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Gepubliceerd in: Journal of Behavioral Medicine 3/2014

01-06-2014

Six month post-treatment deterioration in acceptance (CPAQ-8) and cognitions following multidisciplinary pain treatment

Auteurs: John Baranoff, Stephanie J. Hanrahan, Dilip Kapur, Jason P. Connor

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 3/2014

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Abstract

Pain acceptance contributes significantly to the effectiveness of pain treatment outcomes. Nevertheless, little research has been conducted to examine whether a decrease in acceptance contributes to a deterioration in post treatment functioning. The aim of this study was to assess the role of pain acceptance in relation to process and outcome variables in the six-months following the conclusion of a pain program. Adults with chronic pain (N = 120) completed assessments at the completion of a 3-week multidisciplinary treatment program and 6-months post-treatment. Process measures included the Chronic Pain Acceptance Questionnaire-8 (CPAQ-8); the catastrophizing scale of the Pain Response Self-Statement Scale; the coping cognitions scale of the Pain Response Self-Statement Scale; and the Tampa Scale of Kinesiophobia. Outcome measures included the Roland Morris Disability Questionnaire; the depression scale of the Depression Anxiety and Stress Scale; and two measures of physical functioning. Deterioration in acceptance of pain was significantly associated with deterioration in depression and disability, even when catastrophizing cognitions and kinesiophobia were accounted for. Decrease in acceptance was the strongest predictor of reliable deterioration in depression and disability. Results indicated the CPAQ-8 has utility as a measure for monitoring patient functioning post-treatment.
Literatuur
go back to reference Asghari, A. (2011). Psychometric properties of a modified version of the Roland-Morris Disability Questionnaire (M-RMDQ). Archives of Iranian Medicine, 14, 327–331.PubMed Asghari, A. (2011). Psychometric properties of a modified version of the Roland-Morris Disability Questionnaire (M-RMDQ). Archives of Iranian Medicine, 14, 327–331.PubMed
go back to reference Asghari, A., & Nicholas, M. K. (2001). Pain self-efficacy beliefs and pain behaviour. A prospective study. Pain, 94, 85–100.PubMedCrossRef Asghari, A., & Nicholas, M. K. (2001). Pain self-efficacy beliefs and pain behaviour. A prospective study. Pain, 94, 85–100.PubMedCrossRef
go back to reference Baranoff, J., Hanrahan, S. J., Kapur, D., & Connor, J. P. (2013). Acceptance as a process variable in relation to catastrophizing in multidisciplinary pain treatment. European Journal of Pain, 17, 101–110 doi:10.1002/j.1532-2149.2012.00165.x. Online ISSN: 1532-2149. Baranoff, J., Hanrahan, S. J., Kapur, D., & Connor, J. P. (2013). Acceptance as a process variable in relation to catastrophizing in multidisciplinary pain treatment. European Journal of Pain, 17, 101–110 doi:10.​1002/​j.​1532-2149.​2012.​00165.​x. Online ISSN: 1532-2149.
go back to reference Baranoff, J., Hanrahan, S. J., Kapur, D., & Connor, J. P. (2012). Validation of the Chronic Pain Acceptance Questionnaire-8 in an Australian Pain Clinic Sample. International Journal of Behavioral Medicine. doi: 10.1007/s12529-012-9278-6. Baranoff, J., Hanrahan, S. J., Kapur, D., & Connor, J. P. (2012). Validation of the Chronic Pain Acceptance Questionnaire-8 in an Australian Pain Clinic Sample. International Journal of Behavioral Medicine. doi: 10.​1007/​s12529-012-9278-6.
go back to reference Beck, A. T., Rush, A. J., Shaw, B. F., & Emery, G. (1979). Cognitive therapy of depression. New York: The Guilford Press. Beck, A. T., Rush, A. J., Shaw, B. F., & Emery, G. (1979). Cognitive therapy of depression. New York: The Guilford Press.
