Chronic pain acceptance incrementally predicts disability in polytrauma-exposed veterans at baseline and 1-year follow-up

Cook, Andrew J.; Meyer, Eric C.; Evans, Lianna D.; Vowles, Kevin E.; Klocek, John; Kimbrel, Nathan A.; Gulliver, Suzy B.; Morissette, Sandra B.

doi:10.1016/j.brat.2015.07.003

Cited by 26 publications

(16 citation statements)

References 61 publications

(80 reference statements)

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“…These results are consistent with those of recent studies that have evaluated pain-related acceptance as a protective psychological variable in trauma-exposed people with chronic pain [6,33,34] and shown that acceptance (the opposite of experiential avoidance) is related to fewer psychological symptoms and better outcomes after traumatic exposure [67].…”

Section: Discussionsupporting

confidence: 92%

“…Second, consistent with a small body of literature looking at psychological flexibility, PTSD, and chronic pain [6,[32][33][34], participants with PTSD reported lower levels of pain-related acceptance and committed action as well as higher levels of cognitive fusion compared to those without PTSD. No significant difference between these two groups was seen on values-based action.…”

Section: Discussionsupporting

confidence: 59%

“…Unauthorized reproduction of the article is prohibited. from a growing list of studies connecting processes from the theoretically-based and potentially integrative psychological flexibility model to the relationship between PTSD and chronic pain [6,33,34] and with studies connecting these processes, or other processes similar to those described in the this model, to the severity of pain and pain-related impairment, and separately to the severity of PTSD [24][25][26][27][28][29][30][31].…”

Section: Discussionmentioning

confidence: 99%

“…There is also a study showing that a treatment targeting acceptance, cognitive defusion, committed action, and values in people with chronic pain arising from whiplash injuries resulted in improvements in pain-related disability and PTSD [32]. Other studies have examined pain-related acceptance as a protective psychological variable in trauma-exposed people with chronic pain [6,33,34]. However, no studies that we are aware of have investigated whether processes from the psychological flexibility model mediate the relationship between PTSD and chronic pain.…”

Section: Introductionmentioning

confidence: 99%

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The Relationship Between Posttraumatic Stress Disorder and Chronic Pain in People Seeking Treatment for Chronic Pain

Åkerblom

Perrin²,

Fischer

et al. 2018

The Clinical Journal of Pain

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Objectives: The symptoms of Posttraumatic Stress Disorder (PTSD) and chronic pain are thought to interact to increase the severity and impact of both conditions, but the mechanisms by which they interact remain unclear. This study examines the relationship between PTSD and chronic pain and whether indices of psychological flexibility mediate the relationship between these two conditions.Methods: Standardized self-report measures of PTSD, pain severity, pain interference, depression, and psychological flexibility (pain-related acceptance, committed action, cognitive fusion, and values-based action) were obtained from 315 people seeking treatment for chronic pain who also reported at least one traumatic experience.Results: People seeking treatment for chronic pain reporting symptoms consistent with a current diagnosis of PTSD had significantly higher levels of pain severity, pain interference, depression, and cognitive fusion and lower levels of pain-related acceptance and committed action than those reporting symptoms below diagnostic threshold for PTSD. Pain-related acceptance, committed action, cognitive fusion and depression mediated the relationship between PTSD and pain severity/interference, with pain-related acceptance being the strongest mediator from the psychological flexibility model.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 59%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

The Relationship Between Posttraumatic Stress Disorder and Chronic Pain in People Seeking Treatment for Chronic Pain

Åkerblom

Perrin²,

Fischer

et al. 2018

The Clinical Journal of Pain

View full text Add to dashboard Cite

show abstract

“…For instance, in 2015 research, chronic face, head, and neck pain were significantly related to depression among war veterans living with PTSD [108]. It is critical to study these variables within war veteran populations, given that they are at high risk for chronic pain and related neuro-behavioral problems [109]. This is also the case for other vulnerable populations that are particularly at risk for PTSD such as traumatized refugees [85].…”

