Top

Quality of Life Research

Gepubliceerd in:

01-09-2016

Acceptance and patient functioning in chronic pain: the mediating role of physical activity

Auteurs: Saetbyeol Jeong, Sungkun Cho

Gepubliceerd in: Quality of Life Research | Uitgave 4/2017

Abstract

Purpose

Activity engagement, which refers to pursuing activities despite pain, is conceptually related to pain acceptance. A recent diary study suggested that pain acceptance precedes and directly influences physical activity, and thus, pain acceptance appears to be an important aspect of eliciting better functioning by allowing patients with chronic pain (PCPs) to participate in physical activity despite the pain. This retrospective, cross-sectional cohort study was conducted to investigate the mediating effect of physical activity on the association between pain acceptance and functioning and the association between physical activity level and functioning in PCPs.

Methods

The study participants were 176 patients seeking treatment for chronic pain at a tertiary pain center in Korea. The Chronic Pain Acceptance Questionnaire, International Physical Activity Questionnaire-Short Form, and Short Form-36 were used to assess pain acceptance, physical activity, and patient functioning. The mediating effects of physical activity were tested using procedures described by Baron and Kenny. Also, three hierarchical multiple linear regression analyses were conducted to identify levels of physical activity that predict measures of patient functioning.

Results

Physical activity partially mediated the association between pain acceptance and patient functioning except for pain intensity. Furthermore, walking and moderate activity were found to be associated with improvements in all areas of patient functioning except for pain intensity.

Conclusion

To improve the functioning of PCPs, health professionals may need to help patients accept private experiences related to pain and plan activity pacing programs that focus on value-based activities.

vorige artikel Mindful creativity matters: trajectories of reported functioning after severe traumatic brain injury as a function of mindful creativity in patients’ relatives: a multilevel analysis

volgende artikel The utility of patient-reported outcome measures among patients with myalgic encephalomyelitis/chronic fatigue syndrome

Merskey, H., & Bogduk, N. (1994). Classification of chronic pain (2nd ed., p. 1). Seattle: IASP Press.

Singh, M. K., Patel, J., & Gallagher, R. M. (2005). Chronic pain syndrome. Physical Medicine and Rehabilitation. http://emedicine.medscape.com/article/310834-overview.

Kim, Y. S. (2011). Spinal cord stimulation for control of chronic pain. Hanyang Medical Reviews, 31(2), 85–89.CrossRef

Turk, D. C., & Okifuji, A. (2002). Psychological factors in chronic pain: Evolution and revolution. Journal of Consulting and Clinical Psychology, 70(3), 678.CrossRefPubMed

Sullivan, M. J., Rouse, D., Bishop, S., & Johnston, S. (1997). Thought suppression, catastrophizing, and pain. Cognitive Therapy and Research, 21(5), 555–568.CrossRef

Cho, S., McCracken, L. M., Heiby, E. M., Moon, D. E., & Lee, J. H. (2013). Pain acceptance-based coping in complex regional pain syndrome Type I: Daily relations with pain intensity, activity, and mood. Journal of Behavioral Medicine, 36(5), 531–538.CrossRefPubMed

Petrie, K. J., Booth, R. J., & Pennebaker, J. W. (1998). The immunological effects of thought suppression. Journal of Personality and Social Psychology, 75(5), 1264.CrossRefPubMed

McCracken, L. M. (2005). Social context and acceptance of chronic pain: The role of solicitous and punishing responses. Pain, 113(1), 155–159.CrossRefPubMed

Viane, I., Crombez, G., Eccleston, C., Poppe, C., Devulder, J., Van Houdenhove, B., et al. (2003). Acceptance of pain is an independent predictor of mental well-being in patients with chronic pain: Empirical evidence and reappraisal. Pain, 106(1), 65–72.CrossRefPubMed

10.

McCracken, L. M., Carson, J. W., Eccleston, C., & Keefe, F. J. (2004). Acceptance and change in the context of chronic pain. Pain, 109(1), 4–7.CrossRefPubMed

11.

McCracken, L. M., & Vowles, K. E. (2006). Acceptance of chronic pain. Current Pain and Headache Reports, 10(2), 90–94.CrossRefPubMed

12.

Hayes, S. C. (2004). Acceptance and Commitment Therapy and the new behavior therapies: Mindfulness, acceptance and relationship. In S. C. Hayes, V. M. Follette, & M. Linehan (Eds.), Mindfulness and acceptance: Expanding the cognitive behavioral tradition (pp. 1–29). New York:Guilford.

13.