go back to reference Brown, T. A., Chorpita, B. F., Korotitsch, W., & Barlow, D. H. (1997). Psychometric properties of the depression anxiety stress scales (DASS) in clinical samples. Behaviour Research and Therapy, 35, 79–89.PubMedCrossRef Brown, T. A., Chorpita, B. F., Korotitsch, W., & Barlow, D. H. (1997). Psychometric properties of the depression anxiety stress scales (DASS) in clinical samples. Behaviour Research and Therapy, 35, 79–89.PubMedCrossRef
go back to reference Burns, J. W., Glenn, B., Bruehl, S., Harden, R. N., & Lofland, K. (2003a). Cognitive factors influence outcome following multidisciplinary pain treatment: A replication and extension of a cross-lagged panel analysis. Behaviour Research and Therapy, 41, 1163–1182.PubMedCrossRef Burns, J. W., Glenn, B., Bruehl, S., Harden, R. N., & Lofland, K. (2003a). Cognitive factors influence outcome following multidisciplinary pain treatment: A replication and extension of a cross-lagged panel analysis. Behaviour Research and Therapy, 41, 1163–1182.PubMedCrossRef
go back to reference Burns, J. W., Kubilus, A., Brehl, S., & Harden, R. N. (2003b). Do changes in cognitive factors influence outcome following multidisciplinary treatment for chronic pain? A cross-lagged panel analysis. Journal of Consulting and Clinical Psychology, 71, 81–91.PubMedCrossRef Burns, J. W., Kubilus, A., Brehl, S., & Harden, R. N. (2003b). Do changes in cognitive factors influence outcome following multidisciplinary treatment for chronic pain? A cross-lagged panel analysis. Journal of Consulting and Clinical Psychology, 71, 81–91.PubMedCrossRef
go back to reference Dunlap, W. P., Cortina, J. M., Vaslow, J. B., & Burke, M. J. (1996). Meta-analysis of experiments with matched groups or repeated measures designs. Journal of Psychological Methods, 1, 170–177.CrossRef Dunlap, W. P., Cortina, J. M., Vaslow, J. B., & Burke, M. J. (1996). Meta-analysis of experiments with matched groups or repeated measures designs. Journal of Psychological Methods, 1, 170–177.CrossRef
go back to reference Eccleston, C., Williams, A. C., & Morley, S. (2009). Psychological therapies for the management of chronic pain (excluding headache) in adults. Cochrane database of systematic reviews, 15, CD007407. doi:10.1002/14651858.CD007407.pub2. Eccleston, C., Williams, A. C., & Morley, S. (2009). Psychological therapies for the management of chronic pain (excluding headache) in adults. Cochrane database of systematic reviews, 15, CD007407. doi:10.​1002/​14651858.​CD007407.​pub2.
go back to reference Esteve, R., Ramírez-Maestre, C., & López-Marínez, A. E. (2007). Adjustment to chronic pain: The role of pain acceptance, coping strategies, and pain-related cognitions. Annals of Behavior Medicine, 33, 179–188.CrossRef Esteve, R., Ramírez-Maestre, C., & López-Marínez, A. E. (2007). Adjustment to chronic pain: The role of pain acceptance, coping strategies, and pain-related cognitions. Annals of Behavior Medicine, 33, 179–188.CrossRef
go back to reference Ferreira-Valente, M. A., Pais-Ribeiro, J. L., & Jensen, M. P. (2011). Validity of four pain intensity scales. Pain, 152, 2399–2404.PubMedCrossRef Ferreira-Valente, M. A., Pais-Ribeiro, J. L., & Jensen, M. P. (2011). Validity of four pain intensity scales. Pain, 152, 2399–2404.PubMedCrossRef
go back to reference Fish, R., McGuire, B., Hogan, M., Morrison, T., & Stewart, I. (2010). Validation of the Chronic Pain Acceptance Questionnaire (CPAQ) in an Internet sample and development and preliminary validation of the CPAQ-8. Pain, 149, 435–443. doi:10.1016/j.pain.2009.12.016 PubMedCrossRef Fish, R., McGuire, B., Hogan, M., Morrison, T., & Stewart, I. (2010). Validation of the Chronic Pain Acceptance Questionnaire (CPAQ) in an Internet sample and development and preliminary validation of the CPAQ-8. Pain, 149, 435–443. doi:10.​1016/​j.​pain.​2009.​12.​016 PubMedCrossRef
go back to reference Flor, H., Behle, D. J., & Birbaumer, N. (1993). Assessment of pain-related cognitions in chronic pain patients. Behaviour Research and Therapy, 31, 63–73.PubMedCrossRef Flor, H., Behle, D. J., & Birbaumer, N. (1993). Assessment of pain-related cognitions in chronic pain patients. Behaviour Research and Therapy, 31, 63–73.PubMedCrossRef
