The impact of social-emotional context in chronic cancer pain: patient-caregiver reverberations
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Pain is a multifactorial and subjective experience. Psychological and social factors can modulate it. This study analyzed whether and how prolonged cancer pain is related to the social-relational environment’s characteristics. Specifically, we investigated whether the caregiver’s emotional support, his/her compassion ability or, on the contrary, his/her personal distress, associates with the patient’s pain level.
The sample consisted of 38 cancer patients suffering from pain and 38 family caregivers. The patients completed the McGill Pain Questionnaire (MPQ), the Balanced Emotional Empathy Scale (BEES) referred to caregiver, and an interview concerning the patient’s perception of the caregiver’s compassion level. Caregivers completed the distress thermometer (DT), the BEES, and an interview assessment of their compassion level.
Caregiver’s distress level correlated with patient’s pain intensity (r = .389; p = .028). Exploratory linear regression confirmed this association (R2 = .151; F (1, 30) = 5.33; p = .028; β = 0.389). The number of problems reported by caregivers correlated with the patients’ pain level (r = .375; p = .020), which was verified in a regression analysis (R2 = .140; F (1, 36) = 5.88; p = .020; β = 0.375). In particular, the caregiver’s amount of emotional problems was related to patient’s pain level (r = .427; p = .007); this result was reaffirmed in a regression (R2 = .182; F (1, 36) = 8.03; p = .007; β = 0.427).
Our results show an association between social suffering, as indicated by the caregiver’s emotional distress and the patient’s physical pain. The results also highlight high distress levels and emotional problems among caregivers. The work emphasizes the need of a bio-psychosocial approach in managing cancer pain, along with the necessity to find effective interventions to fight emotional distress in family caregivers. The recovery of the caregivers’ emotional resources could have beneficial implications on the patients’ pain.
KeywordsCancer pain Emotional support Empathy Compassion Personal distress Caregiver Bio-psychosocial model
Compliance with ethical standards
Conflicts of interest
The authors declare that they have no conflict of interest.
All procedures performed in this study were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
Informed consent was obtained from all individual participants included in the study.
- 4.Torta RG, Ieraci V (2013) Depressive disorders and pain: a joint model of diagnosis and treatment. J Pain Relief S 2:2167–0846Google Scholar
- 11.Lutgendorf, S. K., De Geest, K., Bender, D., Ahmed, A., Goodheart, M. J., Dahmoush, L., ... & Thaker, P. H. (2012) Social influences on clinical outcomes of patients with ovarian cancer. J Clin Oncol 30(23):2885–2890Google Scholar
- 13.Taylor SE (2011) Social support: a review. The Oxford handbook of health psychology. OUP, USAGoogle Scholar
- 22.Blum K, Sherman DW (2010) Understanding the experience of caregivers: a focus on transitions. Semin Oncol Nurs 26(4):243–258 Google Scholar
- 29.Eisenberg N, Eggum ND (2009) Empathic responding: sympathy and personal distress. In The social neuroscience of empathy 6:71–83 Google Scholar
- 32.Mehrabian A (1996) Manual for the balanced emotional empathy scale (BEES). (Available from Albert Mehrabian, 1130 Alta Mesa Road, Monterey, CA, USA 93940)Google Scholar
- 33.Barrett-Lennard GT (2015) The relationship inventory: A complete resource and guide. John Wiley & Sons Inc., HobokenGoogle Scholar
- 35.Hawker GA, Mian S, Kendzerska T, French M (2011) Measures of adult pain: visual analog scale for pain (vas pain), numeric rating scale for pain (nrs pain), mcgill pain questionnaire (mpq), short-form mcgill pain questionnaire (sf-mpq), chronic pain grade scale (cpgs), short form-36 bodily pain scale (sf-36 bps), and measure of intermittent and constant osteoarthritis pain (icoap). Arthritis Care Res 63(S11):S240–S252CrossRefGoogle Scholar
- 43.Harding G, Campbell J, Parsons S, Rahman A, Underwood M (2010) British pain clinic practitioners’ recognition and use of the bio-psychosocial pain management model for patients when physical interventions are ineffective or inappropriate: results of a qualitative study. BMC Musculoskelet Disord 11(1):51CrossRefGoogle Scholar