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  • Print publication year: 2010
  • Online publication date: January 2011

Chapter 15 - Couple and family psychotherapeutic approaches to pain management

from Section 3 - Psychopharmacologic, behavioral, and psychotherapeutic approaches


1. Kiecolt-Glaser J, Newton T. Marriage and health: His and hers. Psychol Bull 2001; 127: 472–503.
2. Leonard MT, Cano A. Pain affects spouses too: Personal experience with pain and catastrophizing as correlates of spouse distress. Pain 2006; 126: 139–46.
3. Coyne JC, Fiske V. Couples coping with chronic and catastrophic illness. In Family Health Psychology, eds. TJ Akamatsu, MAP Stephens, SE Hobfoll, JH Crowther. (Washington: Taylor and Francis, 1992), pp. 129–49.
4. Martire LM, Lustig AP, Schulz R, Miller GE, Helgeson VS. Is it beneficial to involve a family member? A meta-analysis of psychosocial interventions for chronic illness. Health Psychol 2004; 23: 599–611.
5. Fordyce WE. Behavioral Methods for Chronic Pain and Illness (St. Louis, MO: C.V. Mosby, 1976).
6. Romano JM, Turner JA, Friedhman LS, et al. Sequential analysis of chronic pain behaviors and spouse responses. J Consult Clin Psychol 1992; 60: 777–82.
7. Romano JM, Jensen MP, Turner JA, Good AB, Hops H. Chronic pain patient-partner interactions: Further support for a behavioral model of chronic pain. Behav Ther 2000; 31: 415–40.
8. Chambers CT, Craig KD, Bennett SM. The impact of maternal behavior on children’s pain experiences: An experimental analysis. J Pediatr Psychol 2002; 27: 293–301.
9. Turk DC, Meichenbaum D, Genest M. Pain and Behavioral Medicine: A cognitive-behavioral perspective (New York: Guilford Press, 1983).
10. Gatchel RJ, Peng YB, Peters M, Fuchs PN, Turk DC. The biopsychosocial approach to chronic pain: Scientific advances and future directions. Psychol Bull 2007; 133: 581–624.
11. Cano A, Weisberg J, Gallagher M. Marital satisfaction and pain severity mediate the association between negative spouse responses to pain and depressive symptoms in a chronic pain patient sample. Pain Med 2000; 1: 35–43.
12. Cano A, Gillis M, Heinz W, Foran H. Marital functioning, chronic pain, and psychological distress. Pain 2004; 107: 99–106.
13. Flor H, Turk DC, Rudy TE. Pain and families. II. Assessment and treatment. Pain 1987; 30: 29–45.
14. Kerns RD, Haythornwaite J, Southwick S, Giller EL. The role of marital interaction in chronic pain and depressive symptom severity. J Psychosom Res 1990; 34: 401–8.
15. Paulsen JS, Altmaier EM. The effects of perceived versus enacted social support on the discriminative cue function of spouses for pain behaviors. Pain 1995; 60: 103–10.
16. Turk DC, Kerns RD, Rosenberg R. Effects of marital interaction on chronic pain and disability: Examining the down side of social support. Rehabil Psychol 1992; 37: 259–74.
17. Williamson D, Robinson ME, Melamed B. Pain behavior, spouse responsiveness, and marital satisfaction in patients with rheumatoid arthritis. Behav Modif 1997; 21: 97–118.
18. Pence LB, Thorn BE, Jensen MP, Romano JM. Examination of perceived spouse responses to patient well and pain behavior in patients with headache. Clin J Pain 2008; 24: 654–61.
19. Schwartz L, Slater MA, Birchler GR. The role of pain behaviors in the modulation of marital conflict in chronic pain couples. Pain 1996; 65: 227–33.
20. Peterson CC, Palermo TM. Parental reinforcement of recurrent pain: The moderating impact of child depression and anxiety on functional disability. J Pediatr Psychol 2004; 29: 331–41.
