Pain acceptance and psychological inflexibility predict pain interference outcomes for persons with chronic pain receiving pain psychology

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Karayannis, Nicholas Vasilis.Ohio Univ, Coll Hlth Sci & Profess, Grover Ctr, Sch Rehabil & Commun Sci, Athens, OH 45701 USA. (författare)

Pain acceptance and psychological inflexibility predict pain interference outcomes for persons with chronic pain receiving pain psychology

Artikel/kapitelEngelska2023

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2023-02-07
Walter de Gruyter,2023
printrdacarrier

Nummerbeteckningar

LIBRIS-ID:oai:DiVA.org:su-215185
https://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-215185URI
https://doi.org/10.1515/sjpain-2022-0107DOI
http://kipublications.ki.se/Default.aspx?queryparsed=id:236745187URI
https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-512583URI

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Språk:engelska
Sammanfattning på:engelska

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Ämneskategori:art swepub-publicationtype

Anmärkningar

Research funding: National Institute of Health – National Center for Complementary and Integrative Medicine P01AT006651 Grant, National Institute on Neurological Disorders and Stroke K23NS125004, and National Institute on Drug Abuse T32DA035165, K24DA029262, and Redlich Pain Endowment. Research reported in this publication was also supported by the National Center for Advancing Translational Sciences of the National Institutes of Health under Award Number UL1TR003142.
Objectives: 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.Methods: 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.Results: 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 (ρ=0.422, r2=0.382) but also predicted significantly greater decreases in PI across time (ρ=−0.489, r2=0.123). Higher CPAQ-8 scores predicted significantly lower PI mean scores on average across the study period (ρ=−0.478, r2=0.453) but also significantly smaller decreases in PI across time (ρ=0.495, r2=0.076). Awareness (FFMQ-SF) and engagement (CAQ-8) were not predictive of PI outcomes.Conclusions: 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.

Ämnesord och genrebeteckningar

SAMHÄLLSVETENSKAP Psykologi hsv//swe
SOCIAL SCIENCES Psychology hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Neurologi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Neurology hsv//eng
acceptance
awareness
engagement
pain interference
predictive modelling
psychological flexibility
psykologi
Psychology

Biuppslag (personer, institutioner, konferenser, titlar ...)

Sturgeon, John A.Univ Washington, Dept Psychol, Seattle, WA USA. (författare)
Kemani, Mike K.Stockholms universitet,Stressforskningsinstitutet,Biologisk psykologi,Karolinska University Hospital, Stockholm, Sweden,Karolinska Univ Hosp, Med Unit Med Psychol, Womens Hlth & Allied Hlth Profess Theme, Solna, Sweden.;Stockholm Univ, Stress Res Inst, Dept Psychol, Stockholm, Sweden.(Swepub:su)mike6949 (författare)
Mackey, Sean C.Stanford Univ, Div Pain Med, Stanford, CA USA. (författare)
Greco, Carol M.Univ Pittsburgh, Dept Psychiat, Pittsburgh, PA USA. (författare)
Wicksell, Rikard K.Karolinska Institutet,Karolinska Inst, Dept Clin Neurosci, Div Psychol, Stockholm, Sweden. (författare)
McCracken, Lance,1962-Uppsala universitet,Institutionen för psykologi(Swepub:uu)lanmc300 (författare)
Ohio Univ, Coll Hlth Sci & Profess, Grover Ctr, Sch Rehabil & Commun Sci, Athens, OH 45701 USA.Univ Washington, Dept Psychol, Seattle, WA USA. (creator_code:org_t)

Sammanhörande titlar

Ingår i:Scandinavian Journal of Pain: Walter de Gruyter23:3, s. 464-4751877-88601877-8879

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Av författaren/redakt...: Karayannis, Nich ...; Sturgeon, John A ...; Kemani, Mike K.; Mackey, Sean C.; Greco, Carol M.; Wicksell, Rikard ...; visa fler...; McCracken, Lance ...; visa färre...

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MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Neurologi

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Av lärosätet: Stockholms universitet; Karolinska Institutet; Uppsala universitet

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