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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

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

Erschienen in: Journal of Behavioral Medicine | Ausgabe 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.

Åkerblom, S., Perrin, S., Fischer, M. R., & McCracken, L. M. (2015). The mediating role of acceptance in multidisciplinary cognitive behavioral therapy for chronic pain. The Journal of Pain, 16(7), 606–615. https://doi.org/10.1016/j.jpain.2015.03.007 CrossRefPubMed

Beck, A. T., Ward, C. H., Mendelson, M., Mock, J., & Erbaugh, J. (1961). An inventory for measuring depression. Archives of General Psychiatry, 4(6), 561–571. https://doi.org/10.1001/archpsyc.1961.01710120031004 CrossRefPubMed

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.

Burns, J. W., Glenn, B., Bruehl, S., Harden, R. N., & Lofland, K. (2003a). Cognitive factors influence outcome following multidisciplinary chronic pain treatment: A replication and extension of a cross-lagged panel analysis. Behaviour Research and Therapy, 41(10), 1163–1182. https://doi.org/10.1016/S0005-7967(03)00029-9 CrossRefPubMed

Burns, J. W., Kubilus, A., Bruehl, S., Harden, R. N., & Lofland, K. (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(1), 81–91. https://doi.org/10.1037/0022-006X.71.1.81 CrossRefPubMed

Cane, D., McCarthy, M., & Mazmanian, D. (2016). Obstacles to activity pacing: Assessment, relationship to activity and functioning. Pain, 157, 1508–1514. https://doi.org/10.1097/j.pain.0000000000000553 CrossRefPubMed

Cederberg, J. T., Cernvall, M., Dahl, J. A., von Essen, L., & Ljungman, G. (2016). Acceptance as a mediator for change in acceptance and commitment therapy for persons with chronic pain? International Journal of Behavioral Medicine, 23(1), 21–29. https://doi.org/10.1007/s12529-015-9494-y CrossRefPubMed

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., & Thorn, B. E. (2016). The mediating role of pain acceptance during mindfulness-based cognitive therapy for headache. Complementary Therapies in Medicine, 25, 51–54. https://doi.org/10.1016/j.ctim.2016.01.002 CrossRefPubMed

Ehde, D. M., Dillworth, T. M., & Turner, J. A. (2014). Cognitive-behavioral therapy for individuals with chronic pain: Efficacy, innovations, and directions for research. American Psychologist, 69(2), 153–166. https://doi.org/10.1037/a0035747 CrossRefPubMed

Elvery, N., Jensen, M. P., Ehde, D. M., & Day, M. A. (2016). Pain catastrophizing, mindfulness and pain acceptance: What’s the difference? The Clinical Journal of Pain (Vol. epub). http://doi.org/10.1097/AJP.0000000000000430 CrossRef

Huguet, A., Miró, J., & Nieto, R. (2008). The inventory of parent/caregiver responses to the children’s pain experience (IRPEDNA): Development and preliminary validation. Pain, 134(1–2), 128–139. https://doi.org/10.1016/j.pain.2007.04.004 CrossRefPubMed

Jensen, M. P. (2011). Psychosocial approaches to pain management: An organizational framework. Pain, 152(4), 717–725. https://doi.org/10.1016/j.pain.2010.09.002 CrossRefPubMed

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., & 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., Tomé-Pires, C., Solé, E., Racine, M., Castarlenas, E., de la Vega, R., et al. (2015b). Assessment of pain intensity in clinical trials: Individual ratings vs composite scores. Pain Med (US), 16(1), 141–148. https://doi.org/10.1111/pme.12588 CrossRef

Jensen, M. P., & Turk, D. C. (2014). Contributions of psychology to the understanding and treatment of people with chronic pain: Why it matters to ALL psychologists. The American Psychologist, 69(2), 105–118. https://doi.org/10.1037/a0035641 CrossRefPubMed

McCracken, L. M. (2005). Contextual cognitive-behavioral therapy for chronic pain. Seattle: IASP Press.

