Chronic low back pain and anger: influencing effect of rumination and gender.

UNCG Author/Contributor (non-UNCG co-authors, if there are any, appear on document)
Ann Quinlan-Colwell (Creator)
The University of North Carolina at Greensboro (UNCG )
Web Site:
Anita Tesh

Abstract: Persons living with chronic low back pain (PLWCLBP) represent a major health concern. Up to 84% of people at some point experience chronic back low pain (CLBP) with sizeable fiscal and emotional cost. If a connection between anger and CLBP can be understood, PLWCLBP can learn to better manage CLBP by managing their anger. This descriptive study that used survey methodology, was designed to assess the relationship between anger and CLBP; if that differs by gender; and if anger rumination is an influence. Five self report questionnaires were used to elicit data about pain perception, pain behavior, anger, and anger rumination in addition to demographic information. Inclusion criteria for the convenience sample were adult men and women; experiencing CLBP for three months or more; able to read and understand English; and able to understand the research process. The sample was recruited from offices of chiropractors, acupuncturists, orthopedist, pain clinics and through social nomination. Data were analyzed using descriptive statistics, Pearson Product-Moment correlations, Student ttests and multiple regressions. Vigorous response to recruitment required the sample size to be increased. Except with pain behavior, no statistically significant difference by gender was seen in distribution of any variable. Pain perception was moderately correlated with pain behaviors and intensity. State-Anger and Anger Rumination were significantly correlated with CLBP of both genders. State-Anger was significantly related to pain perception, intensity, and behavior, and in fact was predictive of them. With the exception of pain behavior, which may be culturally determined, the findings did not support a gender difference in how PLWCLBP experience pain and anger. These findings underscore the importance of individualizing pain assessment and appreciating that the experiences of PLWCLBP are unique and complex. There are several implications for nursing and health care professionals. PLWCLBP may report pain perception that does not seem to be consistent with present pain intensity. Since State-Anger was correlated with CLBP, interventions addressing anger may be useful in working with PLWCLBP. Gender specific anger group interventions may not be necessary. Anger rumination was related to both State-Anger and pain behavior and can be included in holistic treatment plans for PLWCLBP. Nurses need to know techniques to effectively work with patients who are angry to manage their own responses and to teach techniques to patients and families.

Additional Information

Language: English
Date: 2010
Anger, Chronic pain, low back pain, Gender, Nursing, Pain, Rumination
Chronic pain $x Psychological aspects.
Chronic pain $x Patients $x Attitudes.
Anger $x Sex differences.

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