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Illness and treatment beliefs and health outcomes in chronic pain: a meta-analysis.

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Title: Illness and treatment beliefs and health outcomes in chronic pain: a meta-analysis.
Authors: Hagger, Martin S. (AUTHOR), McKinley-Rodriguez, Lauren E. (AUTHOR), Hamilton, Kyra (AUTHOR)
Source: Psychology & Health. Jul2026, Vol. 41 Issue 7, p998-1035. 38p.
Subjects: Chronic pain & psychology, Community support, Health self-care, Health attitudes, Chronic pain, Health status indicators, Treatment effectiveness, Psychological adaptation, Meta-analysis, Descriptive statistics, Emotions, Systematic reviews, MEDLINE, Online information services, Psychology information storage & retrieval systems
Abstract: Objective: Guided by the common-sense model of illness self-regulation, we examined zero-order and unique associations between illness and treatment beliefs and functioning and illness outcomes in a synthesis of research on chronic pain patients, and tested moderator and covariate effects on these associations. Methods and Measures: Studies reporting associations between illness and treatment beliefs and outcomes in chronic pain patients (k = 93, N = 18,262) were identified in a systematic database search. Data were analyzed using multi-level meta-analysis and meta-analytic structural equation modeling (MASEM). Results: We found averaged zero-order intercorrelations among the illness and treatment beliefs and chronic pain outcomes (physical and psychological impairment, disease status, social/role functioning). Moderator analyses indicated that relations between perceived consequences and social/role functioning were larger, and between emotional representations and illness status smaller, in patients diagnosed with a pain condition relative to those without a diagnosis. MASEM indicated unique effects of perceived control and consequences beliefs on physical impairment, causal beliefs on psychological impairment, identity beliefs on disease status, and treatment beliefs on social/role functioning. Conclusions: Findings identify belief-based correlates of pain-related outcomes and provide formative evidence to guide pain management intervention strategies. Future longitudinal and experimental studies should permit causal inferences in model effects and test coping strategies as a candidate mechanism. [ABSTRACT FROM AUTHOR]
Copyright of Psychology & Health is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Illness and treatment beliefs and health outcomes in chronic pain: a meta-analysis.
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  Data: <searchLink fieldCode="JN" term="%22Psychology+%26+Health%22">Psychology & Health</searchLink>. Jul2026, Vol. 41 Issue 7, p998-1035. 38p.
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  Data: <searchLink fieldCode="DE" term="%22Chronic+pain+%26+psychology%22">Chronic pain & psychology</searchLink><br /><searchLink fieldCode="DE" term="%22Community+support%22">Community support</searchLink><br /><searchLink fieldCode="DE" term="%22Health+self-care%22">Health self-care</searchLink><br /><searchLink fieldCode="DE" term="%22Health+attitudes%22">Health attitudes</searchLink><br /><searchLink fieldCode="DE" term="%22Chronic+pain%22">Chronic pain</searchLink><br /><searchLink fieldCode="DE" term="%22Health+status+indicators%22">Health status indicators</searchLink><br /><searchLink fieldCode="DE" term="%22Treatment+effectiveness%22">Treatment effectiveness</searchLink><br /><searchLink fieldCode="DE" term="%22Psychological+adaptation%22">Psychological adaptation</searchLink><br /><searchLink fieldCode="DE" term="%22Meta-analysis%22">Meta-analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Emotions%22">Emotions</searchLink><br /><searchLink fieldCode="DE" term="%22Systematic+reviews%22">Systematic reviews</searchLink><br /><searchLink fieldCode="DE" term="%22MEDLINE%22">MEDLINE</searchLink><br /><searchLink fieldCode="DE" term="%22Online+information+services%22">Online information services</searchLink><br /><searchLink fieldCode="DE" term="%22Psychology+information+storage+%26+retrieval+systems%22">Psychology information storage & retrieval systems</searchLink>
– Name: Abstract
  Label: Abstract
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  Data: Objective: Guided by the common-sense model of illness self-regulation, we examined zero-order and unique associations between illness and treatment beliefs and functioning and illness outcomes in a synthesis of research on chronic pain patients, and tested moderator and covariate effects on these associations. Methods and Measures: Studies reporting associations between illness and treatment beliefs and outcomes in chronic pain patients (k = 93, N = 18,262) were identified in a systematic database search. Data were analyzed using multi-level meta-analysis and meta-analytic structural equation modeling (MASEM). Results: We found averaged zero-order intercorrelations among the illness and treatment beliefs and chronic pain outcomes (physical and psychological impairment, disease status, social/role functioning). Moderator analyses indicated that relations between perceived consequences and social/role functioning were larger, and between emotional representations and illness status smaller, in patients diagnosed with a pain condition relative to those without a diagnosis. MASEM indicated unique effects of perceived control and consequences beliefs on physical impairment, causal beliefs on psychological impairment, identity beliefs on disease status, and treatment beliefs on social/role functioning. Conclusions: Findings identify belief-based correlates of pain-related outcomes and provide formative evidence to guide pain management intervention strategies. Future longitudinal and experimental studies should permit causal inferences in model effects and test coping strategies as a candidate mechanism. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Psychology & Health is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=194782774
RecordInfo BibRecord:
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      – Type: doi
        Value: 10.1080/08870446.2025.2497417
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      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 38
        StartPage: 998
    Subjects:
      – SubjectFull: Chronic pain & psychology
        Type: general
      – SubjectFull: Community support
        Type: general
      – SubjectFull: Health self-care
        Type: general
      – SubjectFull: Health attitudes
        Type: general
      – SubjectFull: Chronic pain
        Type: general
      – SubjectFull: Health status indicators
        Type: general
      – SubjectFull: Treatment effectiveness
        Type: general
      – SubjectFull: Psychological adaptation
        Type: general
      – SubjectFull: Meta-analysis
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Emotions
        Type: general
      – SubjectFull: Systematic reviews
        Type: general
      – SubjectFull: MEDLINE
        Type: general
      – SubjectFull: Online information services
        Type: general
      – SubjectFull: Psychology information storage & retrieval systems
        Type: general
    Titles:
      – TitleFull: Illness and treatment beliefs and health outcomes in chronic pain: a meta-analysis.
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            NameFull: Hagger, Martin S.
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            NameFull: McKinley-Rodriguez, Lauren E.
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            NameFull: Hamilton, Kyra
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            – D: 01
              M: 07
              Text: Jul2026
              Type: published
              Y: 2026
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              Value: 41
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