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, MadeleineGuys & St Thomas NHS Fdn Trust, INPUT Pain Unit, London, England. (författare)

An investigation of the associations between stigma, self-compassion, and pain outcomes during treatment based on Acceptance and Commitment Therapy for chronic pain

Artikel/kapitelEngelska2024

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Frontiers Media S.A.2024
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LIBRIS-ID:oai:DiVA.org:uu-524317
https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-524317URI
https://doi.org/10.3389/fpsyg.2024.1322723DOI

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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.

Ämnesord och genrebeteckningar

SAMHÄLLSVETENSKAP Psykologi Tillämpad psykologi hsv//swe
SOCIAL SCIENCES Psychology Applied Psychology hsv//eng
stigma
self-compassion
psychological flexibility
chronic pain
acceptance and commitment therapy

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McCracken, Lance M.,1962-Uppsala universitet,Institutionen för psykologi(Swepub:uu)lanmc300 (författare)
Scott, WhitneyGuys & St Thomas NHS Fdn Trust, INPUT Pain Unit, London, England.;Kings Coll London, Hlth Psychol Sect, Inst Psychiat Psychol & Neurosci, London, England. (författare)
Guys & St Thomas NHS Fdn Trust, INPUT Pain Unit, London, England.Institutionen för psykologi (creator_code:org_t)

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Ingår i:Frontiers in Psychology: Frontiers Media S.A.151664-1078

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Av författaren/redakt...: Anderson, Madele ...; McCracken, Lance ...; Scott, Whitney

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SAMHÄLLSVETENSKAP: SAMHÄLLSVETENSKA ...; och Psykologi; och Tillämpad psykol ...

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Av lärosätet: Uppsala universitet

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