TY - JOUR
T1 - Goal Adjustment and Well-Being
T2 - The Role of Optimism in Patients with Chronic Pain
AU - Ramirez-Maestre, Carmen
AU - Esteve, Rosa
AU - Lopez-Martinez, Alicia E.
AU - Serrano-Ibanez, Elena R.
AU - Ruiz-Parraga, Gema T.
AU - Peters, Madelon
N1 - Funding Information:
Acknowledgements This research was supported by grants from the Spanish Ministry of Science and Innovation (PSI2013-42512-P) and the Regional Government of Andalusia (HUM-566; CTS-278).
Publisher Copyright:
© The Author(s) 2018. Published by Oxford University Press on behalf of the Society of Behavioral Medicine.
PY - 2019/7
Y1 - 2019/7
N2 - Background Chronic pain directly or indirectly interferes with valued personal goals. Goal adjustment plays a central role in patients' adaptation. Studies on the relationship between optimism and goal regulation have shown that people with high dispositional optimism adjust their goals in a flexible way, and that flexible goal adjustment promotes quality of life.Purpose The aim of this study was to analyze the relationship among optimism, goal adjustment, and adaptation in patients with chronic pain.Methods A sample of 258 patients with chronic musculoskeletal pain completed questionnaires on optimism, reengagement, disengagement, flexibility, tenacity, rumination, purpose in life, well-being, pain intensity, daily functioning, and impairment.Results Structural equation modeling analysis showed that optimism had a positive association with reengagement, flexibility, and tenacity, and a negative association with disengagement. Disengagement was positively associated with rumination, whereas reengagement, flexibility, and tenacity were associated with higher levels of purpose in life, which were strongly associated with adaptation in patients with chronic pain.Conclusions This study supports the conclusions of previous research on the role of goal adjustment as a mediator variable between optimism and well-being.The relationship between optimism and the successful adaptation of patients with chronic pain is mediated by the effectiveness of goal adjustment strategies and the levels of purpose in life.
AB - Background Chronic pain directly or indirectly interferes with valued personal goals. Goal adjustment plays a central role in patients' adaptation. Studies on the relationship between optimism and goal regulation have shown that people with high dispositional optimism adjust their goals in a flexible way, and that flexible goal adjustment promotes quality of life.Purpose The aim of this study was to analyze the relationship among optimism, goal adjustment, and adaptation in patients with chronic pain.Methods A sample of 258 patients with chronic musculoskeletal pain completed questionnaires on optimism, reengagement, disengagement, flexibility, tenacity, rumination, purpose in life, well-being, pain intensity, daily functioning, and impairment.Results Structural equation modeling analysis showed that optimism had a positive association with reengagement, flexibility, and tenacity, and a negative association with disengagement. Disengagement was positively associated with rumination, whereas reengagement, flexibility, and tenacity were associated with higher levels of purpose in life, which were strongly associated with adaptation in patients with chronic pain.Conclusions This study supports the conclusions of previous research on the role of goal adjustment as a mediator variable between optimism and well-being.The relationship between optimism and the successful adaptation of patients with chronic pain is mediated by the effectiveness of goal adjustment strategies and the levels of purpose in life.
KW - Optimism
KW - Goal adjustment
KW - Well-being
KW - Chronic pain
KW - ADAPTIVE SELF-REGULATION
KW - FEAR-AVOIDANCE MODEL
KW - QUALITY-OF-LIFE
KW - DISPOSITIONAL OPTIMISM
KW - FIT INDEXES
KW - DISENGAGEMENT
KW - HEALTH
KW - ACCEPTANCE
KW - ADAPTATION
KW - ENGAGEMENT
U2 - 10.1093/abm/kay070
DO - 10.1093/abm/kay070
M3 - Article
C2 - 30184082
SN - 0883-6612
VL - 53
SP - 597
EP - 607
JO - Annals of Behavioral Medicine
JF - Annals of Behavioral Medicine
IS - 7
ER -