{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T01:11:46Z","timestamp":1747185106468,"version":"3.40.5"},"reference-count":37,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2024,2,28]],"date-time":"2024-02-28T00:00:00Z","timestamp":1709078400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Haemophilia"],"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Among people with bleeding disorders (PwBD), pain is a major problem and pain treatments are often ineffective. Understanding of psychological factors involved in pain processing is limited. Maladaptive pain attitudes are associated with worse pain outcomes and adaptive pain attitudes are associated with better outcomes in high pain conditions, but relationships between pain attitudes and pain outcomes are so far unexplored among PwBD.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>To investigate relationships between pain attitudes and pain outcomes among PwBD.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Pain attitudes were measured with the Survey of Pain Attitudes, containing two adaptive scales (Control and Emotion) and five maladaptive scales (Disability, Harm, Medication, Solicitude, Medical Cure). Adults with bleeding disorders, who had pain, and were enrolled in Community Voices in Research were eligible. Participants (<jats:italic>n<\/jats:italic>\u00a0=\u00a072) completed an online survey. Cross sectional associations between pain attitudes and pain outcomes (pain and prescribed pain medication use) were investigated using logistic regression.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>After adjustment for covariates, greater Control attitudes were associated with lower odds of more severe pain, and greater Disability, Harm, and Medication attitudes were all associated with higher odds of more severe pain and with higher odds of any prescribed pain medication use and opioid pain medication use.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>We presented compelling evidence of relationships between pain attitudes and pain outcomes in PwBD, though corroboration is needed from other populations. Our findings suggest that modification of pain attitudes presents a possible avenue for interventions to improve pain outcomes and increase patient satisfaction with pain management.<\/jats:p><\/jats:sec>","DOI":"10.1111\/hae.14942","type":"journal-article","created":{"date-parts":[[2024,2,28]],"date-time":"2024-02-28T09:44:55Z","timestamp":1709113495000},"page":"720-727","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Pain attitudes and pain outcomes among people with bleeding disorders: Results from community voices in research"],"prefix":"10.1111","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9507-7227","authenticated-orcid":false,"given":"Corey","family":"Pierce","sequence":"first","affiliation":[{"name":"Oregon State University College of Public Health and Human Sciences  Portland USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5065-3796","authenticated-orcid":false,"given":"Adam","family":"Branscum","sequence":"additional","affiliation":[{"name":"Oregon State University College of Public Health and Human Sciences School of Biological and Population Health Sciences  Corvallis USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6337-9108","authenticated-orcid":false,"given":"Veronica L.","family":"Irvin","sequence":"additional","affiliation":[{"name":"Oregon State University College of Public Health and Human Sciences School of Social and Behavioral Health Sciences  Corvallis USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7665-5482","authenticated-orcid":false,"given":"James","family":"Elander","sequence":"additional","affiliation":[{"name":"Psychology University of Derby  Derby UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2139-0549","authenticated-orcid":false,"given":"Marit","family":"Bovbjerg","sequence":"additional","affiliation":[{"name":"Oregon State University College of Public Health and Human Sciences School of Biological and Population Health Sciences  Corvallis USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0758-286X","authenticated-orcid":false,"given":"Michelle","family":"Witkop","sequence":"additional","affiliation":[{"name":"National Bleeding Disorder Foundation New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ellen","family":"Smit","sequence":"additional","affiliation":[{"name":"Oregon State University College of Public Health and Human Sciences School of Biological and Population Health Sciences  Corvallis USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,2,28]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1586\/17474086.2015.1002465"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/hae.13214"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/hae.12765"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.5482\/HAMO-14-03-0021"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/hae.13509"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/hae.12349"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/hae.12221"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/hae.12291"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/ejp.1044"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1526-4637.2001.01044.x"},{"volume-title":"Survey of Pain Attitudes: Professional Manual","year":"2007","author":"Jensen MP","key":"e_1_2_9_12_1"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10865-013-9529-2"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0304-3959(99)00005-6"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1682\/JRRD.2008.03.0044"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pain.2004.01.002"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1526-4637.2010.00955.x"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1177\/1049909109335146"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpain.2007.05.006"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpain.2008.04.008"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0304-3959(99)00259-6"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0304-3959(00)00469-3"},{"key":"e_1_2_9_23_1","unstructured":"WitkopM SantaellaM.My Bleeding Disorders Community (MyBDC): a Longitudinal Research Registry in Protocol NHF002 N.H. 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