Pain acceptance and psychological inflexibility predict pain interference outcomes for persons with chronic pain receiving pain psychology.
acceptance
awareness
engagement
pain interference
predictive modelling
psychological flexibility
Journal
Scandinavian journal of pain
ISSN: 1877-8879
Titre abrégé: Scand J Pain
Pays: Germany
ID NLM: 101520867
Informations de publication
Date de publication:
26 07 2023
26 07 2023
Historique:
received:
21
07
2022
accepted:
14
01
2023
pmc-release:
26
01
2024
medline:
21
7
2023
pubmed:
7
2
2023
entrez:
6
2
2023
Statut:
epublish
Résumé
Awareness (being present), acceptance, and engagement (committed action) are three dimensions of psychological flexibility. Understanding these in the context of chronic pain may identify treatment targets to help refine individual treatment. Our objective was to test the predictive capacity of three dimensions within the psychological flexibility model on the longitudinal trajectory of pain interference. Patients receiving pain psychology treatment at a pain management center participated in this pragmatic clinical longitudinal study (n=86 with at least three assessments; Mean age=51 years; Gender=60 females, 26 males). Measures included the Five Facet Mindfulness Questionnaire (FFMQ-SF); Chronic Pain Acceptance Questionnaire (CPAQ-8); Psychological Inflexibility in Pain Scale (PIPS-12); and Committed Action Questionnaire (CAQ-8). The dependent variable was the Patient Reported Outcomes Information System (PROMIS) Pain Interference (PI). We used latent growth modelling to analyze scores assessed within 180 days of patient care. Psychological inflexibility (PIPS-12) and pain acceptance (CPAQ-8) measured at baseline predicted PI outcomes (n=86). PIPS-12 showed a direct relationship with pain interference (PI), where higher PIPS-12 scores predicted significantly higher PI mean scores on average across the study period ( Patients who entered pain psychology treatment with lower pain acceptance and higher psychological inflexibility showed the largest reductions in pain interference across time. These results contribute towards a novel prognostic understanding of the predictive roles of an enhancing dimension and limiting dimension of psychological flexibility.
Identifiants
pubmed: 36745187
pii: sjpain-2022-0107
doi: 10.1515/sjpain-2022-0107
pmc: PMC10522049
mid: NIHMS1929056
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
464-475Subventions
Organisme : NCCIH NIH HHS
ID : P01 AT006651
Pays : United States
Organisme : NIDA NIH HHS
ID : K24 DA029262
Pays : United States
Organisme : NINDS NIH HHS
ID : K23 NS125004
Pays : United States
Organisme : NIDA NIH HHS
ID : T32 DA035165
Pays : United States
Organisme : NCATS NIH HHS
ID : UL1 TR003142
Pays : United States
Informations de copyright
© 2023 the author(s), published by De Gruyter, Berlin/Boston.
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