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Association Between Pain Severity, Pain Beliefs, Pain Coping and Attitudes Towards Complementary and Alternative Treatments among Physical Therapy Patients

Year 2023, Volume: 4 Issue: 1, 1 - 8, 21.04.2023
https://doi.org/10.53811/ijtcmr.1218300

Abstract

Objective: The study aimed to determine the correlation between pain severity, pain beliefs, pain coping, and attitudes toward complementary and alternative treatments among physical therapy patients.
Methods: This cross-sectional and analytical was conducted in a physical therapy and rehabilitation hospital in north-eastern Turkey. The sample consisted of 150 physical therapy patients. Data were collected using Demographic Information Form, Pain Beliefs Questionnaire, Pain Coping Questionnaire, and Attitudes towards Complementary and Alternative Medicine Questionnaire. Spearman’s Correlation Analysis and Multiple Linear Regression Analysis were used in data analysis.
Results: The study revealed that the patients had negative attitudes towards complementary (13.64 ± 4.00) and alternative medicine use (13.18 ± 4.14). The scores were moderate for the patients' psychological (18.62 ± 3.69) and organic belief (33.68 ± 5.17). A significant correlation was determined between patients’ attitudes towards complementary medical treatment and conventional medical treatment for pain (p=0.020). The patients had moderate pain intensity (5.70±2.44), and there was a significant correlation between pain intensity and attitudes towards alternative medicine (p=0.012).
Conclusion: Physical therapy patients’ attitudes towards complementary and alternative medicine are associated with pain coping and severity. The patients should be educated to cope with pain and manage it by health professionals.

