PURPOSE/OBJECTIVE Despite medical and psychotherapeutic treatments, chronic pain is one of the most challenging and disabling conditions for individuals with spinal cord injury (SCI). A growing body of research has demonstrated that pain coping strategies are effective for the adjustment of pain. However, we still lack an understanding of how passive pain coping and active pain coping relate to daily physical and psychosocial functioning for people with chronic pain and SCI. The current study used end-of-day (EOD) diary data to examine associations of passive and active pain coping with same-day independence, positive affect and well-being, social participation, pain catastrophizing, depressive symptoms, and pain interference in adults with chronic pain and SCI. RESEARCH METHOD/DESIGN This observational study in N = 124 individuals with SCI (mean age = 47.53 years; 74.2% male, 25.8% female) used a combination of baseline surveys and seven consecutive days of end-of-day (EOD) diaries. RESULTS Results of multilevel modeling showed that, beyond the effects of key demographic variables, clinical variables (e.g., time since injury, mobility) and daily pain intensity, increased daily passive coping (from that person's average) related to increased same-day depressive symptoms (B = .29; p < .001), pain catastrophizing (B = .28; p < .001) and decreased same-day positive affect and well-being (B = -.31; p = .02). Increased daily active coping was related to higher same-day catastrophizing (B = .09; p < .05). CONCLUSIONS/IMPLICATIONS Behavioral interventions for pain often emphasize adoption and practice of new active coping strategies. Findings highlight the potential importance of also addressing passive coping strategies in services of improvement in physical and psychosocial outcomes in individuals with chronic pain and SCI. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

中文翻译：

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主动或被动疼痛应对：哪个预测慢性疼痛和脊髓损伤患者的日常身体和心理社会功能？

目的/目标 尽管有医学和心理治疗，慢性疼痛是脊髓损伤 (SCI) 患者最具挑战性和致残的疾病之一。越来越多的研究表明，疼痛应对策略对于调节疼痛是有效的。然而，对于慢性疼痛和 SCI 患者的被动疼痛应对和主动疼痛应对与日常身体和心理社会功能的关系，我们仍然缺乏了解。目前的研究使用日终 (EOD) 日记数据来检查被动和主动疼痛与当日独立性、积极情感和幸福感、社会参与、疼痛灾难性、抑郁症状和成人疼痛干扰之间的关联患有慢性疼痛和 SCI。研究方法/设计这项对 N = 124 名 SCI 患者（平均年龄 = 47.53 岁；74.2% 男性，25.8% 女性）的观察性研究结合了基线调查和连续 7 天的日终 (EOD) 日记。结果 多层次模型的结果表明，除了关键人口统计学变量、临床变量（例如，受伤后的时间、活动能力）和每日疼痛强度的影响之外，与当天抑郁症状增加相关的每日被动应对（从该人的平均水平）增加(B = .29; p < .001)，灾难性疼痛 (B = .28; p < .001) 和减少当天的积极情绪和幸福感 (B = -.31; p = .02)。增加的每日主动应对与较高的当日灾难性有关（B = .09；p < .05）。结论/启示 疼痛的行为干预通常强调采用和实践新的积极应对策略。研究结果强调了在改善慢性疼痛和 SCI 患者的身体和心理社会结果的服务中也解决被动应对策略的潜在重要性。（PsycInfo 数据库记录 (c) 2022 APA，保留所有权利）。