(199) Pain Acceptance Partially Mediates the Relationship between Perceived Injustice and Chronic Pain Outcomes over Three Months

Studies have shown that pain acceptance is associated with a better pain outcome. The current study explored whether changes in pain acceptance in the very early treatment phase of an interdisciplinary cognitive-behavioral therapy (CBT)-based treatment program for chronic pain predict pain outcomes. A total of 69 patients with chronic, non-malignant pain (at least 6 months) were treated in a day-clinic for four-weeks. Pain acceptance was measured with the Chronic Pain Acceptance Questionnaire (CPAQ), pain outcomes included pain intensity (Numeric Rating Scale, NRS) as well as affective and sensory pain perception (Pain Perception Scale, SES-A and SES-S). Regression analyses controlling for the pre-treatment values of the pain outcomes, age, and gender were performed. Early changes in pain acceptance predicted pain intensity at post-treatment measured with the NRS (B = −0.04 (SE = 0.02); T = −2.28; p = 0.026), affective pain perception at post-treatment assessed with the SES-A (B = −0.26 (SE = 0.10); T = −2.79; p = 0.007), and sensory pain perception at post-treatment measured with the SES-S (B = -0.19 (SE = 0.08); T = -2.44; p = 0.017) . Yet, a binary logistic regression analysis revealed that early changes in pain acceptance did not predict clinically relevant pre-post changes in pain intensity (at least 2 points on the NRS). Early changes in pain acceptance were associated with pain outcomes, however, the impact was beneath the threshold defined as clinically relevant.

Download Full-text

Perceived Injustice Mediates the Relationship Between Perceived Childhood Neglect and Current Function in Patients with Chronic Pain: A Preliminary Pilot Study

Journal of Clinical Psychology in Medical Settings ◽

10.1007/s10880-020-09722-8 ◽

2020 ◽

Author(s):

Maisa S. Ziadni ◽

Dokyoung S. You ◽

John A. Sturgeon ◽

Sean C. Mackey ◽

Beth D. Darnall

Keyword(s):

Chronic Pain ◽

Pilot Study ◽

Perceived Injustice ◽

Current Function ◽

Childhood Neglect ◽

The Relationship

Download Full-text

(489) An examination of the roles of perceived injustice and pain acceptance on pain interference and pain intensity in patients with chronic pain: A Collaborative Health Outcomes Information Registry (CHOIR) Study

Journal of Pain ◽

10.1016/j.jpain.2016.01.296 ◽

2016 ◽

Vol 17 (4) ◽

pp. S97 ◽

Cited By ~ 1

Author(s):

J. Carriere ◽

B. Darnall ◽

M. Kao ◽

S. Mackey

Keyword(s):

Chronic Pain ◽

Health Outcomes ◽

Pain Intensity ◽

Pain Interference ◽

Perceived Injustice ◽

Pain Acceptance

Download Full-text

(262) Pain-related injustice perception, but not catastrophizing, partially mediates the relationship between pain intensity and pain outcomes in children with chronic pain

Journal of Pain ◽

10.1016/j.jpain.2017.02.154 ◽

2017 ◽

Vol 18 (4) ◽

pp. S41

Author(s):

M. Miller ◽

A. Williams ◽

E. Scott ◽

Z. Trost ◽

A. Hirsh

Keyword(s):

Chronic Pain ◽

Pain Intensity ◽

Pain Outcomes ◽

The Relationship

Download Full-text

Pain catastrophizing, perceived injustice, and pain intensity impair life satisfaction through differential patterns of physical and psychological disruption

Scandinavian Journal of Pain ◽

10.1016/j.sjpain.2017.09.020 ◽

2017 ◽

Vol 17 (1) ◽

pp. 390-396 ◽

Cited By ~ 8

Author(s):

John A. Sturgeon ◽

Maisa S. Ziadni ◽

Zina Trost ◽

Beth D. Darnall ◽

Sean C. Mackey

Keyword(s):

Chronic Pain ◽

Life Satisfaction ◽

Depressive Symptoms ◽

Pain Intensity ◽

Cognitive Appraisal ◽

Pain Catastrophizing ◽

Perceived Injustice ◽

Appraisal Processes ◽

The Relationship

AbstractBackground and purposePrevious research has highlighted the importance of cognitive appraisal processes in determining the nature and effectiveness of coping with chronic pain. Two of the key variables implicated in appraisal of pain are catastrophizing and perceived injustice, which exacerbate the severity of pain-related distress and increase the risk of long-term disability through maladaptive behavioural responses. However, to date, the influences of these phenomena have not been examined concurrently, nor have they been related specifically to quality of life measures, such as life satisfaction.MethodsUsing data froman online survey of330 individuals with chronic pain, structural path modelling techniques were used to examine the independent effects of pain catastrophizing, perceived injustice, and average pain intensity on life satisfaction. Two potential mediators of these relationships were examined: depressive symptoms and pain-related interference.ResultsResults indicated that depressive symptoms fully mediated the relationship between pain catastrophizing and life satisfaction, and pain interference fully mediated the relationship between pain intensity and life satisfaction. Both depressive symptoms and pain interference were found to significantly mediate the relationship between perceived injustice and life satisfaction, but perceived injustice continued to demonstrate a significant and negative relationship with life satisfaction, above and beyond the other study variables.ConclusionsThe current findings highlight the distinct affective and behavioural mediators of pain and maladaptive cognitive appraisal processes in chronic pain, and highlight their importance in both perceptions of pain-related interference and longer-term quality of life.

Download Full-text