References

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  • 2. Şahin N, Karahan AY, Albayrak İ. Effectiveness of physical therapy and exercise on pain and functional status in patients with chronic low back pain: a randomized controlled trial. Turk J Phys Med Rehab. 2018;64(1):52-58.
  • 3. Mete HE, Noyan A, Sertöz ÖÖ. Psychosocial aspects of pain. Ağrı. 2006;18(1):20-25.
  • 4. Tütüncü R, Günay H. Chronic pain, psychological factors and depression. Dicle Tıp Dergisi. 2011;38(2):257-262.
  • 5. Sertel-Berk HÖ, Bahadır G. The experience of chronic pain and pain beliefs. Ağrı. 2007;19(4):5-15.
  • 6. Koçoğlu D, Özdemir L. The relation between pain and pain beliefs and sociodemographic-economic characteristics in an adult population. Ağrı. 2011;23(2):64-70.
  • 7. Baird A, Sheffield D. The relationship between pain beliefs and physical and mental health outcome measures in chronic low back pain: direct and indirect effects. Healthcare. 2016;4(3):58.
  • 8. Kavadar G, Demircioğlu TD, Can H, Emre TY, Civelek E, Senyiğit A. The clinical factors associated with benefit finding of complementary medicine use in patients with back pain: a cross-sectional study with cluster analysis. J Back Musculoskelet Rehabil. 2016;30(2):271-277.
  • 9. Duenas M, Ojeda B, Salazar A, Mico JA, Failde I. A review of chronic pain impact on patients, their social environment and the health care system. J. Pain Res. 2016;9:457-467.
  • 10. Ojala,T, Hakkinen A, Karppinen J, Sipila K, Suutama T, Piirainen A. Chronic pain affects the whole person – a phenomenological study. Disabil Rehabil. 2015;37(4):363-371.
  • 11. Burke AL, Mathias JL, Denson LA. Psychological functioning of people living with chronic pain: a meta-analytic review. Br. J. Clin. Psychol. 2015;54(3):345-360.
  • 12. Babadağ B, Alparslan GB, Güleç S. Coping with the pain of elderly pain patients: nursing approach. Ağrı. 2017;29(2):55-63.
  • 13. Babadağ B, Alparslan GB, Güleç S. The relationship between pain beliefs and coping with pain of algology patients. Pain Manag Nurs. 2015;16(6):910-919.
  • 14. Baastrup S, Schultz R, Brodsgaard I, et al. A comparison of coping strategies in patients with fibromyalgia, chronic neuropathic pain, and pain-free controls. Scand. J. Psychol. 2016;57(6):516-522.
  • 15. Bar-Zaccay A, Bailey D. The attitudes and beliefs of UK osteopaths towards the management of low back pain: a cross-sectional study. Int J Osteopath Med. 2018;28:42-47.
  • 16. Tavafian SS, Eftekhar H, Mohammad K, et al. Patients’ knowledge, perception and belief about the reasons of low back pain. Iran. J. Public Health. 2004;33(4):57-60.
  • 17. Yu A, Devine CA, Kasdin RG, et al. Pain management among Dominican patients with advanced osteoarthritis: a qualitative study. BMC Musculoskelet. Disord. 2016;17:211.
  • 18. Öztürk-Birge A, Mollaoğlu M. Pain beliefs of patients and the nonpharmacological methods they use to manage the pain. Ağrı. 2018;30(2):84-92.
  • 19. Ndao-Brumblay SK, Green CR. Predictors of complementary and alternative medicine use in chronic pain patients. Pain Med. 2010;11(1):16-24.
  • 20. Edwards LC, Pearce CA, Turner-Stokes L, Jones A. The pain beliefs questionnaire: an investigation of beliefs on the causes and consequences of pain. Pain. 1992;51(3):267-272.
  • 21. Sertel-Berk HÖ. The experience of chronic pain and pain beliefs: the Turkish validation study of the pain beliefs questionnaire. Unpublished doctorate thesis, Istanbul University, İstanbul, Turkey, 2006.
  • 22. Kleinke CL. How chronic pain patients cope with pain: Relation to treatment outcome in a multidisciplinary pain clinic. Cognit Ther Res. 1992;16:669-685.
  • 23. Karaca S, Demir O, Aşkın R, Şimşek I. The reliability and validity of pain coping questionnaire. Conference paper at the meeting of the 5. Türk-Alman Fiziksel Tıp ve Rehabilitasyon Kongresi, Antalya, Turkey, 1996.
  • 24. Araz A, Harlak H. Developing a scale for attitudes towards complementary and alternative medicine. Turk J Public Health. 2006;4:47-54.
  • 25. Büyüköztürk Ş. Handbook of data analysis for social sciences: statistics, research design, SPSS applications and interpretation. (22nd ed.). Ankara: Pegem Akademi, 2016.
  • 26. Azzouzi H, Abourazzak FE, Lazrak F, et al. Complementary and alternative medicine in knee osteoarthritis: which place? SM Journal of Orthopedics. 2016;2(4):1044.
  • 27. Sadiq S, Kaur S, Khajuria V, Gupta S, Sharma A. Complementary and alternative medicine use in medical OPD patients of rheumatoid arthritis in a tertiary care hospital. Natl J Physiol Pharm Pharmacol. 2016;6(4):305-309.
  • 28. Tsang VHM, Lo PHW, Lam FT, et al. Perception and use of complementary and alternative medicine for low back pain. Orthop. Surg. 2017;25(3):1-8.
  • 29. Lee GBW, Charn TC, Chew ZH, Ng TP. Complementary and alternative medicine use in patients with chronic diseases in primary care is associated with perceived quality of care and cultural beliefs. Fam. Pract. 2004;21(6):654-660.
  • 30. Wang C. Complementary and alternative medicine and osteoarthritis. Int J Integr Med.. 2013;1:13.
  • 31. Alaaeddine N, Okais J, Ballane L, Baddoura RM. Use of complementary and alternative therapy among patients with rheumatoid arthritis and osteoarthritis. J. Clin. Nurs. 2012;21:3198-3204.
  • 32. Martinez-Calderon J, Struyf F, Meeus M, Luque-Suarez A. The association between pain beliefs and pain intensity and/or disability in people with shoulder pain: a systematic review. Musculoskelet. Sci. Pract. 2018;37:29-57.
  • 33. Espinoza-Giacinto R, Castañeda SF, Perez RL, et al. Diabetes cultural beliefs and traditional medicine use among health center patients in Oaxaca, Mexico. J. Immigr. Minor. Health. 2016;18(6):1413-1422.
  • 34. Nahin RL, Boineau R, Khalsa PS, Stussman BJ, Weber WJ. Evidence-based evaluation of complementary health approaches for pain management in the United States. Mayo Clin. Proc. 2016;91(9):1292-306.
  • 35. Wertli MM, Held U, Lis A, Campello M, Weiser S. Both positive and negative beliefs are important in patients with spine pain: findings from the occupational and industrial orthopaedic center registry. Spine J. 2018;18(8):1463-1474.
  • 36. Fleming S, Rabago DP, Mundt MP, Fleming MF. CAM therapies among primary care patients using opioid therapy for chronic pain. BMC Complement Altern. Med. 2007;7:15.
  • 37. Shengelia R, Parker SJ, Ballin M, George T, Reid C. Complementary therapies for osteoarthritis: are they effective? Pain Manag Nurs. 2014;14:e274-e288.
Year 2023, Volume: 4 Issue: 1, 1 - 8, 21.04.2023
https://doi.org/10.53811/ijtcmr.1218300

