caa a22 4500 477122809 CHVBK 20180405111641.0 cr unu---uuuuu 170330e19971201xx s 000 0 eng 10.1023/A:1026253418543 doi (NATIONALLICENCE)springer-10.1023/A:1026253418543 The Family Environment in Chronic Pain Patients: Comparison to Controls and Relationship to Patient Functioning [Elektronische Daten] [Joan Romano, Judith Turner, Mark Jensen] Operant and cognitive-behavioral models of chronic pain have called attention to the importance of examining the marital and family environments of chronic pain patients. In this study, 50 chronic pain patients and their spouses and 33 control participants and their spouses completed measures of the family environment, marital satisfaction, and patient physical and psychological functioning. Patients' overt pain behaviors were coded from videotapes of patient-spouse interactions. Compared to controls, pain patients and their spouses rated their family environments as lower in cohesion and higher in control, and there was a trend for spouses to report more marital dissatisfaction. Chronic pain patient depression was associated negatively with patient-rated family cohesion and expressiveness and spouse-rated family organization and positively with patient-rated family conflict. Overt patient pain behaviors and spouse-rated patient disability were related negatively to spouse-rated family cohesion. Spouse marital satisfaction was associated negatively with patient depression and with spouse ratings of patient disability and pain behaviors. Plenum Publishing Corporation, 1997 chronic pain nationallicence family environment nationallicence depression nationallicence pain behaviors nationallicence direct observation nationallicence Romano Joan Department of Psychiatry and Behavioral Sciences, University of Washington, Box 356560, 98195-6560, Seattle, Washington aut Turner Judith Department of Psychiatry and Behavioral Sciences, University of Washington, Box 356560, 98195-6560, Seattle, Washington aut Jensen Mark Department of Rehabilitation Medicine, University of Washington, Box 356490, 98195-6490, Seattle, Washington aut Journal of Clinical Psychology in Medical Settings Kluwer Academic Publishers-Plenum Publishers 4/4(1997-12-01), 383-395 1068-9583 4:4<383 1997 4 10880 https://doi.org/10.1023/A:1026253418543 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1023/A:1026253418543 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Romano Joan Department of Psychiatry and Behavioral Sciences, University of Washington, Box 356560, 98195-6560, Seattle, Washington aut NATIONALLICENCE 700 1- Turner Judith Department of Psychiatry and Behavioral Sciences, University of Washington, Box 356560, 98195-6560, Seattle, Washington aut NATIONALLICENCE 700 1- Jensen Mark Department of Rehabilitation Medicine, University of Washington, Box 356490, 98195-6490, Seattle, Washington aut NATIONALLICENCE 773 0- Journal of Clinical Psychology in Medical Settings Kluwer Academic Publishers-Plenum Publishers 4/4(1997-12-01), 383-395 1068-9583 4:4<383 1997 4 10880 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer