BACKGROUND: The degree to which shared vulnerability and protective factors for chronic pain and trauma-related symptoms contribute to pain adjustment in chronic pain patients who have experienced a traumatic event remains unclear. PURPOSE: The purpose is to test a hypothetical model of the contribution of experiential avoidance, resilience and pain acceptance to pain adjustment in a sample of 229 chronic back pain patients who experienced a traumatic event before the onset of pain. METHODS: Structural equation modelling was used to test the linear relationships between the variables. RESULTS: The empirical model shows significant relationships between the variables: resilience on pain acceptance and trauma-related symptoms, experiential avoidance on trauma-related symptoms and experiential avoidance, pain acceptance and trauma-related symptoms on pain adjustment. CONCLUSIONS: This study demonstrates the role of a vulnerability pathway (i.e. experiential avoidance) and a protective pathway (i.e. resilience and pain acceptance) in adaptation to pain after a traumatic event.
BACKGROUND: The degree to which shared vulnerability and protective factors for chronic pain and trauma-related symptoms contribute to pain adjustment in chronic painpatients who have experienced a traumatic event remains unclear. PURPOSE: The purpose is to test a hypothetical model of the contribution of experiential avoidance, resilience and pain acceptance to pain adjustment in a sample of 229 chronic back painpatients who experienced a traumatic event before the onset of pain. METHODS: Structural equation modelling was used to test the linear relationships between the variables. RESULTS: The empirical model shows significant relationships between the variables: resilience on pain acceptance and trauma-related symptoms, experiential avoidance on trauma-related symptoms and experiential avoidance, pain acceptance and trauma-related symptoms on pain adjustment. CONCLUSIONS: This study demonstrates the role of a vulnerability pathway (i.e. experiential avoidance) and a protective pathway (i.e. resilience and pain acceptance) in adaptation to pain after a traumatic event.
Authors: Alisa J Johnson; Ellen Terry; Emily J Bartley; Cynthia Garvan; Yenisel Cruz-Almeida; Burel Goodin; Toni L Glover; Roland Staud; Laurence A Bradley; Roger B Fillingim; Kimberly T Sibille Journal: Mol Pain Date: 2019 Jan-Dec Impact factor: 3.395
Authors: Lydia V Tidmarsh; Richard Harrison; Deepak Ravindran; Samantha L Matthews; Katherine A Finlay Journal: Front Pain Res (Lausanne) Date: 2022-06-10