Acceptance of chronic pain

McCracken, Lance M.; Vowles, Kevin E.

doi:10.1007/s11916-006-0018-y

Cited by 114 publications

(83 citation statements)

References 26 publications

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“…They are also consistent with numerous other studies of acceptance of pain, including experimental studies (e.g., Keogh, Bond, Hanmer, & Tilston, 2005;Masedo & Esteve, 2007), clinical studies (see McCracken & Vowles, 2006), and treatment outcome studies McCracken, MacKichan, & Eccleston, 2007). It has been reliably demonstrated that behavior patterns including acceptance of pain and values-based action correlate positively with emotional, physical, and social functioning in chronic pain.…”

Section: Discussionsupporting

confidence: 85%

A prospective analysis of acceptance of pain and values-based action in patients with chronic pain.

McCracken¹,

Vowles²

2008

Health Psychology

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139

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Objective: Acceptance of pain and values-based action appear important in the emotional, physical, and social functioning of individuals with chronic pain. The purpose of the current study was to prospectively investigate these combined processes. Method: 115 patients attending an assessment and treatment course for chronic pain in the U.K. completed a standard set of measures on two occasions separated by an average of 18.5 weeks. Results: Correlation analyses showed that acceptance of pain and values-based action measured at Time 1 were significantly correlated with pain, pain-related distress, pain-related anxiety and avoidance, depression, depression-related interference with functioning, and physical and psychosocial disability measured at Time 2. Multiple regression analyses, in which pain and relevant patient background variables were controlled, showed that the combined acceptance and values measures accounted for between 6.5% and 27.0% of variance in six key measures of patient functioning later in time. Conclusion: These results support the importance of acceptance and values-related processes in relation to chronic pain. These results also encourage continued applications of a functional contextual model of psychopathology, the model underlying Acceptance and Commitment Therapy and related approaches such as Contextual Cognitive-Behavioral Therapy.

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Section: Discussionsupporting

confidence: 85%

A prospective analysis of acceptance of pain and values-based action in patients with chronic pain.

McCracken¹,

Vowles²

2008

Health Psychology

Self Cite

139

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“…Therefore, the investigation of factors that predict positive, rather than negative, adjustment are more likely to bolster patients' coping and may prove to be more effective in guiding psychosocial interventions (Dunn & Dougherty, 2005). In relation to adjustment to chronic pain, self-efficacy and acceptance have been consistently identified as two of the most important psychological factors in predicting positive coping (Buckelew et al, 1994;Jensen, Moore, Bockow, Ehde, & Engel, 2011;Keefe et al, 2004;Kratz, Davis, & Zautra, 2007;McCracken & Vowles, 2006;McCracken, Carson, Eccleston, & Keefe, 2004;Rodero et al, 2011;Van Liew, Brown, Cronan, Bigatti, & Kothari, 2013).…”

Section: Fibromyalgiamentioning

confidence: 99%

Adjustment to fibromyalgia: The role of domain‐specific self‐efficacy and acceptance

Sahar

Thomas

Clarke

2016

Australian Journal of Psychology

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Objective: Fibromyalgia is a long-term condition of unknown aetiology characterised by widespread pain, fatigue, joint stiffness, and tenderness. Research in long-term conditions traditionally focuses on negative aspects of coping.The objective of this study therefore was to investigate the role of positive factors such as selfefficacy and acceptance in the context of adjustment to fibromyalgia. Method: The study employed a cross-sectional design using online questionnaires measuring self-efficacy, acceptance, kinesiophobia, coping, catastrophising, pain intensity, and fibromyalgia impact. A total of 117 participants with fibromyalgia (99 female) were recruited from fibromyalgia support-groups, organisations, and online forums.Results: Data were analysed using multiple regression analysis. After controlling for other cognitive and demographic variables, pain self-efficacy remained a significant predictor of pain intensity (p = .003); symptom self-efficacy remained the best predictor of psychological fibromyalgia impact (p = .001); and function self-efficacy remained the best predictor of functional (p < .001) and total fibromyalgia impact (p < .001). However, the contribution of acceptance upon pain intensity and fibromyalgia impact was not significant. Conclusions:The results highlight the impact of different self-efficacy domains on pain intensity in terms functional, psychological, and total adjustment to fibromyalgia, but suggest that the role of acceptance on these domains is less salient. The implications of these findings for future studies in self-efficacy and fibromyalgia are discussed.

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“…Pain acceptance involves a willingness to experience pain without attempting to control it, and an engagement in valued life activities, such as physical activity. 74,75 Gyurcsik and colleagues 76 found that women with arthritis who reported more pain acceptance also had higher self-regulatory efficacy beliefs to cope with arthritis-specific barriers, expected more positive arthritis-related outcomes from activity (e.g., less pain, soreness, and stiffness), had lower pain intensity, and engaged in more physical activity than their counterparts with lower pain acceptance.…”

Section: The Relationship Of Balance and Walking Limitations To Incrementioning

confidence: 99%

Risk Factors for Falls in Older Adults with Lower Extremity Arthritis: A Conceptual Framework of Current Knowledge and Future Directions

Arnold

Gyurcsik

2012

Physiotherapy Canada

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Purpose: As the numbers of Canadians aged 65 years and over increases over the next 20 years, the prevalence of chronic conditions, including arthritis, will rise as will the number of falls. Although known fall-risk factors are associated with hip and knee osteoarthritis (OA), minimal research has evaluated fall and fracture risk and/or rates in this population. Thus, the purpose was to summarize research on fall and fracture risk in older adults with hip or knee OA and to develop a conceptual framework of fall-risk screening and assessment. Method: The International Classification of Functioning, Disability and Health, clinical practice guidelines for fall-risk screening, and a selected literature review were used. Results: Gaps exist in our knowledge of fall and fracture risk for this population. Muscle performance, balance, and mobility impairments have been identified, but little is known about whether personal and environmental contextual factors impact fall and fracture risk. Physical activity may help to prevent falls, but non-adherence is a problem. Conclusion: A need exists to assess fall risk in older adults with hip and knee OA. Promoting regular physical activity by focusing on disease-and activity-specific personal contextual factors may help direct treatment planning.

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Acceptance of chronic pain

Cited by 114 publications

References 26 publications

A prospective analysis of acceptance of pain and values-based action in patients with chronic pain.

A prospective analysis of acceptance of pain and values-based action in patients with chronic pain.

Adjustment to fibromyalgia: The role of domain‐specific self‐efficacy and acceptance

Risk Factors for Falls in Older Adults with Lower Extremity Arthritis: A Conceptual Framework of Current Knowledge and Future Directions

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