Carmen Ramírez-Maestre1, Rosa Esteve, Alicia López-Martínez. 1. Departamento de Personalidad, Evaluación y Tratamiento Psicológico, Facultad de Psicología, Universidad de Málaga, Campus de Teatinos, 29071, Málaga, Spain, cramirez@uma.es.
Abstract
BACKGROUND: Prior studies found a range of psychological factors related to the perception of pain, maintenance of pain and disability. PURPOSE: The aim of this study was to investigate the role of pain fear-avoidance and pain acceptance in chronic pain adjustment. The influence of two diathesis variables (resilience and experiential avoidance) was also analyzed. METHODS: The sample was composed of 686 patients with chronic spinal pain. Structural equation modelling analyses were used to test the hypothetical model. RESULTS: Experiential avoidance was associated with pain fear-avoidance, and resilience was strongly associated with pain acceptance. Pain acceptance was negatively associated with negative mood, functional impairment and pain intensity. However, pain fear-avoidance was positively and significantly associated with negative mood but had no association with pain intensity. There was a path from functional impairment to pain fear-avoidance. CONCLUSIONS: Resilience and experiential avoidance appear as variables which could explain individual differences in pain experience.
BACKGROUND: Prior studies found a range of psychological factors related to the perception of pain, maintenance of pain and disability. PURPOSE: The aim of this study was to investigate the role of pain fear-avoidance and pain acceptance in chronic pain adjustment. The influence of two diathesis variables (resilience and experiential avoidance) was also analyzed. METHODS: The sample was composed of 686 patients with chronic spinal pain. Structural equation modelling analyses were used to test the hypothetical model. RESULTS: Experiential avoidance was associated with pain fear-avoidance, and resilience was strongly associated with pain acceptance. Pain acceptance was negatively associated with negative mood, functional impairment and pain intensity. However, pain fear-avoidance was positively and significantly associated with negative mood but had no association with pain intensity. There was a path from functional impairment to pain fear-avoidance. CONCLUSIONS: Resilience and experiential avoidance appear as variables which could explain individual differences in pain experience.
Authors: Carmen Ramírez-Maestre; Rosa Esteve; Alicia E López-Martínez; Elena R Serrano-Ibáñez; Gema T Ruiz-Párraga; Madelon Peters Journal: Ann Behav Med Date: 2019-06-04
Authors: Carmen Ramírez-Maestre; Ángela Reyes-Pérez; Rosa Esteve; Alicia E López-Martínez; Sonia Bernardes; Mark P Jensen Journal: Int J Environ Res Public Health Date: 2020-09-03 Impact factor: 3.390