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Erschienen in:

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.

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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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Correction To: Past, present or future? Word tense and affect in autobiographical narratives of women with HIV in relation to health indicators