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Perceived Pain and Smoking Interrelations Among Veterans with Chronic Pain Enrolled in a Smoking Cessation Trial.
- Source :
-
Pain Medicine . Nov2022, Vol. 23 Issue 11, p1820-1827. 8p. - Publication Year :
- 2022
-
Abstract
- Introduction The Pain and Smoking Inventory (PSI) measures patients' perceived interrelations of their pain and smoking behavior, and it comprises three conceptually distinct domains: smoking to cope with pain (PSI-Cope), pain as a motivator of smoking (PSI-Motivate), and pain as a barrier to cessation (PSI-Barrier). Associations between PSI scores and pain interference and self-efficacy to quit smoking, two measures that can affect cessation outcomes, remain unclear. Methods We conducted a secondary analysis of baseline data from 371 veterans with chronic pain (88% male, Median age =60) enrolled in a randomized smoking cessation trial. We used sequential multivariate regression models to examine associations between the three PSI domains and pain interference / self-efficacy. Results Of 371 veterans who completed baseline surveys, 88% were male, with a median age of 60 years. PSI-Motivate scores were positively associated with pain interference (beta [B]: 0.18, 95% confidence interval [CI]: 0.02 to 0.34). PSI-Barrier subscores were negatively associated with self-efficacy (B: –0.23, 95% CI: –0.36 to –0.10). Conclusion Findings suggest that individuals who hold maladaptive perceptions of pain–smoking interrelations could be more likely to endorse higher pain interference and lower self-efficacy—two established predictors of cessation outcomes. Moreover, each PSI subscale demonstrated unique relationships with the dependent variables, and our results provided support for a three-factor structure. These findings further demonstrate that the PSI comprises three conceptually and empirically distinct domains; future research should evaluate the clinical utility of assessing each domain in relation to cessation outcomes. [ABSTRACT FROM AUTHOR]
- Subjects :
- *SMOKING & psychology
*CHRONIC pain & psychology
*EVALUATION of medical care
*SMOKING cessation
*CONFIDENCE intervals
*MULTIVARIATE analysis
*MOTIVATION (Psychology)
*PATIENTS' attitudes
*PSYCHOLOGY of veterans
*SELF-efficacy
*SURVEYS
*MATHEMATICAL variables
*HEALTH behavior
*DESCRIPTIVE statistics
*HEALTH attitudes
*DATA analysis software
Subjects
Details
- Language :
- English
- ISSN :
- 15262375
- Volume :
- 23
- Issue :
- 11
- Database :
- Academic Search Index
- Journal :
- Pain Medicine
- Publication Type :
- Academic Journal
- Accession number :
- 160071607
- Full Text :
- https://doi.org/10.1093/pm/pnac082