The “self” in pain: the role of psychological inflexibility in chronic pain adjustment

Kwok, Silvia Sze Wai; Chan, Esther; Chen, Phoon Ping; Lo, Barbara Chuen Yee

doi:10.1007/s10865-016-9750-x

Cited by 17 publications

(9 citation statements)

References 51 publications

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“…Perceived fear-avoidance beliefs, catastrophic thinking, and perceived disability make the symptoms more severe than they really are. Therefore, psychological interventions in both groups with specific and non-specific chronic low-back pain (CLBP) can be useful (7, 25).…”

Section: Discussionmentioning

confidence: 99%

“…In adaptation to chronic pain, it is necessary to overcome the gaps between social roles and personal identities (7). The frequent presence of pain-related symptoms can form a fragile (8), fearful, and humiliated person, and may be associated with the experience of negative emotions, identity confusion (9), and more avoidable behaviors in everyday life (10).…”

Section: Introductionmentioning

confidence: 99%

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Effect of Cognitive-Behavioral Training on Pain Self-Efficacy, Self-Discovery, and Perception in Patients with Chronic Low-Back Pain: A Quasi-Experimental Study

2019

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Background Correcting false cognitions and establishing preventive behaviors in patients with chronic low-back pain can improve self-efficacy and self-discovery of these patients against the physical and psychological consequences of chronic back pain through reinforcing thoughts and constructive behaviors. Objectives This study aimed to investigate the effectiveness of cognitive-behavioral training in self-efficacy, self-discovery, and pain perception of patients with chronic low-back pain. Methods Based on a quasi-experimental design, 40 patients with chronic low-back were selected through purposive sampling and assigned into two groups of intervention (n = 20) and control (n = 20). After administering the pain self-efficacy (PSE) scale, the self-discovery scale (SDS), and the pain perception questionnaire (MPQ) to both groups, the intervention group received the cognitive-behavioral training while the control group did not receive the intervention. The post-test was performed on both groups and the data were analyzed using SPSS. Results The scores of pain self-efficacy and self-discovery (self-awareness and acceptance, commitment and attraction, transcendence and development, and personal growth) were higher in the intervention group than in the control group (P < 0.01). The highest increase with an effect size of 0.514 was related to the self-awareness and acceptance subscale. In addition, the pain assessment perception was the only reduced subscale among the other dimensions of pain perception (P < 0.01). Conclusions Psychosocial complementary therapies can provide patients suffering from chronic pain with better physical and mental conditions to have a higher quality of life.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Effect of Cognitive-Behavioral Training on Pain Self-Efficacy, Self-Discovery, and Perception in Patients with Chronic Low-Back Pain: A Quasi-Experimental Study

2019

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“…We used the self-administered Chen Internet Addiction Scale (CIAS) to evaluate the participants’ severity of IA in the month preceding the study. The CIAS contains 26 items that are rated using a four-point Likert-type scale, with the total score ranging from 26 to 104 [47]. A higher total score indicated a more severe level of IA.…”

Section: Methodsmentioning

confidence: 99%

“…Throughout the process of accepting one’s current self, psychological flexibility is essential for reconstructing one’s self-concept, such that behaviors can be changed or redirected according to personal long-term values [44]. Although it is also possible that PI/EA may predate the maturity of self-concept, the present study focused on the influence of self-identity confusion on PI/EA and examined the mediating effects of PI/EA on the relationship between self-identity confusion and IA [45].…”

Section: Introductionmentioning

confidence: 99%

Relationship between Self-Identity Confusion and Internet Addiction among College Students: The Mediating Effects of Psychological Inflexibility and Experiential Avoidance

Hsieh

Hsiao

Yang

et al. 2019

IJERPH

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Internet addiction (IA) has become a major public health problem among college students. The aim of this study was to examine the relationship between self-identity confusion and IA and the mediating effects of psychological inflexibility and experiential avoidance (PI/EA) indicators in college students. A total of 500 college students (262 women and 238 men) were recruited. Their levels of self-identity were evaluated using the Self-Concept and Identity Measure. Their levels of PI/EA were examined using the Acceptance and Action Questionnaire-II. The severity of IA was assessed using the Chen Internet Addiction Scale. The relationships among self- identity, PI/EA, and IA were examined using structural equation modeling. The severity of self-identity confusion was positively associated with both the severity of PI/EA and the severity of IA. In addition, the severity of PI/EA indicators was positively associated with the severity of IA. These results demonstrated that the severity of self-identity confusion was related to the severity of IA, either directly or indirectly. The indirect relationship was mediated by the severity of PI/EA. Self-identity confusion and PI/EA should be taken into consideration by the community of professionals working on IA. Early detection and intervention of self-identity confusion and PI/EA should be the objectives for programs aiming to lower the risk of IA.

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“…This tendency is particularly evident in research on chronic pain. In fact, when entering “psychological inflexibility” and “chronic pain” and “a country’s name” (i.e., one of 52 Asian countries including China, Japan, and India), as an “all field” into the PubMed database, only five studies [ 18 , 24 , 34 , 35 , 36 ] came up. Three out of the five studies examined the association of psychological inflexibility with depressive symptoms, and these three showed similar findings across Western cultures.…”

Section: Introductionmentioning

confidence: 99%

Effect of Psychological Inflexibility on Depressive Symptoms and Sleep Disturbance among Japanese Young Women with Chronic Pain

Kato

2020

IJERPH

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Background: Psychological inflexibility based on an acceptance and commitment therapy model is theoretically well-established as a process to exacerbate psychological distress, such as depressive symptoms and sleep disturbance. This study aimed to examine the associations of psychological inflexibility with depressive symptoms and sleep distribution. We hypothesized that psychological inflexibility would be associated with higher levels of depressive symptoms and sleep disturbance in women with chronic pain. Methods: Female college students in Japan answered a questionnaire on pain status, treatment, and psychological inflexibility as measured by the Acceptance and Action Questionnaire-Ⅱ before answering questionnaires on depressive symptoms and sleep disturbance eight months after. Results: Women with chronic pain (n = 320) reported more severe depressive symptoms and sleep disturbances compared to women without chronic pain (n = 90). Hierarchical multiple regressions revealed that psychological inflexibility predicted higher levels of depressive symptoms and sleep disturbance, independent of the pain intensity, whether they consulted a doctor or used pain medication. Conclusion: Based on our findings self-management interventions aimed at reducing psychological inflexibility should be developed for individuals who are experiencing chronic pain.

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The “self” in pain: the role of psychological inflexibility in chronic pain adjustment

Cited by 17 publications

References 51 publications

Effect of Cognitive-Behavioral Training on Pain Self-Efficacy, Self-Discovery, and Perception in Patients with Chronic Low-Back Pain: A Quasi-Experimental Study

Effect of Cognitive-Behavioral Training on Pain Self-Efficacy, Self-Discovery, and Perception in Patients with Chronic Low-Back Pain: A Quasi-Experimental Study

Relationship between Self-Identity Confusion and Internet Addiction among College Students: The Mediating Effects of Psychological Inflexibility and Experiential Avoidance

Effect of Psychological Inflexibility on Depressive Symptoms and Sleep Disturbance among Japanese Young Women with Chronic Pain

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