Pain Acceptance Moderates the Relation Between Pain and Negative Affect in Female Osteoarthritis and Fibromyalgia Patients

Overview

Journal Ann Behav Med

Publisher Oxford University Press

Specialty Social Sciences

Date 2007 Jun 30

PMID 17600456

Citations 48

Authors

Anna L Kratz

Mary C Davis

Alex J Zautra

Affiliations

Soon will be listed here.

Abstract

Background: Chronic pain is often intractable despite advanced medical and psychotherapeutic treatments. Pain acceptance is emerging as a promising complement to control-based pain management strategies and a likely approach to maintaining quality of life for chronic pain patients.

Purpose: This theoretically based analysis of an existing database examined the extent to which pain acceptance predicted weekly reports of positive affect (PA) and negative affect (NA), and the relations of pain severity to both PA and NA.

Methods: Participants were women, 36 with osteoarthritis and 86 with fibromyalgia, who completed an initial assessment for demographics, pain catastrophizing, and pain acceptance, and 2 to 12 weekly assessments of pain severity, PA, and NA.

Results: Multilevel modeling analyses indicated that pain acceptance was related to higher levels of PA but was unrelated to NA. Furthermore, pain acceptance moderated the relation of NA and pain severity, such that expected increases in NA during pain exacerbations were buffered by higher levels of pain acceptance.

Conclusions: These findings suggest that pain patients with greater capacity to accept pain may be emotionally resilient in managing their condition.

Citing Articles

More than meets the eye: phenomenological insights into the functioning of people with lipoedema.

Kloosterman L, Eilers R, Scafoglieri A, Hendrickx A, Dekker R, Jager-Wittenaar H Int J Qual Stud Health Well-being. 2025; 20(1):2463157.

PMID: 39976418 PMC: 11843652. DOI: 10.1080/17482631.2025.2463157.

Impact of Coping Strategies on Health-Related Quality of Life in Young Adults with Multiple Sclerosis.

Lo Buono V, Corallo F, Sessa E, DAleo G, Rifici C, Quartarone A Brain Sci. 2024; 14(9).

PMID: 39335362 PMC: 11429555. DOI: 10.3390/brainsci14090866.

Invisible, Uncontrollable, Unpredictable: Illness Experiences in Women with Sjögren Syndrome.

Herrera A, Leiva L, Espinoza I, Rios-Erazo M, Shakhtur N, Wurmann P J Clin Med. 2024; 13(11).

PMID: 38892941 PMC: 11172875. DOI: 10.3390/jcm13113228.

Resilience to Stress and Adversity: A Narrative Review of the Role of Positive Affect.

Egan L, Park H, Lam J, Gatt J Psychol Res Behav Manag. 2024; 17:2011-2038.

PMID: 38770188 PMC: 11104260. DOI: 10.2147/PRBM.S391403.

The effectiveness of aerobic exercise for pain management in patients with fibromyalgia.

Manojlovic D, Kopse E Eur J Transl Myol. 2023; 33(3).

PMID: 37449965 PMC: 10583145. DOI: 10.4081/ejtm.2023.11423.

References

McCracken L, Spertus I, Janeck A, Sinclair D, Wetzel F . Behavioral dimensions of adjustment in persons with chronic pain: pain-related anxiety and acceptance. Pain. 1999; 80(1-2):283-9. DOI: 10.1016/s0304-3959(98)00219-x. View

Elliott A, Smith B, Penny K, Smith W, Chambers W . The epidemiology of chronic pain in the community. Lancet. 1999; 354(9186):1248-52. DOI: 10.1016/s0140-6736(99)03057-3. View

Affleck G, Zautra A, Tennen H, Armeli S . Multilevel daily process designs for consulting and clinical psychology: a preface for the perplexed. J Consult Clin Psychol. 1999; 67(5):746-54. DOI: 10.1037//0022-006x.67.5.746. View