go back to reference Grotle, M., Brox, J. I., & Vollestad, N. K. (2003). Cross-cultural adaptation of the Norwegian versions of the Roland-Morris Disability Questionnaire and the Oswestry Disability Index. Journal of Rehabilitation Medicine, 35, 241–247. doi:10.1080/16501970310006452 PubMedCrossRef Grotle, M., Brox, J. I., & Vollestad, N. K. (2003). Cross-cultural adaptation of the Norwegian versions of the Roland-Morris Disability Questionnaire and the Oswestry Disability Index. Journal of Rehabilitation Medicine, 35, 241–247. doi:10.​1080/​1650197031000645​2 PubMedCrossRef
go back to reference Harding, V. R., Williams, A., Richardson, P., Nicholas, M., Jackson, J., Richardson, I., et al. (1994). The development of a battery of measures for assessing physical functioning in chronic pain patients. Pain, 58, 367–375.PubMedCrossRef Harding, V. R., Williams, A., Richardson, P., Nicholas, M., Jackson, J., Richardson, I., et al. (1994). The development of a battery of measures for assessing physical functioning in chronic pain patients. Pain, 58, 367–375.PubMedCrossRef
go back to reference Hayes, S. C., Strosahl, K. D., & Wilson, K. G. (2012). Acceptance and commitment therapy: The process and practice of mindful change. New York: The Guilford Press. Hayes, S. C., Strosahl, K. D., & Wilson, K. G. (2012). Acceptance and commitment therapy: The process and practice of mindful change. New York: The Guilford Press.
go back to reference Jacobson, N. S., & Truax, P. (1991). Clinical significance: A statistical approach to defining meaningful change in psychotherapy research. Journal of Consulting and Clinical Psychology, 59, 12–19.PubMedCrossRef Jacobson, N. S., & Truax, P. (1991). Clinical significance: A statistical approach to defining meaningful change in psychotherapy research. Journal of Consulting and Clinical Psychology, 59, 12–19.PubMedCrossRef
go back to reference Kenny, D. A. (1975). Cross-lagged panel correlation: A test of spuriousness. Psychological Bulletin, 82, 887–903.CrossRef Kenny, D. A. (1975). Cross-lagged panel correlation: A test of spuriousness. Psychological Bulletin, 82, 887–903.CrossRef
go back to reference Kori, S. H., Miller, R. P., & Todd, D. D. (1990). Kinesiophobia: A new view of chronic pain behavior. Journal of Pain Management, 3, 35–43. Kori, S. H., Miller, R. P., & Todd, D. D. (1990). Kinesiophobia: A new view of chronic pain behavior. Journal of Pain Management, 3, 35–43.
go back to reference Lovibond, P. F., & Lovibond, S. H. (1995). The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behaviour and Research Therapy, 33, 335–343.CrossRef Lovibond, P. F., & Lovibond, S. H. (1995). The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behaviour and Research Therapy, 33, 335–343.CrossRef
go back to reference Moran, D., & Tai, W. (2001). Reducing biases in clinical judgement with single subject treatment design. The Behavior Analyst Today, 2, 196–203. Moran, D., & Tai, W. (2001). Reducing biases in clinical judgement with single subject treatment design. The Behavior Analyst Today, 2, 196–203.
go back to reference Morley, S., Eccleston, C., & Williams, A. C. (1999). Systematic review and meta-analysis of randomized controlled trials of cognitive behaviour therapy and behaviour therapy for chronic pain in adults, excluding headache. Pain, 80, 1–13.PubMedCrossRef Morley, S., Eccleston, C., & Williams, A. C. (1999). Systematic review and meta-analysis of randomized controlled trials of cognitive behaviour therapy and behaviour therapy for chronic pain in adults, excluding headache. Pain, 80, 1–13.PubMedCrossRef
go back to reference Nicholas, M. K., Asghari, A., Corbett, M., Smeets, R. J., Wood, B. M., Overton, S., et al. (2012). Is adherence to pain self-management strategies associated with improved pain, depression and disability in those with disabling chronic pain? European Journal of Pain, 16, 93–104. doi:10.1016/j.ejpain.2011.06.005 PubMedCrossRef Nicholas, M. K., Asghari, A., Corbett, M., Smeets, R. J., Wood, B. M., Overton, S., et al. (2012). Is adherence to pain self-management strategies associated with improved pain, depression and disability in those with disabling chronic pain? European Journal of Pain, 16, 93–104. doi:10.​1016/​j.​ejpain.​2011.​06.​005 PubMedCrossRef
go back to reference Nicholas, M., Molloy, A., Tonkin, L., & Beeston, L. (2007). Manage your pain: Practical and positive ways of adapting to chronic pain. Sydney: Australian Broadcasting Corporation. Nicholas, M., Molloy, A., Tonkin, L., & Beeston, L. (2007). Manage your pain: Practical and positive ways of adapting to chronic pain. Sydney: Australian Broadcasting Corporation.