Abstract

References

  • 1. Umay E, Rükşen S, Tezelli MK, Meşhur M, Dinç A. Evaluation of patient satisfaction from the short-term outcomes of balneotherapy and physical therapy in musculoskeletal disorders. Turk J Phys Med Rehab. 2013;59(3):222-228.
  • 2. Şahin N, Karahan AY, Albayrak İ. Effectiveness of physical therapy and exercise on pain and functional status in patients with chronic low back pain: a randomized controlled trial. Turk J Phys Med Rehab. 2018;64(1):52-58.
  • 3. Mete HE, Noyan A, Sertöz ÖÖ. Psychosocial aspects of pain. Ağrı. 2006;18(1):20-25.
  • 4. Tütüncü R, Günay H. Chronic pain, psychological factors and depression. Dicle Tıp Dergisi. 2011;38(2):257-262.
  • 5. Sertel-Berk HÖ, Bahadır G. The experience of chronic pain and pain beliefs. Ağrı. 2007;19(4):5-15.
  • 6. Koçoğlu D, Özdemir L. The relation between pain and pain beliefs and sociodemographic-economic characteristics in an adult population. Ağrı. 2011;23(2):64-70.
  • 7. Baird A, Sheffield D. The relationship between pain beliefs and physical and mental health outcome measures in chronic low back pain: direct and indirect effects. Healthcare. 2016;4(3):58.
  • 8. Kavadar G, Demircioğlu TD, Can H, Emre TY, Civelek E, Senyiğit A. The clinical factors associated with benefit finding of complementary medicine use in patients with back pain: a cross-sectional study with cluster analysis. J Back Musculoskelet Rehabil. 2016;30(2):271-277.
  • 9. Duenas M, Ojeda B, Salazar A, Mico JA, Failde I. A review of chronic pain impact on patients, their social environment and the health care system. J. Pain Res. 2016;9:457-467.
  • 10. Ojala,T, Hakkinen A, Karppinen J, Sipila K, Suutama T, Piirainen A. Chronic pain affects the whole person – a phenomenological study. Disabil Rehabil. 2015;37(4):363-371.
  • 11. Burke AL, Mathias JL, Denson LA. Psychological functioning of people living with chronic pain: a meta-analytic review. Br. J. Clin. Psychol. 2015;54(3):345-360.
  • 12. Babadağ B, Alparslan GB, Güleç S. Coping with the pain of elderly pain patients: nursing approach. Ağrı. 2017;29(2):55-63.
  • 13. Babadağ B, Alparslan GB, Güleç S. The relationship between pain beliefs and coping with pain of algology patients. Pain Manag Nurs. 2015;16(6):910-919.
  • 14. Baastrup S, Schultz R, Brodsgaard I, et al. A comparison of coping strategies in patients with fibromyalgia, chronic neuropathic pain, and pain-free controls. Scand. J. Psychol. 2016;57(6):516-522.
  • 15. Bar-Zaccay A, Bailey D. The attitudes and beliefs of UK osteopaths towards the management of low back pain: a cross-sectional study. Int J Osteopath Med. 2018;28:42-47.
  • 16. Tavafian SS, Eftekhar H, Mohammad K, et al. Patients’ knowledge, perception and belief about the reasons of low back pain. Iran. J. Public Health. 2004;33(4):57-60.
  • 17. Yu A, Devine CA, Kasdin RG, et al. Pain management among Dominican patients with advanced osteoarthritis: a qualitative study. BMC Musculoskelet. Disord. 2016;17:211.
  • 18. Öztürk-Birge A, Mollaoğlu M. Pain beliefs of patients and the nonpharmacological methods they use to manage the pain. Ağrı. 2018;30(2):84-92.
  • 19. Ndao-Brumblay SK, Green CR. Predictors of complementary and alternative medicine use in chronic pain patients. Pain Med. 2010;11(1):16-24.
  • 20. Edwards LC, Pearce CA, Turner-Stokes L, Jones A. The pain beliefs questionnaire: an investigation of beliefs on the causes and consequences of pain. Pain. 1992;51(3):267-272.
  • 21. Sertel-Berk HÖ. The experience of chronic pain and pain beliefs: the Turkish validation study of the pain beliefs questionnaire. Unpublished doctorate thesis, Istanbul University, İstanbul, Turkey, 2006.