McCracken, L. M., Vowles, K. E., & Eccleston, C. (2004). Acceptance of chronic pain: Component analysis and a revised assessment method. Pain, 107(1–2), 159–166. https://doi.org/10.1016/j.pain.2003.10.012 CrossRefPubMed

Miró, J., Nieto, R., & Huguet, A. (2008). The Catalan version of the pain Catastrophizing scale: A useful instrument to assess catastrophic thinking in whiplash patients. The Journal of Pain : Official Journal of the American Pain Society, 9(5), 397–406. https://doi.org/10.1016/j.jpain.2007.12.004 CrossRef

Moore, E., Thibault, P., Adams, H., & Sullivan, M. J. L. (2016). Catastrophizing and pain-related fear predict failure to maintain treatment gains following participation in a pain rehabilitation program. PAIN Reports, 1(2), e567. https://doi.org/10.1097/PR9.0000000000000567 CrossRefPubMedPubMedCentral

Nieto, R., Miró, J., Huguet, A., & Saldaña, C. (2011). Are coping and catastrophising independently related to disability and depression in patients with whiplash associated disorders? Disability and Rehabilitation, 33(5), 389–398. https://doi.org/10.3109/09638288.2010.491576 CrossRefPubMed

Nieto, R., Raichle, K. A., Jensen, M. P., & Miró, J. (2012). Changes in pain-related beliefs, coping, and catastrophizing predict changes in pain intensity, pain interference, and psychological functioning in individuals with myotonic muscular dystrophy and facioscapulohumeral dystrophy. The Clinical Journal of Pain, 28(1), 47–54. https://doi.org/10.1097/AJP.0b013e31822019b1 CrossRefPubMedPubMedCentral

Quartana, P. J., Campbell, C. M., & Edwards, R. R. (2009). Pain catastrophizing : A critical review. Expert Review of Neurotherapeutics, 9(5), 745–758. https://doi.org/10.1586/ERN.09.34.Pain CrossRefPubMedPubMedCentral

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

Reneman, M. F., Dijkstra, A., Geertzen, J. H. B., & Dijkstra, P. U. (2010). Psychometric properties of chronic pain acceptance questionnaires: A systematic review. European Journal of Pain, 14(5), 457–465. https://doi.org/10.1016/j.ejpain.2009.08.003 CrossRefPubMed

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

Stone, A. A., Schneider, S., Broderick, J. E., & Schwartz, J. E. (2014). Single-day pain assessments as clinical outcomes: Not so fast. The Clinical Journal of Pain, 30(9), 739–743. https://doi.org/10.1097/AJP.0000000000000030 CrossRefPubMed

Sullivan, M. J. L., Bishop, S., & Pivik, J. (1995). The Pain Catastrophizing Scale: Development and validation. Psychological Assessment, 7(4), 432–524. https://doi.org/10.1037/1040-3590.7.4.524 CrossRef

Tabachnick, B. G., & Fidell, L. (1996). Using multivariate statistics (6th ed.). Harlow: Pearson.

Tait, R. C., Chibnall, J. T., & Krause, S. (1990). The Pain Disability Index: Psychometric properties. Pain, 40(2), 171–182.CrossRef

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

Van Damme, S., Crombez, G., Bijttebier, P., Goubert, L., & Van Houdenhove, B. (2002). A confirmatory factor analysis of the Pain Catastrophizing Scale: Invariant factor structure across clinical and non-clinical populations. Pain, 96(0304–3959), 319–324. https://doi.org/10.1016/S0304-3959(01)00463-8 CrossRefPubMed

Vowles, K. E., McCracken, L. M., & Eccleston, C. (2007). Processes of change in treatment for chronic pain: The contributions of pain, acceptance, and catastrophizing. European Journal of Pain, 11(7), 779–787. https://doi.org/10.1016/j.ejpain.2006.12.007 CrossRefPubMed

Titel: Pain catastrophizing, activity engagement and pain willingness as predictors of the benefits of multidisciplinary cognitive behaviorally-based chronic pain treatment
verfasst von: Jordi Miró
Elena Castarlenas
Rocío de la Vega
Santiago Galán
Elisabet Sánchez-Rodríguez
Mark P. Jensen
Douglas Cane
Publikationsdatum: 07.05.2018
Verlag: Springer US
Erschienen in: Journal of Behavioral Medicine / Ausgabe 6/2018
Print ISSN: 0160-7715
Elektronische ISSN: 1573-3521
DOI: https://doi.org/10.1007/s10865-018-9927-6

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

Abstract

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