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07-05-2018

Pain catastrophizing, activity engagement and pain willingness as predictors of the benefits of multidisciplinary cognitive behaviorally-based chronic pain treatment

Auteurs: Jordi Miró, Elena Castarlenas, Rocío de la Vega, Santiago Galán, Elisabet Sánchez-Rodríguez, Mark P. Jensen, Douglas Cane

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 6/2018

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Abstract

Pain catastrophizing and pain acceptance have been shown to be associated with improvements after participation in cognitive behaviorally-based treatment (CBT) for chronic pain. However, it is not yet clear how important each of these factors is relative to the other. Furthermore, it is also not clear if multidisciplinary pain treatment has the same impact on the two primary dimensions of pain acceptance (activity engagement and pain willingness), and whether their role in explaining treatment outcome differs as a function of the outcomes under study. The aim of this study was to examine the relative importance of changes in pain catastrophizing, activity engagement and pain willingness as predictors of the benefits of a multidisciplinary CBT for chronic pain. 186 adults with chronic pain participated. Pain catastrophizing and activity engagement, but not pain willingness, were significantly associated with treatment outcome. Moreover, each one evidenced different patterns of associations with outcomes. Specifically, while changes in both were associated with improvements in depressive symptoms, only catastrophizing was associated with improvements in pain intensity and only activity engagement was associated with improvements in pain-related disability.
Literatuur
go back to reference Benzon, H. T., Rathmell, J. P., Wu, C. L., Turk, D. C., Argoff, C. E., & Hurley, R. W. (2013). Practical management of pain. Philadelphia: Elsevier. Benzon, H. T., Rathmell, J. P., Wu, C. L., Turk, D. C., Argoff, C. E., & Hurley, R. W. (2013). Practical management of pain. Philadelphia: Elsevier.
go back to reference Day, M. A., Jensen, M. P., Ehde, D. M., & Thorn, B. E. (2014). Toward a theoretical model for mindfulness-based pain management. Journal of Pain, 15, 691–703.CrossRef Day, M. A., Jensen, M. P., Ehde, D. M., & Thorn, B. E. (2014). Toward a theoretical model for mindfulness-based pain management. Journal of Pain, 15, 691–703.CrossRef
go back to reference Jensen, M. P., Castarlenas, E., Tomé-Pires, C., de la Vega, R., Sánchez-Rodríguez, E., & Miró, J. (2015a). The number of ratings needed for valid pain assessment in clinical trials: Replication and extension. Pain Med (US), 16(9), 1764–1772. https://doi.org/10.1111/pme.12823 CrossRef Jensen, M. P., Castarlenas, E., Tomé-Pires, C., de la Vega, R., Sánchez-Rodríguez, E., & Miró, J. (2015a). The number of ratings needed for valid pain assessment in clinical trials: Replication and extension. Pain Med (US), 16(9), 1764–1772. https://​doi.​org/​10.​1111/​pme.​12823 CrossRef
go back to reference Jensen, M. P., & Karoly, P. (2011). Self-report scales and procedures for assessing pain in adults. In D. C. Turk & R. Melzack (Eds.), Handbook of pain assessment (3rd ed., pp. 19–44). New York: Guilford Press. Jensen, M. P., & Karoly, P. (2011). Self-report scales and procedures for assessing pain in adults. In D. C. Turk & R. Melzack (Eds.), Handbook of pain assessment (3rd ed., pp. 19–44). New York: Guilford Press.
go back to reference McCracken, L. M. (2005). Contextual cognitive-behavioral therapy for chronic pain. Seattle: IASP Press. McCracken, L. M. (2005). Contextual cognitive-behavioral therapy for chronic pain. Seattle: IASP Press.
go back to reference Racine, M., Sanchez-Rodriguez, E., Galan, S., Tome-Pires, C., Sole, E., Jensen, M. P., … Choiniere, M. (2016). Factors Associated with Suicidal Ideation in Patients with Chronic Non-Cancer Pain. Pain Medicine (Malden, Mass.). http://doi.org/10.1093/pm/pnw115 Racine, M., Sanchez-Rodriguez, E., Galan, S., Tome-Pires, C., Sole, E., Jensen, M. P., … Choiniere, M. (2016). Factors Associated with Suicidal Ideation in Patients with Chronic Non-Cancer Pain. Pain Medicine (Malden, Mass.). http://​doi.​org/​10.​1093/​pm/​pnw115
go back to reference Richardson, E. J., Ness, T. J., Doleys, D. M., Baños, J. H., Cianfrini, L., & Richards, J. S. (2010). Catastrophizing, acceptance, and interference: Laboratory findings, subjective report, and pain willingness as a moderator. Health Psychology : Official Journal of the Division of Health Psychology, American Psychological Association, 29(3), 299–306. https://doi.org/10.1037/a0018834 CrossRef Richardson, E. J., Ness, T. J., Doleys, D. M., Baños, J. H., Cianfrini, L., & Richards, J. S. (2010). Catastrophizing, acceptance, and interference: Laboratory findings, subjective report, and pain willingness as a moderator. Health Psychology : Official Journal of the Division of Health Psychology, American Psychological Association, 29(3), 299–306. https://​doi.​org/​10.​1037/​a0018834 CrossRef
go back to reference Tabachnick, B. G., & Fidell, L. (1996). Using multivariate statistics (6th ed.). Harlow: Pearson. Tabachnick, B. G., & Fidell, L. (1996). Using multivariate statistics (6th ed.). Harlow: Pearson.
go back to reference Tait, R. C., Chibnall, J. T., & Krause, S. (1990). The Pain Disability Index: Psychometric properties. Pain, 40(2), 171–182.CrossRef Tait, R. C., Chibnall, J. T., & Krause, S. (1990). The Pain Disability Index: Psychometric properties. Pain, 40(2), 171–182.CrossRef
go back to reference Tait, R. C., Pollard, C. A., Margolis, R. B., Duckro, P. N., & Krause, S. J. (1987). The Pain Disability Index: Psychometric and validity data. Archives of Physical Medicine and Rehabilitation, 68(7), 438–441.PubMed Tait, R. C., Pollard, C. A., Margolis, R. B., Duckro, P. N., & Krause, S. J. (1987). The Pain Disability Index: Psychometric and validity data. Archives of Physical Medicine and Rehabilitation, 68(7), 438–441.PubMed
Metagegevens
Titel
Pain catastrophizing, activity engagement and pain willingness as predictors of the benefits of multidisciplinary cognitive behaviorally-based chronic pain treatment
Auteurs
Jordi Miró
Elena Castarlenas
Rocío de la Vega
Santiago Galán
Elisabet Sánchez-Rodríguez
Mark P. Jensen
Douglas Cane
Publicatiedatum
07-05-2018
Uitgeverij
Springer US
Gepubliceerd in
Journal of Behavioral Medicine / Uitgave 6/2018
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI
https://doi.org/10.1007/s10865-018-9927-6