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24th European Congress of Psychiatry / European Psychiatry 33S (2016) S116–S348

S247

Fig. 2

The coping appraisal flexibility model (S-B

2

= 121.62,

df = 19, CFI = 0.723, NNFI = 0.59, RMSEA = 0.17, 90% CI = 0.14, 0.19).

Fig. 3

The parallel model (S-B

2

= 147.51, df = 25, CFI = 0.695,

NNFI = 0.56, EMSEA = 0.56, 90% CI = 0.13, 0.18).

Disclosure of interest

The authors have not supplied their decla-

ration of competing interest.

http://dx.doi.org/10.1016/j.eurpsy.2016.01.498

EW381

The relationship between pain coping

variability and committed action in

chronic pain adjustment

W. Wong

1 ,

, P . C

hen

2 , Y.

Chow

3 , H.

Lim

4 , S. W

ong

3 ,

L. McCracken

5 , R. F

ielding

6

1

Hong Kong Institute of Education, Dept of Special Education &

Counseling, Hong Kong, China

2

Alice Ho Miu Ling Hospital, Dept of Anesthesiology & Operating

Services, Hong Kong, China

3

Queen Mary Hospital, Dept of Anesthesiology & Operating Services,

Hong Kong, China

4

United Christian Hospital, Dept of Anesthesiology & Operating

Services, Hong Kong, China

5

King’s College London, Health Psychology Section, London, United

Kingdom

6

University of Hong Kong, School of Public Health, Hong Kong, China

Corresponding author.

Introduction

Research evidenced the association of pain coping

strategies with short-term and long-term adjustments to chronic

pain. Yet, previous studies mainly assessed the frequency of coping

strategies when pain occurs whilst no data is available on one’s

flexibility/rigidity in using different pain coping strategies, i.e., pain

coping variability, in dealing with different situations.

Objectives

This study aimed to examine the multivariate asso-

ciation between pain coping variability and committed action

in predicting concurrent pain-related disability. Specifically, we

examined the independent effects of pain coping variability and

committed action in predicting concurrent pain-related disability

in a sample of Chinese patients with chronic pain.

Methods

Chronic pain patients (

n

= 287) completed a test bat-

tery assessing pain intensity/disability, pain coping strategies and

variability, committed action, and pain catastrophizing. Multiple

regression modeling compared the association of individual pain

coping strategies and pain coping variability with disability (Mod-

els 1–2), and examined the independent effects of committed

action and pain coping variability on disability (Model 3).

Results

Of the 8 coping strategies assessed, only guarding (std

ˇ

= 0.17) was emerged as significant independent predictor of

disability (Model 1). Pain coping variability (std

ˇ

=

0.10) was

associated with disability after controlling for guarding and other

covariates (Model 2) and was emerged as independent predictor of

disability (Model 3: std

ˇ

=

0.11) (all

P

< 0.05)

( Tables 1 and 2 ).

Conclusions

Our data offers preliminary support for the multi-

variate association between pain coping variability and committed

action in predicting concurrent pain-related disability, which sup-

plements the existing pain coping data that are largely based on

assessing frequency of coping.

Table 1

Multiple regression models predicting concurrent pain-

related disability with pain coping strategies and pain coping

variability.