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Gepubliceerd in: Journal of Behavioral Medicine 5/2010

01-10-2010

Further development of an instrument to assess psychological flexibility in people with chronic pain

Auteurs: Lance M. McCracken, Kevin E. Vowles, Jane Zhao-O’Brien

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 5/2010

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Abstract

Recently, an expansion of traditional coping models for chronic pain has been offered. This model specifically includes acceptance of chronic pain, as well as the more general process of psychological flexibility. Psychological flexibility includes qualities of behavior such as acceptance and mindfulness, and the capacity to take committed and values-directed or goals-directed action, among other qualities. The present study was intended to refine and validate a measure of psychological flexibility, titled the Brief Pain Response Inventory (BPRI), and determine its relation with key indices of patient functioning. In total, 205 adults with chronic pain who were beginning a program of treatment completed a battery of self-report questionnaires. Exploratory factor analysis indicated the presence of two factors within the items of the BPRI: Flexible Action and Willing Engagement. Subscale and total scores were generally unrelated with patient background variables, although they were related to, and accounted for significant variance in, measures of emotional, physical, and psychosocial functioning. These analyses provide additional support for the relevance of psychological flexibility to the problem of chronic pain, as well as initial evidence for the BPRI as a measure of this process.
Voetnoten
1
Of note, item 4 (“Rested most of the day.”) had a loading of .46 on factor 2 and a loading of .34 on factor 1, both of which were close to the identified cut points. We opted to leave the item in at present; additional data may indicate the most appropriate treatment of that particular item.
 
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Metagegevens
Titel
Further development of an instrument to assess psychological flexibility in people with chronic pain
Auteurs
Lance M. McCracken
Kevin E. Vowles
Jane Zhao-O’Brien
Publicatiedatum
01-10-2010
Uitgeverij
Springer US
Gepubliceerd in
Journal of Behavioral Medicine / Uitgave 5/2010
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI
https://doi.org/10.1007/s10865-010-9264-x

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