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Pain and patienthood.

OBJECTIVE
The objective of this study was to identify possible differences between chronic pain patients (consumers) and persons with chronic pain lasting > 1 year who had not consulted a doctor because of the pain during the last year (nonconsumers). Group differences were studied from the perspective of a stress-response model and a taxometric approach to chronic pain.


METHODS
Both samples were compared on data acquired through questionnaires. Data-reduction techniques were applied.


RESULTS
Nonconsumers differ from patients who are still seeking a medical solution for their pain problem. These differences are reflected in lower levels of distorted cognition, less pain-related distress, higher activity levels, and higher levels of internal orientation. Furthermore, nonconsumers used fewer analgesics.


CONCLUSIONS
Nonconsumers appear to lead a "better life" with pain than do chronic pain patients who still wish to lead a life without pain. The idea of having learned to live with pain can be very meaningful and could cause a change in quality of life (QOL). We suggest that this may be a very legitimate goal for interventions.