Purpose: This study was conducted to identify and describe types of adjustment to chronic pain and to evaluate differences in perceived stress, pain self-efficacy, and depression according to types of adjustment to chronic pain in elderly people. Methods: Data were collected from 138 elders with chronic pain living in community settings. The study was a cross-sectional study and reliability of the instruments was tested with Cronbach's ⍺ coefficients, which ranged from .68 to .94. Results: The results were, as follows: Of all patients, 24.6% fit the adaptive coping group, 39.9% fit the interpersonally distressed group, and 35.5% fit the dysfunctional group. There were significant differences in perceived stress, pain self-efficacy and depression according to type of adjustment to chronic pain. Elders in the dysfunctional group reported significantly more perceived stress and depression compared to those in the adaptive coping group. The adaptive coping group showed significantly more pain self-efficacy compared to the interpersonally distressed group and the dysfunctional group. Conclusion: These findings underscore the importance of assessing individual differences to understand how elderly patients adjust to chronic pain. It is also important to consider distinct types of adjustment to chronic pain to tailor interventions to improve treatment outcomes.