The Impact of the Quantity and Quality of Social Support on Patients with Chronic Pain

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OTHER PAIN (N VADIVELU AND AD KAYE, SECTION EDITORS)

The Impact of the Quantity and Quality of Social Support on Patients with Chronic Pain Morgan McMurtry 1 & Omar Viswanath 2,3,4 & Michele Cernich 5 & Natalie Strand 6 & John Freeman 6 & Cynthia Townsend 7 & Alan D. Kaye 8 & Elyse M. Cornett 9 & Christopher Wie 6 Accepted: 17 September 2020 # Springer Science+Business Media, LLC, part of Springer Nature 2020

Abstract Purpose of Review Social support is an important yet often overlooked aspect of chronic pain management. Understanding the impact of social support on patients with chronic pain and determining if a relationship exists between a patient’s perceived social support and their perceived quality of life is a crucial component to completely treating a pain patient. We sought to develop an intervention for patients with chronic pain that addresses the different types of social support, barriers to using social support, and ways to improve the quality of their social support. Recent Findings A retrospective review of a prospectively collected database was utilized in an Outpatient Chronic Pain Rehabilitation Program with 23 patients with a chronic pain diagnosis who participated in a 3-week comprehensive pain rehabilitation program. Evaluation, intervention, and discharge were evaluated utilizing The American Chronic Pain Association’s Quality of Life Scale and The Canadian Occupational Performance Measure (COPM). The intervention phase comprised a 45-min group session. At discharge, the occupational therapist followed up with the patient regarding the results of their social survey. Summary Overall, the results indicated an underutilization of social support among patients with chronic pain. Out of the four questions asked on the social support survey, patients scored their use of tangible support (Q2) as the lowest. No significant positive correlation (0.27) was found between social support and quality of life which can be attributed to the wide variety of patients seen at the PRC. Social support is an essential part of chronic pain treatment and should be addressed throughout all stages of pain management. Keywords Social support . Chronic pain . Depression . Psychology . Counseling

Introduction Chronic pain affects the quality of life (QoL) of approximately 100 million Americans, more than diabetes, cancer, and heart disease combined [4]. It can impact both the amount and the

utilization of existing social support in a person’s life. The National Cancer Institute defines social support as “A network of family, friends, neighbors, and community members that is available in times of need to give psychological, physical, and financial help.” [10] People with chronic pain may experience

This article is part of the Topical Collection on Other Pain * Christopher Wie [email protected] Alan D. Kaye [email protected]; [email protected] 1

HonorHealth Scottsdale Shea Medical Center, Scottsdale, AZ, USA

2

Department of Anesthesiology, University of Arizona College of Medicine-Phoenix, Phoenix, AZ,