Irrational beliefs and social and psychological adaptation in adults with chronic pain

Authors

  • Oleg A. Gur Republican Scientific and Practical Center for Mental Health, 152 Dalhinawski Tract, Minsk 220080, Belarus
  • Natalya Yu. Klyshevich Belarusian State University, 4 Niezaliezhnasci Avenue, Minsk 220030, Belarus

Keywords:

irrational beliefs, social and psychological adaptation, chronic pain

Abstract

Adults with chronic pain were found to have pronounced irrational should beliefs about themselves and others, as well as higher levels of irrational thinking in general. These differences were found to be statistically significant. A significant number of correlations were found between the variables studied: the higher the irrationality of thinking, the lower the respondents’ socio-psychological adaptation. In the group of adults with chronic pain, the highest number of correlations were found between the «catastrophising», «should beliefs about others», and «low frustration tolerance» scales and social and psychological adaptation indicators.

Author Biographies

  • Oleg A. Gur, Republican Scientific and Practical Center for Mental Health, 152 Dalhinawski Tract, Minsk 220080, Belarus

    head of the 20th psychiatric department for the treatment of neurotic, psychosomatic and non-psychotic affective disorders, clinical department

  • Natalya Yu. Klyshevich, Belarusian State University, 4 Niezaliezhnasci Avenue, Minsk 220030, Belarus

    PhD (psychology), docent; associate professor at the department of general and medical psycho­logy, faculty of philosophy and social sciences