Hayes, S. C., Luoma, J. B., Bond, F. W., Masuda, A., & Lillis, J. (2006). Acceptance and commitment therapy: Model, processes and outcomes. Behaviour Research and Therapy, 44(1), 1–25.CrossRefPubMed

14.

Reneman, M. F., Dijkstra, A., Geertzen, J. H., & Dijkstra, P. U. (2010). Psychometric properties of chronic pain acceptance questionnaires: A systematic review. European Journal of Pain, 14(5), 457–465.CrossRefPubMed

15.

McCracken, L. M., Vowles, K. E., & Gauntlett-Gilbert, J. (2007). A prospective investigation of acceptance and control-oriented coping with chronic pain. Journal of Behavioral Medicine, 30(4), 339–349.CrossRefPubMed

16.

Breivik, H., Collett, B., Ventafridda, V., Cohen, R., & Gallacher, D. (2006). Survey of chronic pain in Europe: Prevalence, impact on daily life, and treatment. European Journal of Pain, 10(4), 287.CrossRefPubMed

17.

Van Damme, S., Crombez, G., & Eccleston, C. (2004). Disengagement from pain: The role of catastrophic thinking about pain. Pain, 107(1), 70–76.CrossRefPubMed

18.

McCracken, L. M., Vowles, K. E., & Eccleston, C. (2004). Acceptance of chronic pain: Component analysis and a revised assessment method. Pain, 107(1), 159–166.CrossRefPubMed

19.

Habib, S., Morrissey, S., & Helmes, E. (2005). Preparing for pain management: A pilot study to enhance engagement. Journal of Pain, 6(1), 48–54.CrossRefPubMed

20.

Biesanz, J. C., Falk, C. F., & Savalei, V. (2010). Assessing mediational models: Testing and interval estimation for indirect effects. Multivariate Behavioral Research, 45(4), 661–701.CrossRefPubMed

21.

Cho, S., Heiby, E. M., McCracken, L. M., Moon, D. E., & Lee, J. H. (2012). Psychometric properties of a Korean version of the Chronic Pain Acceptance Questionnaire in chronic pain patients. Quality of Life Research, 21(6), 1059–1064.CrossRefPubMed

22.

Sjøstrom, M., Ekelund, U., Poortvliet, E., Hurting-Wennlof, A., & Yngve, A. (2000). Assessment of physical activity using IPAQ (version 4) and activity monitors (CSA). Measurement in Physical Education and Exercise Science, 4, 263–264.

23.

Oh, J. Y., Yang, Y. J., Kim, B. S., & Kang, J. H. (2007). Validity and reliability of Korean version of International Physical Activity Questionnaire (IPAQ) short form. Journal of the Korean Academy of Family Medicine, 28(7), 532–541.

24.

Jensen M. P., & Karoly P. (2011). Self-report scales and procedures for assessing pain in adults. In: Turk D. C, Melzack R (Eds), Handbook of pain assessment (pp. 19–41). 3rd Edn. New York, NY: Guilford Press.

25.

Ware, J. E., Jr., & Sherbourne, C. D. (1992). The MOS 36-item short-form health survey (SF-36): I. Conceptual framework and item selection. Medical Care, 30, 473–483.CrossRefPubMed

26.

Hays, R. D., Sherbourne, C. D., & Mazel, R. M. (1993). The rand 36-item health survey 1.0. Health Economics, 2(3), 217–227.CrossRefPubMed

27.

Koh, S. B., Chang, S. J., Kang, M. G., Cha, B. S., & Park, J. K. (1997). Reliability and validity on measurement instrument for health status assessment in occupational workers. Korean Journal of Preventive Medicine, 30(2), 251–266.

28.

Faul, F., Erdfelder, E., Buchner, A., & Lang, A. G. (2009). Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses. Behavior Research Methods, 41(4), 1149–1160.CrossRefPubMed

29.

Baron, R. M., & Kenny, D. A. (1986). The moderator–mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51(6), 1173.CrossRefPubMed

30.

Sobel, M. E. (1982). Asymptotic confidence intervals for indirect effects in structural equation models. In S. Leinhart (Ed.), Sociological Mhodology (pp 290–312). San Francisco: Jossey-Bass.

31.

Hayes, S. C., Strosahl, K. D., & Wilson, K. G. (1999). Acceptance and commitment therapy: An experiential approach to behavior change. New York: Guilford Press.

32.

Yun, H. K. (2005). The therapeutic mechanisms of on-maeum counseling. Korean Journal Counseling Psychotherapy, 17(1), 1–13.

