Exploring the influence of religious orientation and learned helplessness on pain intensity in patients with chronic pain
Religious and helplessness in chronic pain
Keywords:
Religion, Orientation, Learned Helplessness, Pain Intensity, Chronic PainAbstract
BACKGROUND: Chronic pain (CP) represents a complex and pervasive health issue, affecting individuals across diverse demographic and socioeconomic backgrounds. The main purpose of the study is to investigate how religious orientation (RO) and learned helplessness (LH) affect the intensity of pain experienced by individuals with CP.
METHODS: This study adopted a descriptive and correlational research design. The population under investigation comprised patients with CP referred to pain and physiotherapy centers in Tehran Province, Iran, from 2022 to 2023. A sample of 336 individuals were selected through available sampling methods. Data collection involved the administration of three instruments: the Religious Orientation Scale (ROS), Learned Helplessness Questionnaire (LHQ), and Graded Chronic Pain Scale (GCPS). The obtained data were analyzed by Pearson correlation and regression via SPSS software.
RESULTS: The findings indicated significant correlations between pain intensity (PI) and external RO (ERO) (r = 0.653, P < 0.001) as well as LH (r = 0.796, P < 0.001), with both showing positive associations. Conversely, the correlation between PI and internal RO (IRO) was negative and significant (r = -0.789, P < 0.001). Furthermore, the results of multiple regression analysis demonstrated that RO and LH collectively predicted 69% of the variance in PI.
CONCLUSION: This study contributes to our understanding of the multifaceted nature of CP and highlights the potential significance of addressing psychosocial factors, including RO and LH, in comprehensive pain management strategies. By incorporating these insights into clinical practice, healthcare professionals may better tailor interventions to meet the holistic needs of individuals living with CP.
References
Stokholm RN, Handberg C, Knudsen LF. Prevalence of chronic pain in a national cohort of patients with limb-girdle muscular dystrophy: A cross-sectional study. Disabil Rehabil. 2022; 44(25): 7802-10.
Todd A, Akhter N, Cairns JM, Kasim A, Walton N, Ellison A, et al. The pain divide: A cross-sectional analysis of chronic pain prevalence, pain intensity and opioid utilisation in England. BMJ Open. 2018; 8(7): e023391.
Bagheri Sheykhangafshe F, Esmaeilinasab M. Psychological implications of coronavirus disease 2019 outbreak in patients with chronic diseases: A systematic review. CDJ. 2021; 9(3): 132-43.
Huysmans E, Goudman L, Van Bogaert W, Nijs J, Putman K, Moens M, et al. Experimental pain measurements do not relate to pain intensity and pain cognitions in people scheduled for surgery for lumbar radiculopathy. Pain Med. 2023; 24(2): 139-49.
Mura P, Serra E, Marinangeli F, Patti S, Musu M, Piras I, et al. Prospective study on prevalence, intensity, type, and therapy of acute pain in a second-level urban emergency department. J Pain Res. 2017; 10: 2781-8.
Gülnar E, Özveren H, Tüzer H, Yılmazer T. An investigation of pain beliefs, pain coping, and spiritual well-being in surgical patients. J Relig Health. 2022; 61(5): 4028-38.
Ganasegeran K, Abdulrahman SA, Al-Dubai SAR, Tham SW, Perumal M. Spirituality needs in chronic pain patients: a cross-sectional study in a general hospital in Malaysia. J Relig Health. 2020; 59(3): 1201-16.
Aloush V, Gurevich-Shapiro A, Hazan E, Furer V, Elkayam O, Ablin JN. Relationship between religiosity, spirituality and physical and mental outcomes in fibromyalgia patients. Clin Exp Rheumatol. 2021; 39 Suppl 130(3): 48-53.
Rajkumar RP. The influence of cultural and religious factors on cross-national variations in the prevalence of chronic back and neck pain: an analysis of data from the global burden of disease 2019 study. Front Pain Res (Lausanne). 2023; 4: 1189432.
Folchini CM, da Silva D, Adami ER, Ogoshi RCS, de Moura Vieira KR, Von Der Heyde MD, et al. Evaluation of the religious influence on the feeling of guilt in patients with chronic pain: A review. Research, Society and Development. 2021; 10(17): e64101724008.
Hasenfratz K, Moergeli H, Sprott H, Ljutow A, Hefti R, Rittmayer I, et al. Do chronic pain patients wish spiritual aspects to be integrated in their medical treatment? A cross-sectional study of multiple facilities. Front Psychiatry. 2021; 12: 685158.
Korkut S, Ülker T, Saatçi G. The Power of Spiritual Well-Being: Its relationship with pain intensity, pain management, and pain catastrophizing in individuals with chronic pain. Pain Manag Nurs. 2024; 25(1): 62-8.
Bradford KL. The nature of religious and spiritual needs in palliative care patients, carers, and families and how they can be addressed from a specialist spiritual care perspective. Religions [Internet]. 2023; 14(1): p.125.
Sheykhangafshe FB, Farahani H, Watson P. Using exploratory graph analysis (EGA) in validating the structure of the perth alexithymia questionnaire in Iranians with chronic pain. Front Psychol. 2024; 15: 1400340.
Vergara F, Rosa J, Orozco C, Bertiller E, Gallardo MA, Bravo M, et al. Evaluation of learned helplessness, self-efficacy and disease activity, functional capacity and pain in Argentinian patients with rheumatoid arthritis. Scand J Rheumatol. 2017; 46(1): 17-21.
Liu S, Zhang X, You B, Jiang G, Chen H, Jackson T. Pain catastrophizing dimensions mediate the relationship between chronic pain severity and depression. Pain Manag Nurs. 2024; 25(1): 4-10.
Wood BM, Nicholas MK, Blyth F, Asghari A, Gibson S. The mediating role of catastrophizing in the relationship between pain intensity and depressed mood in older adults with persistent pain: A longitudinal analysis. Scand J Pain. 2016; 11: 157-62.
Samwel HJ, Evers AW, Crul BJ, Kraaimaat FW. The role of helplessness, fear of pain, and passive pain-coping in chronic pain patients. Clin J Pain. 2006; 22(3): 245-51.
Bagheri-Sheykhangafshe F, Farahani H, Dehghani M, Fathi-Ashtiani A. Forecasting psychological distress in chronic pain: the influence of post-traumatic stress disorder and pain catastrophizing. IJBS. 2024; 18(2): 91-7.
Von Korff M, Ormel J, Keefe FJ, Dworkin SF. Grading the severity of chronic pain. Pain. 1992; 50(2): 133-49.
Allport GW, Ross JM. Personal religious orientation and prejudice. J Pers Soc Psychol. 1967; 5(4): 432-43.
Quinless FW, Nelson MA. Development of a measure of learned helplessness. Nurs Res. 1988; 37(1): 11-5.
Kline R. Exploratory and confirmatory factor analysis. In: Applied quantitative analysis in education and the social sciences. London. UK: Routledge: 2013. p. 171-207.
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