Cognitive factors influence outcome following multidisciplinary chronic pain treatment: a replication and extension of a cross-lagged panel analysis

Burns, John W.; Glenn, Beth A.; Bruehl, Stephen; Harden, R. Norman; Lofland, Kenneth R.

doi:10.1016/s0005-7967(03)00029-9

Cited by 158 publications

(120 citation statements)

References 37 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…However, these findings draw attention to the need to either increase the potency of interventions that are directed at the weaker mediators or to reconsider the relative value of interventions that target these M A N U S C R I P T catastrophizing. 4,6,45,46,50,52 These process variables have been investigated because they reflect typical targets of traditional multi-component CBT packages and evidence suggests that changes in these variables indeed are associated with the treatment outcomes observed.…”

Section: Discussionmentioning

confidence: 99%

“…56,50,54 A large number of psychological variables have been identified as potential CBT process variables, including pain beliefs and perceived control over pain, 19,20,50 social support, 42,43 coping, 19,20 self-efficacy, 50 helplessness, [4][5][6] affective distress, and catastrophizing. 4,6,45,46,50,52 CBT-based treatments have typically taken a broad focus on processes for change and incorporated diverse packages of methods. So far evidence from studies of these treatments has not revealed which processes and methods are most effective or necessary in determining M A N U S C R I P T…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The Mediating Role of Acceptance in Multidisciplinary Cognitive-Behavioral Therapy for Chronic Pain

Åkerblom

Perrin

Fischer

et al. 2015

The Journal of Pain

105

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The Mediating Role of Acceptance in Multidisciplinary Cognitive-Behavioral Therapy for Chronic Pain

Åkerblom

Perrin

Fischer

et al. 2015

The Journal of Pain

105

View full text Add to dashboard Cite

“…However, our rationale for using these 3 scales to assess hypervigilance stems from evidence that hypervigilance is an attentional style being enhanced in conditions of fearavoidance and threat and from findings of substantial and significant correlations between these questionnaires. [22][23][24][25] By including these 3 scales to assess the explicit form of hypervigilance, we aimed at using a multimethod approach.…”

Section: Dot-probe Task (Implicit Form Of Hypervigilance)mentioning

confidence: 99%

Hypervigilance as Predictor of Postoperative Acute Pain: Its Predictive Potency Compared With Experimental Pain Sensitivity, Cortisol Reactivity, and Affective State

Lautenbacher

Huber²,

Kunz³

et al. 2009

The Clinical Journal of Pain

105

View full text Add to dashboard Cite

Objectives: Pain hypervigilance-a strong attentional bias toward pain-is thought to accompany chronic pain and modulate pain management. Its usefulness as predisposing factor for the development and maintenance of pain has been discussed. The aim of our study was to demonstrate the predictive power of hypervigilance for the development of acute postoperative pain.Methods: Fifty-four young male patients were assessed 1 day before surgery (correction of chest malformation) on a range of psychologic predictors. These predictors included the assessment of hypervigilance (questionnaires as the Pain Catastrophizing Scale, Pain Anxiety Symptom Scale, the Pain Vigilance and Awareness Questionnaire, and the dot-probe task) and affective state, experimental pain sensitivity, and cortisol reactivity. Acute postoperative pain was assessed by ratings of pain intensity 1 week postsurgery and through the amount of analgesics [patientcontrolled epidural analgesia (PCEA)] requested during the first days after surgery.Results: Pain intensity was significantly explained (17% explained variance) by hypervigilance, whereas PCEA performance was not (10%). Adding all other predictors led to a significant increase of explained variance (35%) for pain ratings and a nonsignificant increase (19%) for PCEA. A more parsimonious solution with only heat pain threshold added led to a significant increase in explained variance (30%) for pain intensity. Hypervigilance was only moderately correlated with the other predictors.Discussion: Hypervigilance proved to be a powerful predictor of subjective acute postoperative pain, but was less useful with regard to the amount of requested analgesics. The overlap with other psychologic predictors (affective state, experimental pain sensitivity, and cortisol reactivity) is sufficiently small to consider hypervigilance a promising supplement in psychologic predictor research.

show abstract

“…Crosslagged panel correlation analysis has been used to compare early treatment changes to late treatment changes over the intervention period for chronic pain treatment (see Burns et al, 2003a & b). In this study, we were primarily interested in the changes that occur after the completion of the program.…”

Section: Discussionmentioning

confidence: 99%

Six month post-treatment deterioration in acceptance (CPAQ-8) and cognitions following multidisciplinary pain treatment

et al. 2013

View full text Add to dashboard Cite

Pain acceptance contributes significantly to the effectiveness of pain treatment outcomes. Nevertheless, little research has been conducted to examine whether a decrease in acceptance contributes to a deterioration in post treatment functioning. The aim of this study was to assess the role of pain acceptance in relation to process and outcome variables in the six-months following the conclusion of a pain program. Adults with chronic pain (N = 120) completed assessments at the completion of a 3-week multidisciplinary treatment program and 6-months posttreatment. Process measures included the Chronic Pain Acceptance Questionnaire-8 (CPAQ-8); the catastrophizing scale of the Pain Response Self-Statement Scale; the coping cognitions scale of the Pain Response SelfStatement Scale; and the Tampa Scale of Kinesiophobia. Outcome measures included the Roland Morris Disability Questionnaire; the depression scale of the Depression Anxiety and Stress Scale; and two measures of physical functioning. Deterioration in acceptance of pain was significantly associated with deterioration in depression and disability, even when catastrophizing cognitions and kinesiophobia were accounted for. Decrease in acceptance was the strongest predictor of reliable deterioration in depression and disability. Results indicated the CPAQ-8 has utility as a measure for monitoring patient functioning post-treatment.

show abstract

Cognitive factors influence outcome following multidisciplinary chronic pain treatment: a replication and extension of a cross-lagged panel analysis

Cited by 158 publications

References 37 publications

The Mediating Role of Acceptance in Multidisciplinary Cognitive-Behavioral Therapy for Chronic Pain

The Mediating Role of Acceptance in Multidisciplinary Cognitive-Behavioral Therapy for Chronic Pain

Hypervigilance as Predictor of Postoperative Acute Pain: Its Predictive Potency Compared With Experimental Pain Sensitivity, Cortisol Reactivity, and Affective State

Six month post-treatment deterioration in acceptance (CPAQ-8) and cognitions following multidisciplinary pain treatment

Contact Info

Product

Resources

About