legal Sciences.ORCID iD: 0000-0001-5359-0452
Örebro University, Department of Behavioural, Social and Legal Sciences.ORCID iD: 0000-0003-2059-1621
2008 (English)In: International Journal of Behavioral Medicine, ISSN 1070-5503, E-ISSN 1532-7558, Vol. 15, no 3, p. 201-210Article in journal (Refereed) Published
Abstract [en]

Background: Research and theory suggest that the symptom pair of chronic pain and insomnia may be maintained by shared cognitive-behavioral processes and consequences. Purpose: This investigation describes the psychometric properties of an instrument designed to assess the way people think about symptoms of pain and poor sleep. Method: A pool of 12 items was generated from existing and validated measures. Exploratory factor analysis (EFA) was conducted on item responses from a community sample of respondents who reported having had a problem with pain or sleep (n = 1702) during the three months previous to the survey. Multinomial regression analyses (MRA) were used to describe derived subscale responses for distinct groups reporting different degrees of perceived symptom severity and overlap. Results: EFA suggested the existence of three distinct dimensions: safety behaviors of behavioral orientation, safety behaviors of cognitive orientation, and catastrophizing. MRA analyses indicated that catastrophizing appears to be a shared psychological process and that both types of safety behaviors may be enhanced in co-morbid problems with persistent pain and insomnia. Conclusion: Cognitions pertaining to avoidant safety behaviors and catastrophizing are associated with symptom severity and overlap in co-morbid pain and sleep disorders. More research is needed to explore the importance of shared psychological processes and consequences when studying and treating ill health.

Place, publisher, year, edition, pages
2008. Vol. 15, no 3, p. 201-210
National Category
Psychology
Research subject
Psychology
Identifiers
URN: urn:nbn:se:oru:diva-3361DOI: 10.1080/10705500802222675OAI: oai:DiVA.org:oru-3361DiVA, id: diva2:137658
Available from: 2008-12-02 Created: 2008-12-02 Last updated: 2017-12-14Bibliographically approved
In thesis
1. Stress, musculoskeletal pain and insomnia: distinct difficulties or variations of the same problem?
Open this publication in new window or tab >>Stress, musculoskeletal pain and insomnia: distinct difficulties or variations of the same problem?
2011 (English)Doctoral thesis, comprehensive summary (Other academic)
Place, publisher, year, edition, pages
Örebro: Örebro universitet, 2011. p. 86
Series
Örebro Studies in Psychology, ISSN 1651-1328 ; 20
National Category
Psychology
Research subject
Psychology
Identifiers
urn:nbn:se:oru:diva-18838 (URN)978-91-7668-825-0 (ISBN)
Public defence
2011-11-10, Örebro universitet, Hörsal L3, Fakultetsgatan 1, Örebro, 10:15 (Swedish)
Opponent
Available from: 2011-09-29 Created: 2011-09-29 Last updated: 2017-10-17Bibliographically approved

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MacDonald, ShaneLinton, Steven J.Jansson-Fröjmark, Markus

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