Psychological flexibility in adults with chronic pain: a study of acceptance, mindfulness, and values-based action in primary care - PubMed (original) (raw)
. 2010 Jan;148(1):141-147.
doi: 10.1016/j.pain.2009.10.034. Epub 2009 Nov 28.
Affiliations
- PMID: 19945795
- DOI: 10.1016/j.pain.2009.10.034
Psychological flexibility in adults with chronic pain: a study of acceptance, mindfulness, and values-based action in primary care
Lance M McCracken et al. Pain. 2010 Jan.
Abstract
There is an increasing number of studies of acceptance, mindfulness, and values-based action in relation to chronic pain. Evidence from these studies suggests that these processes may be important for reducing the suffering and disability arising in these conditions. Taken together these processes entail an overarching process referred to as "psychological flexibility." While these processes have been studied in people with chronic pain contacted in specialty treatment centers, they have not yet been investigated in primary care. Thus, participants in this study were 239 adults with chronic pain surveyed in primary care, through contact with their General Practitioners (GPs), in the UK. They completed measures of acceptance of chronic pain, mindfulness, psychological acceptance, values-based action, health status, and GP visits related to pain. Correlation coefficients demonstrated significant relations between the components of psychological flexibility and the measures of health and GP visits. In regression analyses, including both pain intensity and psychological flexibility as potential predictors, psychological flexibility accounted for significant variance, DeltaR(2)=.039-.40 (3.9-40.0%). In these regression equations pain intensity accounted for an average of 9.2% of variance while psychological flexibility accounted for 24.1%. These data suggest that psychological flexibility may reduce the impact of chronic pain in patients with low to moderately complex problems outside of specialty care. Due to a particularly conservative recruitment strategy the overall response rate in this study was low and the generality of these results remains to be established.
Copyright 2009 International Association for the Study of Pain. All rights reserved.
Similar articles
- Processes of change in psychological flexibility in an interdisciplinary group-based treatment for chronic pain based on Acceptance and Commitment Therapy.
McCracken LM, Gutiérrez-Martínez O. McCracken LM, et al. Behav Res Ther. 2011 Apr;49(4):267-74. doi: 10.1016/j.brat.2011.02.004. Epub 2011 Feb 15. Behav Res Ther. 2011. PMID: 21377652 - Acceptance and related processes in adjustment to chronic pain.
Thompson M, McCracken LM. Thompson M, et al. Curr Pain Headache Rep. 2011 Apr;15(2):144-51. doi: 10.1007/s11916-010-0170-2. Curr Pain Headache Rep. 2011. PMID: 21222244 Review. - Acceptance of chronic pain.
McCracken LM, Vowles KE. McCracken LM, et al. Curr Pain Headache Rep. 2006 Apr;10(2):90-4. doi: 10.1007/s11916-006-0018-y. Curr Pain Headache Rep. 2006. PMID: 16539860 Review.
Cited by
- Assessing nonacceptance of the facial appearance in adult patients after complete treatment of their rare facial cleft.
van den Elzen ME, Versnel SL, Duivenvoorden HJ, Mathijssen IM. van den Elzen ME, et al. Aesthetic Plast Surg. 2012 Aug;36(4):938-45. doi: 10.1007/s00266-012-9897-y. Epub 2012 Apr 13. Aesthetic Plast Surg. 2012. PMID: 22527587 Free PMC article. - Words putting pain in motion: the generalization of pain-related fear within an artificial stimulus category.
Bennett MP, Meulders A, Baeyens F, Vlaeyen JW. Bennett MP, et al. Front Psychol. 2015 Apr 30;6:520. doi: 10.3389/fpsyg.2015.00520. eCollection 2015. Front Psychol. 2015. PMID: 25983704 Free PMC article. - Chinese Version of the Psychological Inflexibility in Pain Scale for Cancer Patients Reporting Chronic Pain.
Xie CJ, Xu XH, Ou MJ, Chen YY. Xie CJ, et al. Cancer Nurs. 2021 May-Jun 01;44(3):180-189. doi: 10.1097/NCC.0000000000000772. Cancer Nurs. 2021. PMID: 31651462 Free PMC article. - Coping with stress and types of burnout: explanatory power of different coping strategies.
Montero-Marin J, Prado-Abril J, Piva Demarzo MM, Gascon S, García-Campayo J. Montero-Marin J, et al. PLoS One. 2014 Feb 13;9(2):e89090. doi: 10.1371/journal.pone.0089090. eCollection 2014. PLoS One. 2014. PMID: 24551223 Free PMC article. - Incremental validity of acceptance over coping in predicting adjustment to endometriosis.
Bernini O, Tumminaro G, Compare L, Belviso C, Conforti V, Berrocal Montiel C. Bernini O, et al. Front Pain Res (Lausanne). 2022 Jul 15;3:928985. doi: 10.3389/fpain.2022.928985. eCollection 2022. Front Pain Res (Lausanne). 2022. PMID: 35910263 Free PMC article.
References
- Bergman S, Jacobsson LTH, Herrström P, Petersson IF. Health status as measured by SF-36 reflects changes and predicts outcome in chronic musculoskeletal pain: a 3-year follow up study in the general population. Pain. 2004;108:115-123.
- Brown KW, Ryan RM. The benefits of being present: mindfulness and its role in psychological well-being. J Pers Soc Psychol. 2003;84:822-848.
- Cheung NM, Wong TCM, Yap JCM, Chen PP. Validation of the Chronic Pain Acceptance Questionnaire (CPAQ) in Cantonese-speaking Chinese patients. J Pain. 2008;9:823-832.
- Dahl J, Wilson KG, Nilsson A. Acceptance and Commitment Therapy and the treatment of persons at risk for long-term disability resulting from stress and pain symptoms: a preliminary randomized trial. Behav Ther. 2004;35:785-802.
- Elliott TE, Renier CM, Palcher JA. Chronic pain, depression, and quality of life: correlations and predictive value of the SF-36. Pain Med. 2003;4:331-339.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Medical