33.

Moon, H. M. (2006). Development and validation of the program for facilitation of psychological acceptance based on Acceptance and Commitment Therapy model. Unpublished doctoral dissertation.

34.

Parkinson, W. L., Krames, L., Kumbhare, D., D’Arcy, B., Gromkowska, G., & Balsor, B. (2006). Use of pedometers in chronic pain: Associations with self-reported coping measures. Archives of Physical Medicine and Rehabilitation, 87(11), e39.CrossRef

35.

Nielson, W. R., Jensen, M. P., & Hill, M. L. (2001). An activity pacing scale for the chronic pain coping inventory: Development in a sample of patients with fibromyalgia syndrome. Pain, 89(2), 111–115.CrossRefPubMed

36.

Hasenbring, M. I., & Verbunt, J. A. (2010). Fear-avoidance and endurance-related responses to pain: New models of behavior and their consequences for clinical practice. Clinical Journal of Pain, 26(9), 747–753.CrossRefPubMed

37.

Vlaeyen, J. W., & Linton, S. J. (2000). Fear-avoidance and its consequences in chronic musculoskeletal pain: A state of the art. Pain, 85(3), 317–332.CrossRefPubMed

38.

Birkholtz, M., Aylwin, L., & Harman, R. M. (2004). Activity pacing in chronic pain management: One aim, but which method? Part one: Introduction and literature review. The British Journal of Occupational Therapy, 67(10), 447–452.CrossRef

39.

McCracken, L. M. (2013). Committed action: An application of the psychological flexibility model to activity patterns in chronic pain. Journal of Pain, 14(8), 828–835.CrossRefPubMed

40.

Cavanaugh, J. M., & Weinstein, J. N. (1994). Low back pain epidemiology, anatomy and neurophysiology. In P. D. Wall & R. Melzack (Eds.), Textbook of pain. New York, NY: Livingstone.

41.

Kindermans, H. P., Roelofs, J., Goossens, M. E., Huijnen, I. P., Verbunt, J. A., & Vlaeyen, J. W. (2011). Activity patterns in chronic pain: Underlying dimensions and associations with disability and depressed mood. The Journal of Pain, 12(10), 1049–1058.CrossRefPubMed

42.

Trompetter, H. R., Ten Klooster, P. M., Schreurs, K. M., Fledderus, M., Westerhof, G. J., & Bohlmeijer, E. T. (2013). Measuring values and committed action with the Engaged Living Scale (ELS): Psychometric evaluation in a nonclinical sample and a chronic pain sample. Psychological Assessment, 25(4), 1235.CrossRefPubMed

43.

Antcliff, D., Keeley, P., Campbell, M., Oldham, J., & Woby, S. (2013). The development of an activity pacing questionnaire for chronic pain and/or fatigue: A Delphi technique. Physiotherapy, 99(3), 241–246.CrossRefPubMed

44.

Park, Y., Kim, D., & Cho, S. (2015). The relative utility of pacing and committed action for predicting adjustment to chronic pain. Journal of Pain, 4(16), S104.CrossRef

45.

McCracken, L. M. (2013). Committed action: An application of the psychological flexibility model to activity patterns in chronic pain. The Journal of Pain, 14(8), 828–835.CrossRefPubMed

Titel: Acceptance and patient functioning in chronic pain: the mediating role of physical activity
Auteurs: Saetbyeol Jeong
Sungkun Cho
Publicatiedatum: 01-09-2016
Uitgeverij: Springer International Publishing
Gepubliceerd in: Quality of Life Research / Uitgave 4/2017
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI: https://doi.org/10.1007/s11136-016-1404-5

Bohn Stafleu van Loghum

Deel dit onderdeel of sectie (kopieer de link)

Abstract

Purpose

Methods

Results

Conclusion

Log in om toegang te krijgen

Andere artikelen Uitgave 4/2017

Mindful creativity matters: trajectories of reported functioning after severe traumatic brain injury as a function of mindful creativity in patients’ relatives: a multilevel analysis

Validation of the Patient Activation Measure (PAM-13) among adults with cardiac conditions in Singapore

Health-related quality of life in patients with serious non-specific symptoms undergoing evaluation for possible cancer and their experience during the process: a mixed methods study

Patient-reported outcome measures in older people with hip fracture: a systematic review of quality and acceptability

The utility of patient-reported outcome measures among patients with myalgic encephalomyelitis/chronic fatigue syndrome

Quality of life in people aged 65+ in Europe: associated factors and models of social welfare—analysis of data from the SHARE project (Wave 5)