References

  1. Raja SN, Carr DB, Cohen M, Finnerup NB, Flor H, Gibson S, et al. The revised International Association for the Study of Pain definition of pain: concepts, challenges, and compromises. Pain. 2020;161(9):1976–1982. DOI: 10.1097/j.pain.0000000000001939.
  2. Наумовская НА, Рушкевич ЮН, Лихачев СА. Современная концепция хронической боли: обзор литературы (часть 1). Неврология и нейрохирургия Восточной Европы. 2024;14(4):531–544. DOI: 10.34883/PI.2024.14.4.041.
  3. Edmond SN, Moore BA, Dorflinger LM, Goulet JL, Becker WC, Heapy AA, et al. Project STEP: implementing the veterans health administration’s stepped care model of pain management. Pain Medicine. 2018;19(issue supplement 1):30–37. DOI: 10.1093/pm/pny094.
  4. Kamper SJ, Apeldoorn AT, Chiarotto A, Ostelo RWJG, Guzman J, van Tulder MW. Multidisciplinary biopsychosocial rehabilitation for chronic low back pain: cochrane systematic review and meta-analysis. BMJ. 2015;350:h444. DOI: 10.1136/bmj.h444.
  5. Turk DC, Okifuji A. Psychological factors in chronic pain: evolution and revolution. Journal of Consulting and Clinical Psychology. 2002;70(3):678–690. DOI: 10.1037//0022-006x.70.3.678.
  6. Mikail SF, Henderson PR, Tasca GA. An interpersonally based model of chronic pain: an application of attachment theory. Clinical Psychology Review. 1994;14(1):1–16.
  7. Данилов АнБ, Данилов АлБ. Лечение боли. Москва: Группа Ремедиум; 2018. 148 с. (Карманные рекомендации).
  8. Ellis A, Dryden W. The practice of rational emotive behavior therapy. New York: Springer Publishing Company; 2007. 281 p. DOI: 10.1891/9780826122179.
  9. Диджузеппе Р, Дойл К, Драйден У, Бакс У. Рационально-эмоционально-поведенческая терапия. Санкт-Петербург: Питер; 2021. 480 с. (Когнитивно-поведенческая терапия).
  10. Keefe FJ, Dunsmore J, Burnett R. Behavioral and cognitive-behavioral approaches to chronic pain: recent advances and future directions. Journal of Consulting and Clinical Psychology. 1992;60(4):528–536. DOI: 10.1037//0022-006x.60.4.528.
  11. Edwards RR, Bingham CO, Bathon J, Haythornthwaite JA. Catastrophizing and pain in arthritis, fibromyalgia, and other rheumatic diseases. Arthritis and Rheumatism. 2006;55(2):325–332. DOI: 10.1002/art.21865.
  12. Simic K, Savic B, Knezevic NN. Pain catastrophizing: how far have we come. Neurology International. 2024;16(3):483–501. DOI: 10.3390/neurolint16030036.
  13. Rogers AH, Farris SG. A meta-analysis of the associations of elements of the fear-avoidance model of chronic pain with negative affect, depression, anxiety, pain-related disability and pain intensity. European Journal of Pain. 2022;26(8):1611–1635. DOI: 10.1002/ejp.1994.
  14. Kroska EB. A meta-analysis of fear-avoidance and pain intensity: the paradox of chronic pain. Scandinavian Journal of Pain. 2016;13(1):43–58. DOI: 10.1016/j.sjpain.2016.06.011.
  15. Solé E, Racine M, Tomé-Pires C, Galán S, Jensen MP, Miró J. Social factors, disability, and depressive symptoms in adults with chronic pain. Clinical Journal of Pain. 2020;36(5):371–378. DOI: 10.1097/AJP.0000000000000815.
  16. Gatien C, Too A, Cormier S. Dimensions of relationship adjustment as correlates of depressive and anxiety symptoms among individuals with chronic pain. Psychology, Health & Medicine. 2022;27(8):1748–1759. DOI: 10.1080/13548506.2021.1936579.
  17. Mellace D, Aiello EN, del Prete-Ferrucci G, de Sandi A, Marfoli A, Ruggiero F, et al. Beyond pain: the influence of psychological factors on functional status in fibromyalgia. Clinical and Experimental Rheumatology. 2024;42(6):1224–1229. DOI: 10.55563/clinexprheumatol/9qrqel.
  18. Каменюкин АГ, Ковпак ДВ. Антистресс-тренинг. Санкт-Петербург: Питер; 2008. 224 с. (Эффективный тренинг). EDN: SDPSCN.
  19. Klages U. Zusammenhänge zwischen irrationalen Einstellungen und Schmerzqualitäten bei Patienten mit chronischer Polyarthritis [Correlations between irrational attitudes and pain quality in patients with chronic polyarthritis]. Zeitschrift für Rheumatologie. 1990;49(3):134–137.
  20. Коберская НН, Табеева ГР. Роль когнитивных и эмоциональных факторов в формировании боли. Журнал неврологии и психиатрии имени С. С. Корсакова. 2021;121(11):111–118. DOI: 10.17116/jnevro2021121111111.
  21. Cano A, Gillis M, Heinz W, Geisser M, Foran H. Marital functioning, chronic pain, and psychological distress. Pain. 2004;107(1):99–106. DOI: 10.1016/j.pain.2003.10.003.
  22. López-Martínez AE, Esteve-Zarazaga R, Ramírez-Maestre C. Perceived social support and coping responses are independent variables explaining pain adjustment among chronic pain patients. Journal of Pain. 2008;9(4):373–379. DOI: 10.1016/j.jpain.2007.12.002.
  23. Brittain DR, Gyurcsik NC, Cary MA, Moser EN, Moser EN, Davis LS. Differences in resilience mechanisms and physical activity among women experiencing chronic pain with higher or lower resilience. Women’s Health Issues. 2022;32(3):309–316. DOI: 10.1016/j.whi.2021.11.004.
  24. Peres MF, Lucchetti G. Coping strategies in chronic pain. Current Pain and Headache Reports. 2010;14(5):331–338. DOI: 10.1007/s11916-010-0137-3.
  25. Du S, Hu L, Bai Y, Dong J, Jin S, Zhang H, et al. The influence of self-efficacy, fear-avoidance belief, and coping styles on quality of life for Chinese patients with chronic nonspecific low back pain: a multisite cross-sectional study. Pain Practice. 2018;18(6):736–747. DOI: 10.1111/papr.12660.
  26. de Boer MJ, Struys MM, Versteegen GJ. Pain-related catastrophizing in pain patients and people with pain in the general population. European Journal of Pain. 2012;16(7):1044–1052. DOI: 10.1002/j.1532-2149.2012.00136.x.
  27. Traxler J, Hanssen MM, Lautenbacher S, Ottawa F, Peters ML. General versus pain-specific cognitions: pain catastrophizing but not optimism influences conditioned pain modulation. European Journal of Pain. 2019;23:150–159. DOI: 10.1002/ejp.1294.
  28. Keefe FJ, Rumble ME, Scipio CD, Giordano LA, Perri LM. Psychological aspects of persistent pain: current state of the science. Journal of Pain. 2004;5(4):195–211. DOI: 10.1016/j.jpain.2004.02.576.
  29. Мигунова ЮМ. Психологические факторы хронификации при головной боли. Психологические исследования. 2018;11(57):12–33. EDN: YLPSQX.

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Published

2026-06-08

Issue

No. 1 (2026): Journal of the Belarusian State University. Philosophy and Psychology

Section

Psychological Researches

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How to Cite

[1]
Gur, O.A. and Klyshevich, N.Y. 2026. Irrational beliefs and social and psychological adaptation in adults with chronic pain. Journal of the Belarusian State University. Philosophy and Psychology. 1 (Jun. 2026), 69–78.