TY - JOUR
T1 - Does pain acceptance buffer the negative effects of catastrophizing on function in individuals with chronic pain?
AU - Ferreira-Valente, Alexandra
AU - Solé, Ester
AU - Sánchez-Rodríguez, Elisabet
AU - Sharma, Saurab
AU - Pathak, Anupa
AU - Jensen, Mark P.
AU - Miró, Jordi
AU - De La Vega, Rocío
N1 - Funding Information:
A.F.-V. has received a research grant attributed by the Portuguese Foundation for Science and Technology (SFRH/BPD/121452/2016). J.M.’s work is supported by the Catalan Agency for Management of University and Research Grants (AGAUR; Ref.: 2017 SGR 1321), Barcelona, Spain; the Spanish Ministry of Economy, Industry and Competitiveness (RTI2018-09870-B-I00; RED2018-102546-T), Madrid, Spain, the European Regional Development Fund (ERDF), Fundación Grünenthal (Madrid, Spain), and ICREA-Acadèmia, Barcelona, Spain. R.d.l.V.’s work is supported by the Spanish Min-istry of Science and Innovation with a Ramon y Cajal contract (RYC2018-024722-I). S.S. is supported by the International Associ-ation for the Study of Pain John J. Bonica Postdoctoral Fellowship. The authors declare no conflict of interest.
Publisher Copyright:
© 2021 Lippincott Williams and Wilkins. All rights reserved.
PY - 2021/5
Y1 - 2021/5
N2 - Objectives: Pain catastrophizing and pain acceptance are psychological factors that have been shown to be associated with pain-related outcomes and predict multidisciplinary pain treatment outcomes. However, they are rarely examined in the same study. This study aimed to: (1) assess the independent roles of pain catastrophizingand pain acceptance as predictors of pain intensity, pain interference, and depression; and (2) evaluate the potential moderating role of pain acceptance on the association between pain catastrophizing and both pain and function. Materials and Methods: A sample of 467 adults with chronic pain completed an online survey including measures of pain intensity, pain interference, depression, pain catastrophizing, and pain acceptance. Results: Pain catastrophizing and pain acceptance were independent predictors of pain interference. Only pain catastrophizing and the activity engagement domain of pain acceptance were independent predictors of pain intensity and depression. Activity engagement moderated the association between pain catastrophizing and depression, indicating a buffering effect on the negative effects of catastrophizing on depression. Pain willingness moderated the association between pain catastrophizing and pain interference, such that endorsing low pain willingness may override any negative effects of pain catastrophizing. Discussion: The findings suggest that pain catastrophizing and pain acceptance are independently important to adjustment to chronic pain. Research is needed to determine if treatments that target both for change are more effective than treatments that target only one.
AB - Objectives: Pain catastrophizing and pain acceptance are psychological factors that have been shown to be associated with pain-related outcomes and predict multidisciplinary pain treatment outcomes. However, they are rarely examined in the same study. This study aimed to: (1) assess the independent roles of pain catastrophizingand pain acceptance as predictors of pain intensity, pain interference, and depression; and (2) evaluate the potential moderating role of pain acceptance on the association between pain catastrophizing and both pain and function. Materials and Methods: A sample of 467 adults with chronic pain completed an online survey including measures of pain intensity, pain interference, depression, pain catastrophizing, and pain acceptance. Results: Pain catastrophizing and pain acceptance were independent predictors of pain interference. Only pain catastrophizing and the activity engagement domain of pain acceptance were independent predictors of pain intensity and depression. Activity engagement moderated the association between pain catastrophizing and depression, indicating a buffering effect on the negative effects of catastrophizing on depression. Pain willingness moderated the association between pain catastrophizing and pain interference, such that endorsing low pain willingness may override any negative effects of pain catastrophizing. Discussion: The findings suggest that pain catastrophizing and pain acceptance are independently important to adjustment to chronic pain. Research is needed to determine if treatments that target both for change are more effective than treatments that target only one.
KW - Catastrophizing
KW - Chronic pain
KW - Function
KW - Moderation
KW - Pain acceptance
KW - Pain intensity
UR - http://www.scopus.com/inward/record.url?scp=85104159860&partnerID=8YFLogxK
U2 - 10.1097/AJP.0000000000000930
DO - 10.1097/AJP.0000000000000930
M3 - Article
C2 - 33734146
AN - SCOPUS:85104159860
VL - 37
SP - 339
EP - 348
JO - Clinical Journal of Pain
JF - Clinical Journal of Pain
SN - 0749-8047
IS - 5
ER -