Six month post-treatment deterioration in acceptance (CPAQ-8) and cognitions following multidisciplinary pain treatment

Baranoff, John, Hanrahan, Stephanie J., Kapur, Dilip and Connor, Jason P. (2014) Six month post-treatment deterioration in acceptance (CPAQ-8) and cognitions following multidisciplinary pain treatment. Journal of Behavioral Medicine, 37 3: 469-479. doi:10.1007/s10865-013-9502-0

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Author Baranoff, John
Hanrahan, Stephanie J.
Kapur, Dilip
Connor, Jason P.
Title Six month post-treatment deterioration in acceptance (CPAQ-8) and cognitions following multidisciplinary pain treatment
Journal name Journal of Behavioral Medicine   Check publisher's open access policy
ISSN 0160-7715
1573-3521
Publication date 2014-06
Year available 2013
Sub-type Article (original research)
DOI 10.1007/s10865-013-9502-0
Open Access Status File (Author Post-print)
Volume 37
Issue 3
Start page 469
End page 479
Total pages 11
Place of publication New York, NY, United States
Publisher Springer
Collection year 2014
Language eng
Abstract Pain acceptance contributes significantly to the effectiveness of pain treatment outcomes. Nevertheless, little research has been conducted to examine whether a decrease in acceptance contributes to a deterioration in post treatment functioning. The aim of this study was to assess the role of pain acceptance in relation to process and outcome variables in the six-months following the conclusion of a pain program. Adults with chronic pain (N = 120) completed assessments at the completion of a 3-week multidisciplinary treatment program and 6-months post-treatment. Process measures included the Chronic Pain Acceptance Questionnaire-8 (CPAQ-8); the catastrophizing scale of the Pain Response Self-Statement Scale; the coping cognitions scale of the Pain Response Self-Statement Scale; and the Tampa Scale of Kinesiophobia. Outcome measures included the Roland Morris Disability Questionnaire; the depression scale of the Depression Anxiety and Stress Scale; and two measures of physical functioning. Deterioration in acceptance of pain was significantly associated with deterioration in depression and disability, even when catastrophizing cognitions and kinesiophobia were accounted for. Decrease in acceptance was the strongest predictor of reliable deterioration in depression and disability. Results indicated the CPAQ-8 has utility as a measure for monitoring patient functioning post-treatment.
Keyword Acceptance
Chronic pain
Cognitions
Post-treatment
Processes of change
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

 
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Created: Wed, 07 Aug 2013, 12:03:17 EST by Deborah Noon on behalf of School of Human Movement and Nutrition Sciences