21. Jellesma FC, Rieffe C, Terwogt MM, Westenberg PM. Do parents reinforce somatic complaints in their children? Health Psychol 2008; 27: 280–85.
22. Lipani TA, Walker LS. Children’s appraisal and coping with pain: Relation to maternal ratings of worry and restriction in family activities. J Pediatr Psychol 2006; 31: 667–73.
23. Kerns RD, Otis JD. Family therapy for persons experiencing pain: Evidence for its effectiveness. Seminars in Pain Med 2003; 1: 79–89.
24. Scholevar GP, Perkel R. Family systems intervention and physical illness. Gen Hosp Psychiatry 1990; 12: 363–72.
25. Ehde DM, Holm JE, Metzger DL. The role of family structure, functioning, and pain modeling in headache. Headache 1991; 31: 35–40.
26. Kopp M, Richter R, Rainer J, et al. Difference in family functioning between patients with chronic headache and patients with chronic low back pain pain 1995; 63: 219–24.
27. Feuerstein M, Sult S, Houle M. Environmental stressors and chronic low back pain: Life events, family, and work environment. Pain, 1985; 22: 295–307.
28. Sullivan MJL, Thorn BE, Haythornthwaite JA, et al. Theoretical perspectives on the relation between catastrophizing and pain. Clin J Pain 2001; 17: 52–64.
29. Thorn BE, Ward LC, Sullivan MJL, Boothby JL. Communal coping model of catastrophizing: Conceptual model building. Pain 2003; 106: 1–2.
30. Sullivan MJL, Bishop S, Pivik J. The Pain Catastrophizing Scale: Development and validation. Psychol Assess 1995; 7: 524–32.
31. Sullivan MJL, Martel MO, Tripp D, Savard A, Crombez G. The relation between catastrophizing and the communication of pain experience. Pain 2006; 122: 282–8.
32. Sullivan MJL, Adams H, Sullivan ME. Communicative dimensions of pain catastrophizing: Social cueing effects on pain behaviour and coping. Pain 2004; 107: 220–6.
33. Gauthier N, Thibault P, Sullivan MJL. Individual and relational correlates of pain-related empathic accuracy in spouses of chronic pain patients. Clin J Pain 2008; 24: 669–77.
34. Cano A. Pain catastrophizing and social support in married individuals with chronic pain: The moderating role of pain duration. Pain 2004; 110: 656–64.
35. Giardino ND, Jensen MP, Turner JA, et al. Social environment moderates the association between catastrophizing and pain among persons with spinal cord injury. Pain 2003; 106: 19–25.
36. Buenaver LF, Edwards RR, Haythornthwaite JA. Pain-related catastrophizing and perceived social responses: Inter-relationships in the context of chronic pain. Pain 2007; 127: 234–42.
37. Qian L, Tsao JC, Myers CD, Kim S, Zeltzer LK. Coping predictors of children’s laboratory-induced pain tolerance, intensity, and unpleasantness. J Pain 2007; 8: 707–17.
38. Vervoort T, Craig KD, Goubert L, Dehoorne J, Joos R et al. Expressive dimensions of pain catastrophizing: A comparative analysis of school children and children with clinical pain. Pain 2008; 134: 59–68.
39. Goubert L, Craig KD, Vervoort T, et al. Facing others in pain: The effects of empathy. Pain 2005; 118: 285–8.
40. Leonard MT, Cano A. Pani effects spouses too: Personal experience with pain and catastrophizing as corrolates of spouse distress. Pain 2006; 126: 137–46.
41. Goubert L, Vervoort T, Sullivan MJL, Verhoeven, Crombez G. Parental emotional responses to their child’s pain: The role of dispositional empathy and catastrophizing about their child’s pain. J Pain 2008; 9: 272–9.
42. Goubert L, Vervoort T, Cano A, Crombez G. Catastrophizing about their children’s pain is related to higher parent-child congruency in pain ratings: An experimental investigation. Eur J Pain. 2009; 13: 196–201.
