scholarly journals Pain Resilience: Issues of Modeling Dynamic Adaptation in Chronic Pain

2016 ◽  
Vol 9 (3) ◽  
pp. 15-27
Author(s):  
John A. Sturgeon ◽  
Chloe J. Taub
Keyword(s):  
Chronic Pain ◽  
Empirical Evidence ◽  
Dynamic Process ◽  
Individual Characteristics ◽  
Dynamic Adaptation ◽  
Psychological Interventions ◽  
Affective States ◽  
Pain Acceptance ◽  
Empirical Inquiry ◽  
Pain Adaptation

In recent years, there has been increasing interest in processes and characteristics that may underlie resilient adaptation to chronic pain. With this recent increase in empirical inquiry, there has emerged a degree of ambiguity in terms between pain resilience and other constructs previously connected to effective pain adaptation, such as pain acceptance, psychological flexibility, and pain self-efficacy. Objectives of the current paper included reviewing recent clinical and empirical evidence in the area of chronic pain resilience and offering a synthesis of these findings, with a specific focus on issues of defining and operationalizing this construct, compared to other constructs relevant to pain adaptation. We conclude that resilience is best defined as a dynamic process related to both stable individual characteristics and contextual and state factors, such as goal contexts and affective states. Finally, the implications of this model are discussed in the context of the extant literature on psychological interventions for chronic pain.

Positive pain? An ICF model of character strength and chronic pain acceptance in rehabilitation

2014 ◽  
Author(s):  
Phillip S. Keck ◽  
Scott Fernelius ◽  
Sharon L. Bowman ◽  
Jacob Yui-Chung Chan
Keyword(s):  
Chronic Pain ◽  
Character Strength ◽  
Pain Acceptance ◽  
Icf Model

Chronic Pain Acceptance Questionnaire-8--Spanish Version

2018 ◽  
Author(s):  
Elisabet Sánchez‐Rodríguez ◽  
Rocío de la Vega ◽  
Mélanie Racine ◽  
Rubén Roy ◽  
Mark P. Jensen ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Spanish Version ◽  
Pain Acceptance

Dialecticism across the Lifespan

2018 ◽  
Author(s):  
Igor Grossmann
Keyword(s):  
Human Development ◽  
Empirical Evidence ◽  
Cultural Context ◽  
Cultural Psychology ◽  
Cross Cultural ◽  
Future Directions ◽  
Developmental Models ◽  
Empirical Inquiry ◽  
Sociocultural Processes ◽  
Dialectical Thought

Before dialecticism became a topic of empirical inquiry in cultural psychology, scholars in related disciplines had discussed dialecticism as a model of human development, as an essential component of maturity and wisdom. This chapter bridges these two perspectives, comparing conceptualizations of dialecticism in developmental and cultural psychology. After reviewing historical portrayals of dialecticism in various philosophical traditions, the chapter provides a comparison of historical characterizations with the contemporary treatment of dialecticism in human development and cultural psychology. Both streams—developmental and cross-cultural—are proposed as essential for an integral understanding of the construct. Subsequently, the chapter discusses the emerging developmental models of dialecticism across the lifespan and reviews the accompanying empirical evidence, situating it in a cross-cultural context. It concludes with an outline of future directions of research on dialectical thought, with attention to psychological and sociocultural processes engendering dialecticism across the lifespan.

scholarly journals Pain acceptance and its impact on function and symptoms in fibromyalgia

2020 ◽  
Vol 20 (4) ◽  
pp. 727-736 ◽  
Author(s):  
Synne Flatlandsmo Tangen ◽  
Anne-Sofie Helvik ◽  
Hilde Eide ◽  
Egil A. Fors
Keyword(s):  
Chronic Pain ◽  
Linear Regression ◽  
Burden Of Illness ◽  
Longitudinal Design ◽  
Fibromyalgia Impact Questionnaire ◽  
Experimental Studies ◽  
Outcome Variable ◽  
Unknown Etiology ◽  
Cross Sectional ◽  
Pain Acceptance

AbstractObjectivesFibromyalgia is a chronic widespread pain (CWP) syndrome of unknown etiology with substantial burden of illness and functional impairment. Pain acceptance has emerged as an interesting target of therapy in chronic pain populations, but few studies have yet been done on the effect of pain acceptance on patients with fibromyalgia. The aim of the present study was to examine the relationship between pain acceptance and its impact on function and symptoms in fibromyalgia with both a cross-sectional and longitudinal design.MethodsThree hundred and sixty five participants aged 22–70 with fibromyalgia were recruited from the Norwegian Fibromyalgia Association (NFA). They filled out a questionnaire containing the Fibromyalgia Impact Questionnaire (FIQ), measurement of function and symptoms, and Chronic Pain Acceptance Questionnaire (CPAQ), measurement of pain acceptance, in addition to sociodemographic and clinical variables such as degree of fibromyalgia, depression and pain duration (T1 measures). One year after, 87 of the participants filled out the FIQ and clinical measures once again (T2 measures). Unadjusted and adjusted linear regression analyses were performed both for cross-sectional measures at T1 and for longitudinal measures from T1 to T2, with FIQ score as the outcome variable and CPAQ score at T1 as one of the main independent variables.ResultsHigher CPAQ score was significantly associated with a lower FIQ score at T1, also when adjusting for age, education, work, depression and Fibromyalgianess Score (p<0.01). Lower FIQ score indicate less impact of fibromyalgia on functioning. In addition, two adjusted linear regression models found higher pain acceptance (CPAQ score) at T1 to be associated with lower negative impact of fibromyalgia on function and symptoms (FIQ score) at T2 (p<0.01).ConclusionsHigher pain acceptance is associated with better functional level and less symptoms in fibromyalgia, both cross-sectionally and when measurements are separated in time. Further research should include experimental studies with acceptance-based interventions for this patient group.