go back to reference Rodero, B., Garcia-Campayo, J., Casanueva, B., del Hoyo, Y. L., Serrano-Blanco, A., & Luciano, J. V. (2010). Validation of the Spanish version of the Chronic Pain Acceptance Questionnaire (CPAQ) for the assessment of acceptance in fibromyalgia. Health and Quality of Life Outcomes, 8, 37. doi:10.1186/1477-7525-8-37 PubMedCentralPubMedCrossRef Rodero, B., Garcia-Campayo, J., Casanueva, B., del Hoyo, Y. L., Serrano-Blanco, A., & Luciano, J. V. (2010). Validation of the Spanish version of the Chronic Pain Acceptance Questionnaire (CPAQ) for the assessment of acceptance in fibromyalgia. Health and Quality of Life Outcomes, 8, 37. doi:10.​1186/​1477-7525-8-37 PubMedCentralPubMedCrossRef
go back to reference Roland, M., & Morris, R. (1983). A study of the natural history of back pain. Part I: Development of a reliable and sensitive measure of disability in low-back pain. Spine, 8, 141–144.PubMedCrossRef Roland, M., & Morris, R. (1983). A study of the natural history of back pain. Part I: Development of a reliable and sensitive measure of disability in low-back pain. Spine, 8, 141–144.PubMedCrossRef
go back to reference Samwel, H. J. A., Kraaimaat, F. W., Crul, B. J. P., van Dongen, R. R., & Evers, A. W. M. (2009a). Multidisciplinary allocation of pain treatment: Long-term outcome and correlates of cognitive-behavioral processes. Journal of Musculoskeletal Pain, 17, 26–36. doi:10.1080/10582450802675852 CrossRef Samwel, H. J. A., Kraaimaat, F. W., Crul, B. J. P., van Dongen, R. R., & Evers, A. W. M. (2009a). Multidisciplinary allocation of pain treatment: Long-term outcome and correlates of cognitive-behavioral processes. Journal of Musculoskeletal Pain, 17, 26–36. doi:10.​1080/​1058245080267585​2 CrossRef
go back to reference Samwel, H. J. A., Kraaimaat, F. W., Crul, B. J. P., van Dongen, R. R., & Evers, A. W. M. (2009b). Multidisciplinary allocation of chronic pain treatment: Effects and cognitive-behavioural predictors of outcome. British Journal of Health Psychology, 14, 405–421. doi:10.1348/135910708X337760 PubMedCrossRef Samwel, H. J. A., Kraaimaat, F. W., Crul, B. J. P., van Dongen, R. R., & Evers, A. W. M. (2009b). Multidisciplinary allocation of chronic pain treatment: Effects and cognitive-behavioural predictors of outcome. British Journal of Health Psychology, 14, 405–421. doi:10.​1348/​135910708X337760​ PubMedCrossRef
go back to reference Sullivan, M., Thorn, B., Haythornwaite, J., Keefe, F., Martin, M., Bradely, L., et al. (2001). Theoretical perspectives on the relation between catastrophizing and pain. Clinical Journal of Pain, 17, 52–64.PubMedCrossRef Sullivan, M., Thorn, B., Haythornwaite, J., Keefe, F., Martin, M., Bradely, L., et al. (2001). Theoretical perspectives on the relation between catastrophizing and pain. Clinical Journal of Pain, 17, 52–64.PubMedCrossRef
go back to reference Swinkels-Meewisse, E., Swinkels, R., Verbeek, A., Vlaeyen, J., & Oostendorp, R. (2003). Psychometric properties of the Tampa Scale for kinesiophobia and the fear-avoidance beliefs questionnaire in acute low back pain. Journal of Manual Therapy, 8, 29–36.CrossRef Swinkels-Meewisse, E., Swinkels, R., Verbeek, A., Vlaeyen, J., & Oostendorp, R. (2003). Psychometric properties of the Tampa Scale for kinesiophobia and the fear-avoidance beliefs questionnaire in acute low back pain. Journal of Manual Therapy, 8, 29–36.CrossRef
go back to reference Tang, T. Z., & DeRubeis, R. J. (1999). Sudden gains and critical sessions in cognitive-behavioral therapy for depression. Journal of Consulting and Clinical Psychology, 67, 894–904.PubMedCrossRef Tang, T. Z., & DeRubeis, R. J. (1999). Sudden gains and critical sessions in cognitive-behavioral therapy for depression. Journal of Consulting and Clinical Psychology, 67, 894–904.PubMedCrossRef