43. Degotardi PJ, Klass ES, Batya SR, et al. Development and evaluation of a cognitive-behavioral intervention for juvenile fibromyalgia. J Pediatr Psychol 2006; 31: 714–723.
44. Kozlowska K, Rose D, Khan R, et al. A conceptual model and practice framework for managing chronic pain in children and adolescents. Harv Rev Psychiatry 2008; 16: 136–50.
45. Allen KD, Shriver MD. Role of parent-mediated pain behavior management strategies in biofeedback treatment of childhood migraines. Behav Ther 1998; 29: 477–90.
46. Robins PM, Smith SM, Glutting JJ, Bishop CT. A randomized controlled trial of a cognitive-behavioral family intervention for pediatric recurrent abdominal pain. J Pediatr Psychol 2005; 30: 397–408.
47. Keefe F, Caldwell D, Baucom D, Salley A. Spouse-assisted coping skills training in the management of osteoarthritic knee pain. Arthritis Care Res 1996; 9: 279–91.
48. Keefe F, Caldwell D, Baucom D, et al. Spouse-assisted coping skills training in the management of knee pain in osteoarthritis: Long-term followup results. Arthritis Care Research 1999; 12: 101–11.
49. Keefe F, Blumenthal J, Baucom D, et al. Effects of spouse-assisted coping skills training and exercise training in patients with osteoarthritic knee pain: A randomized controlled study. Pain 2004; 110: 539–49.
50. Berg CA, Upchurch R. A developmental-contextual model of couples with chronic illness across the adult life span. Psychol Bull 2007; 133: 920–54.
51. Keefe FJ, Ahles TA, Sutton L, et al. Partner-guided cancer pain management at the end of life. J Pain Symptom Manage 2005; 29: 263–72.
52. Martire LM, Schulz R, Keefe FJ, Rudy TE, Starz T. Couple-oriented education and support intervention: Effects on individuals with osteoarthritis and their spouses. Rehabil Psychol 2007; 52: 121–32.
53. Saarijarvi S. A controlled study of couple therapy in chronic low back pain patients: Effects on marital satisfaction, psychological distress and health attitudes. J Psychosom Res 1991; 35: 265–72.
54. Saarijarvi S, Rytokoski U, Alanen E. A controlled study of couple therapy in chronic low back pain patients: No improvement of disability. J Psychosom Res 1991; 35: 671–77.
55. Saarijarvi S, Alanen E, Rytokoski U, Hyyppa M. Couple therapy improves mental well-being in chronic low back pain patients: A controlled, five year follow up study. J Psychosom Res 1992; 36: 651–6.
56. Campbell TL. The effectiveness of family interventions for physical disorders. J Marital Fam Ther 2003; 29: 263–81.
57. Drotar D. Integrating theory and practice in psychological intervention with families of children with chronic illness. In Family Health Psychology, eds. TJ Akamatsu, MAP Stephens, SE Hobfoll, JH Crowther. (Washington: Taylor and Francis, 1992), pp. 175–92.
58. Fruzzetti AE, Iverson KM. Mindfulness, acceptance, validation, and “individual” psychopathology in couples, In Mindfulness and Acceptance: Expanding the cognitive-behavioral tradition, eds. SC Hayes, VM Follette, MM Linehan. (Guilford Press: New York, 2004), pp. 168–91.
59. Fruzzetti AE, Iverson KM Intervening with couples and families to treat emotion dysregulation and psychopathology, In Emotion Regulation in Couples and Families: Pathways to dysfunction and health, eds. DK Snyder, JN. Hughes. (Washington, DC: American Psychological Association, 2006) pp. 249–67.
60. Angera JJ, Long ECJ. Qualitative and quantitative evaluations of an empathy training program for couples in marriage and romantic relationships. J Couple Relatsh Ther 2006; 5: 1–26.
61. Laurenceau J, Feldman Barrett L, Pietromonaco PR. Intimacy as an interpersonal process: The importance of self-disclosure, partner disclosure, and perceived partner responsiveness in interpersonal exchanges. J Pers Soc Psychol 1998; 74: 1238–51.
