A Prospective Examination of Acceptance at a CBT-based Interdisciplinary Chronic Pain Management Program
Journal Title: Psychology and Cognitive Sciences - Open Journal - Year 2018, Vol 4, Issue 1
Abstract
Aims/Objectives Acceptance of chronic pain is related to active patient engagement in valued aspects of life. This study sought to prospectively evaluate acceptance and patient functioning in a Cognitive Behavioural Therapy (CBT) - based chronic pain management program (CPMP). Methods Participants in this study were 184 consecutive adult patients with heterogeneous pain admitted to the interdisciplinary four-week Chronic Pain Management Program (CPMP) who completed self-report questionnaires at admission and discharge. Measures examined pain perception, psychological/emotional and social aspects of patient experience with chronic pain. Acceptance was evaluated by the Chronic Pain Acceptance Questionnaire (CPAQ, McCracken et al., 2004). Results Patients showed all-round improvement after program completion. Consistent with other studies, higher acceptance scores at admission were associated with more overall positive change at discharge. In addition, greater increase in acceptance scores at discharge was also associated with greater improvement in other variables. However, no significant change was shown in the Pain Willingness subscale of the CPAQ. Discussion This study provides a new understanding of the relationship of acceptance of chronic pain with patient functioning in a CBT-oriented pain management program. Results suggest that engaging in activity regardless of pain is an important program goal. This is directly measured by the Activity Engagement component of the CPAQ, which increases following participation in a CBT-based CPMP. Study findings also differ from some previous research and suggest that Pain Willingness may be a poor predictor of patient functioning. Limitations Results were obtained from patients at an interdisciplinary program and may not be generalized to the entire chronic pain population. Also, these results only demonstrate associations between acceptance and other variables, not causality. In addition, patients in this study served as their own controls (admission-discharge) thus the study lacks a true control group. Conclusion This study extends previous research by contributing needed prospective data on the relationship between acceptance and patient functioning.
Authors and Affiliations
Eleni G. Hapidou
Keywords
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- EP ID EP533917
- DOI 10.17140/PCSOJ-4-139
- Views 181
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