go back to reference Vlaeyen, J. W. S., Kole-Snijders, A. M. J., Boeren, R. G. B., & van Eek, H. (1995). Fear of movement/(re)injury in chronic low back pain and its relation to behavioral performance. Pain, 62, 363–372.PubMedCrossRef Vlaeyen, J. W. S., Kole-Snijders, A. M. J., Boeren, R. G. B., & van Eek, H. (1995). Fear of movement/(re)injury in chronic low back pain and its relation to behavioral performance. Pain, 62, 363–372.PubMedCrossRef
go back to reference Vowles, K. E., Wetherell, J. L., & Sorrell, J. T. (2009). Targeting acceptance, mindfulness, and values-based action in chronic pain: findings of two preliminary trials of an outpatient group-based intervention. Cognitive and Behavioral Practice, 16, 49–58.CrossRef Vowles, K. E., Wetherell, J. L., & Sorrell, J. T. (2009). Targeting acceptance, mindfulness, and values-based action in chronic pain: findings of two preliminary trials of an outpatient group-based intervention. Cognitive and Behavioral Practice, 16, 49–58.CrossRef
go back to reference Westman, A. E., Boersma, K., Leppert, J., & Linton, S. J. (2011). Fear-avoidance beliefs, catastrophizing, and distress: A longitudinal subgroup analysis on patients with musculoskeletal pain. Clinical Journal of Pain, 27, 567–577.PubMedCrossRef Westman, A. E., Boersma, K., Leppert, J., & Linton, S. J. (2011). Fear-avoidance beliefs, catastrophizing, and distress: A longitudinal subgroup analysis on patients with musculoskeletal pain. Clinical Journal of Pain, 27, 567–577.PubMedCrossRef
go back to reference Wetherell, J. L., Afari, N., Rutledge, T., Sorrell, J. T., Stoddard, J. A., Atkinson, J. H., et al. (2011). A randomized, controlled trial of acceptance and commitment therapy and cognitive-behavioral therapy for chronic pain. Pain, 152, 2098–2107.PubMedCrossRef Wetherell, J. L., Afari, N., Rutledge, T., Sorrell, J. T., Stoddard, J. A., Atkinson, J. H., et al. (2011). A randomized, controlled trial of acceptance and commitment therapy and cognitive-behavioral therapy for chronic pain. Pain, 152, 2098–2107.PubMedCrossRef
go back to reference Williams, A. C., Ecclestion, C., & Morley, S. (2012). Psychological therapies for the management of chronic pain (excluding headache) in adults. Cochrane database of systematic reviews, 11, CD007407. doi:10.1002/14651858.CD007407.pub3. Williams, A. C., Ecclestion, C., & Morley, S. (2012). Psychological therapies for the management of chronic pain (excluding headache) in adults. Cochrane database of systematic reviews, 11, CD007407. doi:10.​1002/​14651858.​CD007407.​pub3.
go back to reference Wise, E. A. (2004). Methods for analyzing psychotherapy outcomes: A review of clinical significance, reliable change, and recommendations for future directions. Journal of Personality Assessment, 82, 50–59.PubMedCrossRef Wise, E. A. (2004). Methods for analyzing psychotherapy outcomes: A review of clinical significance, reliable change, and recommendations for future directions. Journal of Personality Assessment, 82, 50–59.PubMedCrossRef
Metagegevens
Titel
Six month post-treatment deterioration in acceptance (CPAQ-8) and cognitions following multidisciplinary pain treatment
Auteurs
John Baranoff
Stephanie J. Hanrahan
Dilip Kapur
Jason P. Connor
Publicatiedatum
01-06-2014
Uitgeverij
Springer US
Gepubliceerd in
Journal of Behavioral Medicine / Uitgave 3/2014
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI
https://doi.org/10.1007/s10865-013-9502-0

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