62. Laurenceau JP, Feldman Barrett L, Rovine MJ. The interpersonal process model of intimacy in marriage: A daily diary and multilevel modeling approach. J Fam Psychol 2005; 19: 314–23.
63. Long ECJ, Angera JJ, Carter SJ, Nakamoto M, Kalso M. Understanding the one you love: A longitudinal assessment of an empathy training program for couples in romantic relationships. Fam Relat 1999; 48: 235–42.
64. Mitchell AE, Castellani AM, Herrington RL, et al. Predictors of intimacy in couples’ discussions of relationship injuries: An observational study. J Fam Psychol 2008; 22: 21–9.
65. Johansen A, Cano A. A preliminary investigation of affective interaction in chronic pain couples. Pain 2007; 132: S86–S95.
66. Newton-John TR, Willams AC. Chronic pain couples: Perceived marital interactions and pain behaviours. Pain 2006; 123: 53–63.
67. Cano A, Barterian J, Heller J. Empathic and nonempathic interaction in chronic pain couples. Clin J Pain 2008; 24: 678–84.
68. Cano A, Leonard MT. Integrative behavioral couple therapy for chronic pain: Promoting behavior change and emotional acceptance. J Clin Psychol 2006; 62: 1409–18.
69. Christensen A, Jacobson N, Babcock J. Integrative behavioral couple therapy. In Clinical Handbook of Marital Therapy 2nd edn. eds. N Jacobson Gurman (New York: Guilford Press, 1995), pp. 31–64.
70. Jacobson N, Christensen A. Acceptance and Change In Couple Therapy: A therapist’s guide to transforming relationships (New York: Norton, 1998).
71. Christensen A, Atkins D, Berns S, et al. Traditional versus integrative behavioral couple therapy for significantly and chronically distressed married couples. J Consult Clin Psychol 2004; 72: 176–91.
72. Jacobson N, Christensen A, Prince S, Cordova J, Eldridge K. Integrative behavioral couple therapy: An acceptance-based, promising new treatment for couple discord. J Consult Clin Psychol 2000; 68: 351–5.
73. Leonard M, Cano A, Johansen A. Chronic pain in a couples context: A review and integration of theoretical models and empirical evidence. J Pain 2006; 7: 377–90.
74. Cano A, Johansen A, Franz A. Multilevel analysis of spousal congruence on pain, interference, and disability. Pain, 2005; 118: 369–79.
75. Cano A, Johansen A, Geisser M. Spousal congruence on disability, pain, and spouse responses to pain. Pain, 2004; 109: 258–65.
76. Herbette G, Rime B. Verbalization of emotion in chronic pain patients and their psychological adjustment. J Health Psychol 2004; 9: 661–76.
77. Morley S, Doyle K, Beese A. Talking to others about pain: Suffering in silence. In Proceedings of the Ninth World Congress on Pain: Progress in pain research and management, eds. M. Devor, M. Rowbothan, Z. Wiesenfeld-Hallin. (Seattle: IASP Press, 2000), pp. 1123–9.
78. Porter LS, Keefe FJ, Wellington C, de Williams A. Pain communication in the context of osteoarthritis: Patient and partner self-efficacy for pain communication and holding back from discussion of pain and arthritis-related concerns. Clin J Pain 2008; 24: 662–8.
79. Johnson SM, Greenberg LS. Emotionally focused couples therapy: An outcome study. J Marital Fam Ther 1985; 11: 313–17.
80. Kowal J, Johnson SM, Lee A. Chronic illness in couples: A case for emotionally focused therapy. J Marital Fam Ther 2003; 29: 299–310.
81. Johnson S. The Practice of Emotionally Focused Couple Therapy: Creating connection (New York: Brunner-Routledge, 2004).
82. Walker JG, Johnson S, Manion I, Cloutier P. Emotionally focused marital intervention for couples with chronically ill children. J Consult Clin Psychol 1996; 64: 1029–36.