  • 22. Kleinke CL. How chronic pain patients cope with pain: Relation to treatment outcome in a multidisciplinary pain clinic. Cognit Ther Res. 1992;16:669-685.
  • 23. Karaca S, Demir O, Aşkın R, Şimşek I. The reliability and validity of pain coping questionnaire. Conference paper at the meeting of the 5. Türk-Alman Fiziksel Tıp ve Rehabilitasyon Kongresi, Antalya, Turkey, 1996.
  • 24. Araz A, Harlak H. Developing a scale for attitudes towards complementary and alternative medicine. Turk J Public Health. 2006;4:47-54.
  • 25. Büyüköztürk Ş. Handbook of data analysis for social sciences: statistics, research design, SPSS applications and interpretation. (22nd ed.). Ankara: Pegem Akademi, 2016.
  • 26. Azzouzi H, Abourazzak FE, Lazrak F, et al. Complementary and alternative medicine in knee osteoarthritis: which place? SM Journal of Orthopedics. 2016;2(4):1044.
  • 27. Sadiq S, Kaur S, Khajuria V, Gupta S, Sharma A. Complementary and alternative medicine use in medical OPD patients of rheumatoid arthritis in a tertiary care hospital. Natl J Physiol Pharm Pharmacol. 2016;6(4):305-309.
  • 28. Tsang VHM, Lo PHW, Lam FT, et al. Perception and use of complementary and alternative medicine for low back pain. Orthop. Surg. 2017;25(3):1-8.
  • 29. Lee GBW, Charn TC, Chew ZH, Ng TP. Complementary and alternative medicine use in patients with chronic diseases in primary care is associated with perceived quality of care and cultural beliefs. Fam. Pract. 2004;21(6):654-660.
  • 30. Wang C. Complementary and alternative medicine and osteoarthritis. Int J Integr Med.. 2013;1:13.
  • 31. Alaaeddine N, Okais J, Ballane L, Baddoura RM. Use of complementary and alternative therapy among patients with rheumatoid arthritis and osteoarthritis. J. Clin. Nurs. 2012;21:3198-3204.
  • 32. Martinez-Calderon J, Struyf F, Meeus M, Luque-Suarez A. The association between pain beliefs and pain intensity and/or disability in people with shoulder pain: a systematic review. Musculoskelet. Sci. Pract. 2018;37:29-57.
  • 33. Espinoza-Giacinto R, Castañeda SF, Perez RL, et al. Diabetes cultural beliefs and traditional medicine use among health center patients in Oaxaca, Mexico. J. Immigr. Minor. Health. 2016;18(6):1413-1422.
  • 34. Nahin RL, Boineau R, Khalsa PS, Stussman BJ, Weber WJ. Evidence-based evaluation of complementary health approaches for pain management in the United States. Mayo Clin. Proc. 2016;91(9):1292-306.
  • 35. Wertli MM, Held U, Lis A, Campello M, Weiser S. Both positive and negative beliefs are important in patients with spine pain: findings from the occupational and industrial orthopaedic center registry. Spine J. 2018;18(8):1463-1474.
  • 36. Fleming S, Rabago DP, Mundt MP, Fleming MF. CAM therapies among primary care patients using opioid therapy for chronic pain. BMC Complement Altern. Med. 2007;7:15.
  • 37. Shengelia R, Parker SJ, Ballin M, George T, Reid C. Complementary therapies for osteoarthritis: are they effective? Pain Manag Nurs. 2014;14:e274-e288.
There are 37 citations in total.

Details

Primary Language English
Subjects Traditional, Complementary and Integrative Medicine
Journal Section Research Articles
Authors

Emel Bahadır Yılmaz 0000-0003-1785-3539

Elvan Ata 0000-0002-5920-8207

Publication Date April 21, 2023
Submission Date December 13, 2022
Published in Issue Year 2023 Volume: 4 Issue: 1

Cite

APA Bahadır Yılmaz, E., & Ata, E. (2023). Association Between Pain Severity, Pain Beliefs, Pain Coping and Attitudes Towards Complementary and Alternative Treatments among Physical Therapy Patients. International Journal of Traditional and Complementary Medicine Research, 4(1), 1-8. https://doi.org/10.53811/ijtcmr.1218300

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