Empathic Accuracy in Chronic Pain: Exploring Patient and Informal Caregiver Differences and Their Personality Correlates.
chronic pain
empathic accuracy
health status
informal caregiver
personality
spouse
Journal
Medicina (Kaunas, Lithuania)
ISSN: 1648-9144
Titre abrégé: Medicina (Kaunas)
Pays: Switzerland
ID NLM: 9425208
Informations de publication
Date de publication:
27 Aug 2019
27 Aug 2019
Historique:
received:
26
06
2019
revised:
13
08
2019
accepted:
21
08
2019
entrez:
30
8
2019
pubmed:
30
8
2019
medline:
7
2
2020
Statut:
epublish
Résumé
Social factors have demonstrated to affect pain intensity and quality of life of pain patients, such as social support or the attitudes and responses of the main informal caregiver. Similarly, pain has negative consequences on the patient's social environment. However, it is still rare to include social factors in pain research and treatment. This study compares patient and caregivers' accuracy, as well as explores personality and health correlates of empathic accuracy in patients and caregivers. The study comprised 292 chronic pain patients from the Pain Clinic of the Vall d'Hebron Hospital in Spain (main age = 59.4 years; 66.8% females) and their main informal caregivers (main age = 53.5 years; 51.0% females; 68.5% couples). Patients were relatively inaccurate at estimating the interference of pain on their counterparts (t = 2.16; p = 0.032), while informal caregivers estimated well the patient's status (all differences p > 0.05). Empathic accuracy on patient and caregiver status did not differ across types of relationship (i.e., couple or other; all differences p > 0.05). Sex differences in estimation only occurred for disagreement in pain severity, with female caregivers showing higher overestimation (t = 2.18; p = 0.030). Patients' health status and caregivers' personality were significant correlates of empathic accuracy. Overall, estimation was poorer when patients presented higher physical functioning. Similarly, caregiver had more difficulties in estimating the patient's pain interference as patient general and mental health increased (r = 0.16, p = 0.008, and r = 0.15, p = 0.009, respectively). Caregiver openness was linked to a more accurate estimation of a patient's status (r = 0.20, p < 0.001), while caregiver agreeableness was related to a patient's greater accuracy of their caregivers' pain interference (r = 0.15, p = 0.009). Patients poorly estimate the impact of their illness compared to caregivers, regardless of their relationship. Some personality characteristics in the caregiver and health outcomes in the patient are associated with empathic inaccuracy, which should guide clinicians when selecting who requires more active training on empathy in pain settings.
Sections du résumé
BACKGROUND AND OBJECTIVES
OBJECTIVE
Social factors have demonstrated to affect pain intensity and quality of life of pain patients, such as social support or the attitudes and responses of the main informal caregiver. Similarly, pain has negative consequences on the patient's social environment. However, it is still rare to include social factors in pain research and treatment. This study compares patient and caregivers' accuracy, as well as explores personality and health correlates of empathic accuracy in patients and caregivers.
MATERIALS AND METHODS
METHODS
The study comprised 292 chronic pain patients from the Pain Clinic of the Vall d'Hebron Hospital in Spain (main age = 59.4 years; 66.8% females) and their main informal caregivers (main age = 53.5 years; 51.0% females; 68.5% couples).
RESULTS
RESULTS
Patients were relatively inaccurate at estimating the interference of pain on their counterparts (t = 2.16; p = 0.032), while informal caregivers estimated well the patient's status (all differences p > 0.05). Empathic accuracy on patient and caregiver status did not differ across types of relationship (i.e., couple or other; all differences p > 0.05). Sex differences in estimation only occurred for disagreement in pain severity, with female caregivers showing higher overestimation (t = 2.18; p = 0.030). Patients' health status and caregivers' personality were significant correlates of empathic accuracy. Overall, estimation was poorer when patients presented higher physical functioning. Similarly, caregiver had more difficulties in estimating the patient's pain interference as patient general and mental health increased (r = 0.16, p = 0.008, and r = 0.15, p = 0.009, respectively). Caregiver openness was linked to a more accurate estimation of a patient's status (r = 0.20, p < 0.001), while caregiver agreeableness was related to a patient's greater accuracy of their caregivers' pain interference (r = 0.15, p = 0.009).
CONCLUSIONS
CONCLUSIONS
Patients poorly estimate the impact of their illness compared to caregivers, regardless of their relationship. Some personality characteristics in the caregiver and health outcomes in the patient are associated with empathic inaccuracy, which should guide clinicians when selecting who requires more active training on empathy in pain settings.
Identifiants
pubmed: 31461997
pii: medicina55090539
doi: 10.3390/medicina55090539
pmc: PMC6780485
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Subventions
Organisme : Ministerio de Economía, Industria y Competitividad, Gobierno de España
ID : FPU-AP2010-5585
Organisme : Universitat Jaume I
ID : POSDOC/2016/15
Déclaration de conflit d'intérêts
The authors declare no conflict of interest to disclosure.
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