Spirometry-related Pain and Distress in Adolescents and Young Adults with Cystic Fibrosis: the Role of Acceptance

Overview

Journal Pain Res Manag

Date 2013 Aug 30

PMID 23985580

Citations 1

Authors

Annabelle Casier

Liesbet Goubert

Tine Vervoort

Marleen Theunis

Danielle Huse

Frans De Baets

Dirk Matthys

Geert Crombez

Affiliations

Soon will be listed here.

Abstract

Objective: To investigate the occurrence of spirometry-related pain and distress in adolescents and young adults with cystic fibrosis (CF), and to investigate the role of acceptance of illness in spirometry-related pain and distress.

Methods: A total of 36 adolescents and young adults with CF (12 to 22 years of age) completed a questionnaire assessing acceptance of illness. Spirometry-related distress was assessed using self-report (ie, anxiety⁄worry about the procedure) and physiological outcomes (ie, heart rate and heart rate variability) before spirometry. Spirometry-related pain was assessed using self-report (ie, expected pain and pain-related thoughts). Self-reported distress and pain during spirometry were also assessed.

Results: Eighty-nine per cent of subjects reported distress before spirometry, 67% experienced distress during spirometry, 28% expected pain during spirometry and 22% actually experienced pain. Interestingly, partial correlations revealed that more acceptance was related to less expected pain and pain-related thoughts. Acceptance, however, was unrelated to distress, anxiety and pain during spirometry.

Discussion: The present study suggests that a non-negligible number of adolescents and young adults with CF experience pain and distress during spirometry. Furthermore, results indicate that acceptance may play a protective role in the more indirect consequences of CF such as expected pain and pain-related thoughts during medical procedures. Acceptance, however, was not related to distress before and during spirometry, nor to experienced pain. These findings contribute to the increasing evidence that acceptance may play a protective role in managing the consequences of living with CF.

Citing Articles

Anxiety in Children with Cystic Fibrosis and Their Parents: A Systematic Review.

Kimball H, Douglas T, Sanders M, Cobham V Clin Child Fam Psychol Rev. 2021; 24(2):370-390.

PMID: 33660071 DOI: 10.1007/s10567-021-00345-5.

References

Caes L, Vervoort T, Trost Z, Goubert L . Impact of parental catastrophizing and contextual threat on parents' emotional and behavioral responses to their child's pain. Pain. 2012; 153(3):687-695. DOI: 10.1016/j.pain.2011.12.007. View

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

Shallcross A, Troy A, Boland M, Mauss I . Let it be: Accepting negative emotional experiences predicts decreased negative affect and depressive symptoms. Behav Res Ther. 2010; 48(9):921-9. PMC: 3045747. DOI: 10.1016/j.brat.2010.05.025. View

Gjengedal E, Rustoen T, Wahl A, Hanesta B . Growing up and living with cystic fibrosis: everyday life and encounters with the health care and social services--a qualitative study. ANS Adv Nurs Sci. 2003; 26(2):149-59. DOI: 10.1097/00012272-200304000-00007. View

McCracken L, Gauntlett-Gilbert J, Eccleston C . Acceptance of pain in adolescents with chronic pain: validation of an adapted assessment instrument and preliminary correlation analyses. Eur J Pain. 2009; 14(3):316-20. DOI: 10.1016/j.ejpain.2009.05.002. View

Goubert L, Vervoort T, Cano A, Crombez G . Catastrophizing about their children's pain is related to higher parent-child congruency in pain ratings: an experimental investigation. Eur J Pain. 2008; 13(2):196-201. DOI: 10.1016/j.ejpain.2008.03.009. View

Lauwerier E, Crombez G, Van Damme S, Goubert L, Vogelaers D, Evers A . The construct validity of the illness cognition questionnaire: the robustness of the three-factor structure across patients with chronic pain and chronic fatigue. Int J Behav Med. 2009; 17(2):90-6. DOI: 10.1007/s12529-009-9059-z. View

Feinstein A, Forman E, Masuda A, Cohen L, Herbert J, Moorthy L . Pain intensity, psychological inflexibility, and acceptance of pain as predictors of functioning in adolescents with juvenile idiopathic arthritis: a preliminary investigation. J Clin Psychol Med Settings. 2011; 18(3):291-8. DOI: 10.1007/s10880-011-9243-6. View

Chen E, Zeltzer L, Craske M, Katz E . Children's memories for painful cancer treatment procedures: implications for distress. Child Dev. 2000; 71(4):933-47. DOI: 10.1111/1467-8624.00200. View

10.

Casier A, Goubert L, Huse D, Theunis M, Franckx H, Robberecht E . The role of acceptance in psychological functioning in adolescents with cystic fibrosis: a preliminary study. Psychol Health. 2014; 23(5):629-38. DOI: 10.1080/08870440802040269. View

11.

Wicksell R, Olsson G, Hayes S . Mediators of change in acceptance and commitment therapy for pediatric chronic pain. Pain. 2011; 152(12):2792-2801. DOI: 10.1016/j.pain.2011.09.003. View

12.

McCracken L, Vowles K . A prospective analysis of acceptance of pain and values-based action in patients with chronic pain. Health Psychol. 2008; 27(2):215-20. DOI: 10.1037/0278-6133.27.2.215. View

13.

Cohen J . A power primer. Psychol Bull. 2009; 112(1):155-9. DOI: 10.1037//0033-2909.112.1.155. View

14.

Campbell C, Quartana P, Buenaver L, Haythornthwaite J, Edwards R . Changes in situation-specific pain catastrophizing precede changes in pain report during capsaicin pain: a cross-lagged panel analysis among healthy, pain-free participants. J Pain. 2010; 11(9):876-84. DOI: 10.1016/j.jpain.2009.12.007. View

15.

Davies J, Alton E . Monitoring respiratory disease severity in cystic fibrosis. Respir Care. 2009; 54(5):606-17. DOI: 10.4187/aarc0493. View

16.

Masuda A, Cohen L, Wicksell R, Kemani M, Johnson A . A case study: Acceptance and commitment therapy for pediatric sickle cell disease. J Pediatr Psychol. 2011; 36(4):398-408. DOI: 10.1093/jpepsy/jsq118. View

17.

Geller D, Rubin B . Respiratory care and cystic fibrosis. Respir Care. 2009; 54(6):796-800. DOI: 10.4187/002013209790983241. View

18.

Schechter N, Zempsky W, Cohen L, McGrath P, McMurtry C, Bright N . Pain reduction during pediatric immunizations: evidence-based review and recommendations. Pediatrics. 2007; 119(5):e1184-98. DOI: 10.1542/peds.2006-1107. View

19.

Badlan K . Young people living with cystic fibrosis: an insight into their subjective experience. Health Soc Care Community. 2006; 14(3):264-70. DOI: 10.1111/j.1365-2524.2006.00619.x. View

20.

. Heart rate variability. Standards of measurement, physiological interpretation, and clinical use. Task Force of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology. Eur Heart J. 1996; 17(3):354-81. View