Section: Discussionmentioning

confidence: 99%

The Relationship of Older Adults' Physical Pain to Depression and Post-Traumatic Stress Disorder (PTSD): A Review

Alamdari

Laganá

2016

J Geriatr Med Gerontol

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Background Physical pain is very common in older age and is often accompanied by depressive as well as PTSD symptomatology. Many conceptualizations of the comorbidity of pain with depression and with PTSD exist, but they need to be tested on older adult populations. Purpose This article covers existing literature on the relation between depression and pain in older age, as well as between older adults’ PTSD and pain. Additionally, several physiological, cognitive, and behavioral conceptualizations of why depression and PTSD are often related to pain are presented. Methods The PsychInfo, PubMed, and Google Scholar databases were searched for relevant articles by utilizing the following terms in combination with chronic pain (as well as with pain alone): aging, older adults, elderly, depression, depressive, post-traumatic stress, and PTSD. Additionally, Thomson Reuters Web of Science database searches were conducted using the terms “elderly (and older adults) pain depression PTSD.” This review includes various articles that conceptualize the pain-depression, pain-PTSD, and pain-depression-PTSD links, yet, due to space limitations, the review is not comprehensive. Several pertinent reviews are referenced throughout the paper for readers interested in obtaining additional information in this area. Results Depression and PTSD are comorbidities for pain at any age, and are characterized by several and often complex mechanisms that can exacerbate pain. Conclusion The comorbidity of pain and factors such as depression and PTSD in older age should be addressed in more research studies, as few investigations are available in this area on the general population of older individuals. This is particularly the case for non-Caucasian older adults living with chronic pain.

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The contribution of psychological flexibility to functioning in people living with cancer‐related pain

Duarte

Björkstrand

McCracken

et al. 2022

European Journal of Pain

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Background: Studies of individuals with non-cancer-related chronic pain find that higher levels of psychological flexibility (PF) are associated with less distress, better functioning, and a better response to treatment. People diagnosed with cancer are at a significantly increased risk of developing chronic cancer-related pain, the presence of which is associated with poorer health outcomes. Little is known about whether PF is applicable to cancer pain. The current study investigates the relationship between chronic cancer-related pain, distress and functioning, and three theoretical processes proposed by the PF model: pain acceptance, present-moment focus, and committed action. Methods: Adults (n = 246) with a cancer diagnosis (current or previous), and living in Sweden, completed an online survey involving standardized measures of cancer-related pain (intensity and impairment), depression, fatigue, PF and social stigma.Results: Moderate to strong correlations were found between PF and all variables. In regression analyses, PF, and particularly pain acceptance, accounted for a large and significant proportion of the observed variance in depression, painrelated and overall functioning, after controlling for cancer status, pain intensity and social stigma. Conclusion:Consistent with studies of non-cancer-related pain, higher levels of PF were strongly associated with lower levels of distress and better functioning in individuals with cancer-related pain. Further studies are needed to further explore these relationships and to determine whether psychosocial treatments targeting PF may be of benefit to people with chronic cancer-related pain.Significance: This study explores the relationship between cancer-related pain (intensity and impairment), depression, fatigue, overall functioning, social stigma and PF. The findings suggest that higher levels of PF are associated with lower levels of distress and improved functioning in chronic cancer-related pain, after controlling for cancer status (current, in remission), pain intensity and social stigma.

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Chronic pain acceptance incrementally predicts disability in polytrauma-exposed veterans at baseline and 1-year follow-up

Cited by 26 publications

References 61 publications

The Relationship Between Posttraumatic Stress Disorder and Chronic Pain in People Seeking Treatment for Chronic Pain

The Relationship Between Posttraumatic Stress Disorder and Chronic Pain in People Seeking Treatment for Chronic Pain

The Relationship of Older Adults' Physical Pain to Depression and Post-Traumatic Stress Disorder (PTSD): A Review

The contribution of psychological flexibility to functioning in people living with cancer‐related pain

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