☆ 4.4 Article

The Chronic Pain Acceptance Questionnaire (CPAQ)-further validation including a confirmatory factor analysis and a comparison with the Tampa Scale of Kinesiophobia

EUROPEAN JOURNAL OF PAIN (2009)

期刊

EUROPEAN JOURNAL OF PAIN

卷 13, 期 7, 页码 760-768

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ELSEVIER SCI LTD

DOI: 10.1016/j.ejpain.2008.09.003

关键词

Chronic pain; Cognitive behaviour therapy; Acceptance; Acceptance and Commitment Therapy; Psychological flexibility; Assessment; Chronic Pain Acceptance Questionnaire

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Anesthesiology Clinical Neurology Neurosciences

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摘要

Acceptance of pain and distress has lately appeared as an important factor in determining peoples' ability to restore functioning in the presence of chronic pain. Although treatments based on cognitive behaviour therapy are beginning to incorporate acceptance strategies, there is still a lack of reliable and valid instruments to assess relevant processes in such interventions. The Chronic Pain Acceptance Questionnaire (CPAQ) was originally constructed as part of the development of an acceptance oriented treatment approach for pain patients. A revised 20-item version of the instrument with two subscales has shown adequate reliability and validity. In the present study, a Swedish translation of CPAQ was evaluated with 611 participants reporting chronic pain and symptoms of whiplash associated disorders. This study sought to further assess the psychometric properties of the instrument and to investigate its relation to another important measure of pain adjustment, the Tampa Scale of Kinesiophobia. Due to low intercorrelations with other items, item 16 was excluded. Exploratory and confirmatory factor analyses Supported the previously suggested two-factor solution. Furthermore, the internal consistencies were good for the subscales (activities engagement and pain willingness) as well as the total scale. Hierarchical regression analyses illustrated strong relations with criteria variables (e.g. disability and life satisfaction). In general, the activities engagement subscale contributed more than pain willingness to the prediction of criteria variables. Furthermore, results illustrated that CPAQ explained more variance than the Tampa Scale of Kinesiophobia in pain intensity, disability, life satisfaction, and depression. (C) 2008 European Federation of Chapters of the International Association for the Study of Pain. Published by Elsevier Ltd. All rights reserved.

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Which outcome variables are associated with psychological inflexibility/flexibility for chronic pain patients? A three level meta-analysis

Shuanghu Fang, Dongyan Ding

Summary: This study used a meta-analysis approach to examine the relationship between psychological (in)flexibility and common outcomes in chronic pain patients. The results showed a significant negative association between psychological flexibility and pain intensity or functional impairment. There was also a significant positive association between psychological inflexibility and pain intensity, functional impairment, quality of life, as well as anxiety/depression. These findings have important implications for understanding the potential impact of psychological inflexibility or flexibility on chronic pain outcomes.

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