Process-outcome associations in an interdisciplinary treatment for chronic pain and comorbid mental disorders based on Acceptance and Commitment Therapy

Pain Medicine ◽  
2021 ◽  
Author(s):  
Ludwig Ohse ◽  
Ronald Burian ◽  
Eric Hahn ◽  
Hannah Burian ◽  
Thi Minh Tam Ta ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Mental Disorders ◽  
Clinical Outcomes ◽  
Acceptance And Commitment Therapy ◽  
Psychological Flexibility ◽  
Post Treatment ◽  
Interdisciplinary Treatment ◽  
Pain Acceptance ◽  
Acceptance And Commitment ◽  
Comorbid Mental Disorders

Abstract Objective Numerous studies support the effectiveness of Acceptance and Commitment Therapy (ACT) for chronic pain, yet little research has been conducted about its underlying mechanisms of change, especially regarding patients with comorbid mental disorders. The present investigation addressed this issue by examining associations of processes targeted by ACT (pain acceptance, mindfulness, psychological flexibility) and clinical outcomes (pain intensity, somatic symptoms, physical health, mental health, depression, general anxiety). Subjects Participants were 109 patients who attended an ACT-based interdisciplinary treatment program for chronic pain and comorbid mental disorders in a routine care psychiatric day hospital. Methods Pre- to post-treatment differences in processes and outcomes were examined with Wilcoxon signed-rank tests and effect size r. Associations between changes in processes and changes in outcomes were analyzed with correlation and multiple regression analyses. Results Pre- to post-treatment effect sizes were mostly moderate to large (r between |0.21| and |0.62|). Associations between changes in processes and changes in outcomes were moderate to large for both, bivariate correlations (r between |0.30| and |0.54|) and shared variances accounting for all three processes combined (R2 between 0.21 and 0.29). Conclusion The present investigation suggests that changes in pain acceptance, mindfulness and psychological flexibility are meaningfully associated with changes in clinical outcomes. It provides evidence on particular process-outcome associations that had not been investigated in this way before. The focus on comorbid mental disorders informs clinicians about a population of chronic pain patients that often has a severe course of illness and has seldom been studied.

scholarly journals (P1-99) Comparative Descriptive Analysis of Post-Disaster Psychological Interventions

2011 ◽  
Vol 26 (S1) ◽  
pp. s131-s131
Author(s):  
E.Y.L. Cheung ◽  
E.Y.Y. Chan ◽  
S.H. Lee
Keyword(s):  
Public Health ◽  
Empirical Evidence ◽  
Descriptive Analysis ◽  
First Aid ◽  
Psychological Interventions ◽  
Current Crisis ◽  
Instructor Training ◽  
Emergency Responders ◽  
Public Health Practitioners ◽  
Post Disaster

IntroductionDisaster could greatly affect physical, psychological and social health of people affected. However, current crisis intervention protocols after natural or man-made disasters often overlook the psychosocial impact of crisis on victims. In its executive board meeting in 2005, WHO has called for action in implementing programs that can repair the psychological damage of war, conflict and natural disasters. Currently there are three main post-disaster psychological interventions available in the field: Critical Incidence Stress Management developed by Mitchell and Everly in 1980's; Psychological First Aid developed by the National Child Traumatic Stress Network and National Center for PTSD after millennium; and Mental Health First Aid developed by the Kitchener and Jorm after millennium.MethodsA comparative descriptive analysis among the three different interventions was performed. Specific objectives, target populations, content, training duration, empirical evidence, instructor training and various adaptations were compared. Public health implications for implementation in disaster settings are discussed.ResultsThe study is among the first that provided a detail comparison among the different protocols available in the field. More importantly it discussed the empirical evidence that support the use of the specific protocols at different scenarios. Implication the results of the study could be used as a guidance for choosing psychological interventions immediately post-disasters by emergency responders, public health practitioners and academic researchers.

The Chronic Pain Acceptance Questionnaire: Confirmatory factor analysis and identification of patient subgroups

Pain ◽  
2008 ◽  
Vol 140 (2) ◽  
pp. 284-291 ◽  
Author(s):  
Kevin E. Vowles ◽  
Lance M. McCracken ◽  
Charlotte McLeod ◽  
Christopher Eccleston
Keyword(s):  
Chronic Pain ◽  
Factor Analysis ◽  
Confirmatory Factor Analysis ◽  
Pain Acceptance ◽  
Confirmatory Factor ◽  
Patient Subgroups
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