Masters Thesis

Chronic Pain, Anger, Ambivalence Over Emotional Expression and Intrusive Thoughts

There is growing research interest in studying the role of ambivalence over emotional expression (AEE) and anger in adjustment to symptoms of chronic pain. the present research involved studying the mediating effect of AEE between anger and chronic pain in a target sample of patients with FM, and the interaction between intrusive thoughts and AEE in predicting pain. Participants completed standardized measures of AEE, pain, and anger. the variables age, duration of FM, depression, and pain disability were controlled for their effects on the outcome variable of pain magnitude. the present thesis had statistical analyses based on 21 female participants with FM with a mean age of 52.62 with an average of 12.77 years of diagnosis with FM. Correlation analyses showed that there were significantly positive correlations between: Anger and pain, AEE and anger, AEE and pain. However, there was no significant correlation between intrusive thoughts and pain or intrusive thoughts and AEE. Baron and Kenny’s model of mediational analysis (1986) and Olkin and Finn’s test of mediation (1986) were used to test the relationship between AEE, anger, and pain. Olkin and Finn’s test of mediation revealed that AEE mediated the relationship anger and pain. However, there was no significant interaction between intrusive thoughts and AEE in predicting pain. Another finding suggests that with the present data, AEE and depression were significant predictors in determining pain. the objective of the present research was to suggest anger management as an adjunctive treatment to help patients manage symptoms of FM.

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