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An investigation of the associations between stigma, self-compassion, and pain outcomes during treatment based on Acceptance and Commitment Therapy for chronic pain
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- Anderson, Madeleine (author)
- Guys & St Thomas NHS Fdn Trust, INPUT Pain Unit, London, England.
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- McCracken, Lance M., 1962- (author)
- Uppsala universitet,Institutionen för psykologi
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- Scott, Whitney (author)
- Guys & St Thomas NHS Fdn Trust, INPUT Pain Unit, London, England.;Kings Coll London, Hlth Psychol Sect, Inst Psychiat Psychol & Neurosci, London, England.
- Guys & St Thomas NHS Fdn Trust, INPUT Pain Unit, London, England Institutionen för psykologi (creator_code:org_t)
- Frontiers Media S.A. 2024
- 2024
- English.
- In: Frontiers in Psychology. - : Frontiers Media S.A.. - 1664-1078. ; 15
- Journal article (peer-reviewed)
Abstract
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- Introduction: Stigma adversely affects people with chronic pain. The qualities within self-compassion may be particularly useful for buffering the impact of stigma on people with pain. In the context of an Acceptance and Commitment Therapy-based (ACT) treatment for chronic pain, this study investigated the association between changes in stigma and self-compassion and pain outcomes, and the potential moderating role of self-compassion on the association between stigma and pain outcomes.Materials and methods: Five-hundred and nineteen patients completed standardized self-report questionnaires of stigma, self-compassion, psychological flexibility, pain intensity and interference, work and social adjustment, and depression symptoms at the start of an interdisciplinary ACT-based treatment for chronic pain. The same measures were completed at post-treatment (n = 431).Results: The results indicated that key pain outcomes and self-compassion significantly improved during treatment, but stigma did not. Changes in stigma and self-compassion were significantly negatively correlated and changes in these variables were associated with improvements in treatment outcomes. There were significant main effects of stigma and self-compassion for many of the pre- and post-treatment regression models when psychological flexibility was not controlled for, but self-compassion did not moderate the association between stigma and pain outcomes. Stigma remained significant when psychological flexibility variables were controlled for, while self-compassion did not.Discussion: The findings add to our conceptual understanding of the inter-relationships between stigma, self-compassion, and psychological flexibility and can contribute to treatment advancements to optimally target these variables.
Subject headings
- SAMHÄLLSVETENSKAP -- Psykologi -- Tillämpad psykologi (hsv//swe)
- SOCIAL SCIENCES -- Psychology -- Applied Psychology (hsv//eng)
Keyword
- stigma
- self-compassion
- psychological flexibility
- chronic pain
- acceptance and commitment therapy
Publication and Content Type
- ref (subject category)
- art (subject category)
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