Effects of Pain Acceptance and Pain Control Strategies on Physical Impairment in Individuals With Chronic Low Back Pain☆
Section snippets
Participants
There were 91 individuals with persistent low back pain of greater than 3 months duration who consented to participate. Each of these individuals was recruited during treatment evaluation appointments from a multidisciplinary functional restoration treatment center located in the southeastern United States. Participation was voluntary and predicated on the ability to read and walk independently, as well as the presence of a primary complaint of low back pain. In addition, the clinic protocol
Analytic Approach
In total, 26 individuals (35.1%) were assigned to the acceptance group, 23 (31.1%) to the pain control group, and 25 (33.8%) to the continued practice group. There were three steps to the data analytic procedure. First, differences among the groups at baseline were assessed via a series of multivariate and univariate analyses of variance (MANOVAs and ANOVAs, respectively) for continuous variables and chi-square analyses for categorical variables. Second, differences among the patient groups
Discussion
The present study was designed to evaluate the effects of brief pain control and pain acceptance rationales on measures of physical impairment in a sample of patients with chronic low back pain using an analogue experimental design. It was hypothesized that an explicitly control-focused set of instructions would have a lesser effect on patient performance in comparison to a set of instructions asking participants to notice thoughts and feelings in response to the tasks and to behave in a way
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Financial support was provided by the West Virginia University (WVU) Eberly College of Arts and Sciences, the WVU Department of Psychology Alumni Fund, PSIMED, and Oasis Occupational Rehabilitation and Pain Management. Thanks to Dr. Lance McCracken for comments on an earlier draft of this manuscript.