Pain catastrophizing, activity engagement and pain willingness as predictors of the benefits of multidisciplinary cognitive behaviorally-based chronic pain treatment

Pain catastrophizing and pain acceptance have been shown to be associated with improvements after participation in cognitive behaviorally-based treatment (CBT) for chronic pain. However, it is not yet clear how important each of these factors is relative to the other. Furthermore, it is also not cle...

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Bibliographic Details
Published in:Journal of behavioral medicine 2018-12, Vol.41 (6), p.827-835
Main Authors: Miró, Jordi, Castarlenas, Elena, de la Vega, Rocío, Galán, Santiago, Sánchez-Rodríguez, Elisabet, Jensen, Mark P., Cane, Douglas
Format: Article
Language:English
Subjects:
Acceptance
Adult
Care and treatment
Catastrophic reactions
Catastrophization - psychology
Catastrophization - therapy
Change agents
Chronic pain
Chronic Pain - psychology
Chronic Pain - therapy
Cognitive ability
Cognitive behavioral therapy
Cognitive Behavioral Therapy - methods
Depression - psychology
Disability
Family Medicine
Fear - psychology
Female
General Practice
Health Psychology
Humans
Interdisciplinary aspects
Male
Medicine
Medicine & Public Health
Mental depression
Middle Aged
Pain
Pain Measurement - methods
Pain Threshold - psychology
Patient outcomes
Psychological aspects
Surveys and Questionnaires
Treatment Outcome
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Summary:Pain catastrophizing and pain acceptance have been shown to be associated with improvements after participation in cognitive behaviorally-based treatment (CBT) for chronic pain. However, it is not yet clear how important each of these factors is relative to the other. Furthermore, it is also not clear if multidisciplinary pain treatment has the same impact on the two primary dimensions of pain acceptance (activity engagement and pain willingness), and whether their role in explaining treatment outcome differs as a function of the outcomes under study. The aim of this study was to examine the relative importance of changes in pain catastrophizing, activity engagement and pain willingness as predictors of the benefits of a multidisciplinary CBT for chronic pain. 186 adults with chronic pain participated. Pain catastrophizing and activity engagement, but not pain willingness, were significantly associated with treatment outcome. Moreover, each one evidenced different patterns of associations with outcomes. Specifically, while changes in both were associated with improvements in depressive symptoms, only catastrophizing was associated with improvements in pain intensity and only activity engagement was associated with improvements in pain-related disability.
ISSN:0160-7715
1573-3521
DOI:10.1007/s10865-018-9927-6