Blyth F, March L, Brnabic A, Jorm L, Williamson M, Cousins M . Chronic pain in Australia: a prevalence study. Pain. 2001; 89(2-3):127-34. DOI: 10.1016/s0304-3959(00)00355-9. View

Turner J, Aaron L . Pain-related catastrophizing: what is it?. Clin J Pain. 2001; 17(1):65-71. DOI: 10.1097/00002508-200103000-00009. View

Zautra A, Smith B, Affleck G, Tennen H . Examinations of chronic pain and affect relationships: applications of a dynamic model of affect. J Consult Clin Psychol. 2001; 69(5):786-95. DOI: 10.1037//0022-006x.69.5.786. View

Fredrickson B, Joiner T . Positive emotions trigger upward spirals toward emotional well-being. Psychol Sci. 2002; 13(2):172-5. DOI: 10.1111/1467-9280.00431. View

Teasdale J, Moore R, Hayhurst H, Pope M, Williams S, Segal Z . Metacognitive awareness and prevention of relapse in depression: empirical evidence. J Consult Clin Psychol. 2002; 70(2):275-87. DOI: 10.1037//0022-006x.70.2.275. View

Schafer J, Graham J . Missing data: our view of the state of the art. Psychol Methods. 2002; 7(2):147-77. View

10.

Turner J, Jensen M, Warms C, Cardenas D . Catastrophizing is associated with pain intensity, psychological distress, and pain-related disability among individuals with chronic pain after spinal cord injury. Pain. 2002; 98(1-2):127-34. DOI: 10.1016/s0304-3959(02)00045-3. View

11.

Turk D . Clinical effectiveness and cost-effectiveness of treatments for patients with chronic pain. Clin J Pain. 2002; 18(6):355-65. DOI: 10.1097/00002508-200211000-00003. View

12.

Wrosch C, Scheier M . Personality and quality of life: the importance of optimism and goal adjustment. Qual Life Res. 2003; 12 Suppl 1:59-72. DOI: 10.1023/a:1023529606137. View

13.

McCracken L, Eccleston C . Coping or acceptance: what to do about chronic pain?. Pain. 2003; 105(1-2):197-204. DOI: 10.1016/s0304-3959(03)00202-1. View

14.

Viane I, Crombez G, Eccleston C, Poppe C, Devulder J, Van Houdenhove B . Acceptance of pain is an independent predictor of mental well-being in patients with chronic pain: empirical evidence and reappraisal. Pain. 2003; 106(1-2):65-72. DOI: 10.1016/s0304-3959(03)00291-4. View

15.

Stone A, Broderick J, Kaell A, Delespaul P, Porter L . Does the peak-end phenomenon observed in laboratory pain studies apply to real-world pain in rheumatoid arthritics?. J Pain. 2003; 1(3):212-7. DOI: 10.1054/jpai.2000.7568. View

16.

Stone A, Broderick J, Shiffman S, Schwartz J . Understanding recall of weekly pain from a momentary assessment perspective: absolute agreement, between- and within-person consistency, and judged change in weekly pain. Pain. 2004; 107(1-2):61-9. DOI: 10.1016/j.pain.2003.09.020. View

17.

McCracken L, Vowles K, Eccleston C . Acceptance of chronic pain: component analysis and a revised assessment method. Pain. 2004; 107(1-2):159-66. DOI: 10.1016/j.pain.2003.10.012. View

18.

McCracken L, Carson J, Eccleston C, Keefe F . Acceptance and change in the context of chronic pain. Pain. 2004; 109(1-2):4-7. DOI: 10.1016/j.pain.2004.02.006. View

19.

Turner J, Mancl L, Aaron L . Pain-related catastrophizing: a daily process study. Pain. 2004; 110(1-2):103-11. DOI: 10.1016/j.pain.2004.03.014. View

20.

Goubert L, Crombez G, Eccleston C, Devulder J . Distraction from chronic pain during a pain-inducing activity is associated with greater post-activity pain. Pain. 2004; 110(1-2):220-7. DOI: 10.1016/j.pain.2004.03.034. View