Pain Acceptance as a Predictor of Medical Utilization and School Absenteeism in Adolescents With Chronic Pain

Clementi, Michelle A.; Kao, Grace; Monico, Evelyn C.

doi:10.1093/jpepsy/jsx125

Cited by 19 publications

(11 citation statements)

References 34 publications

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“…Thus, it is reasonable to question why we felt an adolescent version was necessary, and whether there is any substantial difference between adult and adolescent versions. Indeed, Clementi et al took the opposite approach and used the 20-item adult CPAQ in their study of adolescents' healthcare use and school absence (Clementi, Kao, & Monico, 2017), finding adequate internal consistency for the adult CPAQ and interesting results. The adult CPAQ and the CPAQ-A already differ in item wording and in scoring format.…”

Section: Discussionmentioning

confidence: 99%

Pain Acceptance in Adolescents: Development of a Short Form of the CPAQ-A

Gauntlett‐Gilbert

Alamire

Duggan

2018

Journal of Pediatric Psychology

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Acceptance of pain is a predictor of pain-related disability and treatment outcome in adolescents with pain. This variable has been previously measured using the Chronic Pain Acceptance Questionnaire for Adolescents (CPAQ-A, McCracken, Gauntlett-Gilbert, & Eccleston, 2010). We set out to create a short, 8-item, form of this instrument that retained its factor structure and clinical utility. Methods We used data collected from two independent samples of adolescents attending residential treatment for disabling chronic pain (N = 187 and N = 159). Both groups completed the 20-item CPAQ-A and indices of functioning and distress. We carried out item reduction and Confirmatory Factor Analysis (CFA) on the first sample, repeating this on the second sample and examining the new scale's correlations with clinically relevant variables. Results An 8-item scale was created with 4 items assigned to each established factor (Pain Willingness, Activity Engagement). CFA confirmed this factor structure and it replicated in Sample 2. The new scale (the CPAQ-A8) was sensitive to treatment, and correlated as well with clinically important variables as its full length version. Some items in the new scale differed from the adult CPAQ-8. Conclusions Measures of pain acceptance have been previously developed and validated in pediatric and adult samples. This study showed that pain acceptance can be indexed by a brief, yet factorially valid, short form of the CPAQ-A that uses fewer than 50% of the items of the full-length scale and has demonstrated acceptable validity and sensitivity to treatment.

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Section: Discussionmentioning

confidence: 99%

Pain Acceptance in Adolescents: Development of a Short Form of the CPAQ-A

Gauntlett‐Gilbert

Alamire

Duggan

2018

Journal of Pediatric Psychology

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“…Recent studies showed a definite link among pain acceptance with high quality of life among patients with backache [23], the decrease in the impact of pain periods on the function of patients with rheumatoid arthritis [24], as well as the improvements in the function of patients with various pains [25].…”

Section: Discussionmentioning

confidence: 99%

Comparing the Effectiveness of Acceptance and Commitment Therapy and Solution-focused Brief Therapy on Pain Catastrophizing and Psychological Well-Being of Patients With Breast Cancer

Baghernezhad

Hasanzadeh

Abbasi

2019

Avicenna. J. Neuro. Psycho. Physio.

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Breast cancer affects the various aspects of mental health, aggravates mental stress, and challenges the person's mental health because of the disturbance in the mental image of the subjects. It can also affect the mental status of these individuals. Objectives: The aim of the present study was to compare the efficacy of Acceptance and Commitment Therapy (ACT) and Solution-Focused Brief Therapy (SFBT) on pain catastrophizing and the psychological well-being of patients with breast cancer. Materials and Methods: The present quasi-experimental study used a pretest-Post-test design with the control group. The statistical population of the present study included all patients with breast cancer referring to health centers and hospitals of Babol and Babolsar in 2018. A sample of 45 people was selected by a random sampling method, and 3 groups of 15 women with breast cancer were randomly divided into ACT, SFBT, and control groups. ACT and SFBT were performed for the experimental groups and no intervention was performed in the control group. To obtain the data, the pain catastrophizing scale and psychological well-being questionnaire were used. The data were analyzed by SPSS V. 23, using the multivariate analysis of covariance test. Results: ACT and SFBT affected the pain catastrophizing (F=47.01, P<0.001) and psychological wellbeing (F=79.34, P<0.001) of patients with breast cancer. The ACT was more effective than the SFBT (P<0.01). Conclusion: Both the ACT and SFBT had a desirable effect on reducing pain catastrophizing and increasing psychological well-being in patients with breast cancer, but the ACT was more effective than the SFBT.

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“…21,22 This analytic approach is commonly used for the analysis of medical and rehabilitation data. 23,24 Results…”

Section: Discussionmentioning

confidence: 99%

“…A lower Akaike information criterion value indicates a better model . This analytic approach is commonly used for the analysis of medical and rehabilitation data …”

Section: Methodsmentioning

confidence: 99%

Impairment in toileting behavior after a stroke

Kawanabe¹,

Tanaka

Sasaki

et al. 2018

Geriatrics Gerontology Int

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The component of toileting that was easiest to carry out was cutting the toilet paper, and the most difficult was wearing pants. Balance impairment was an independent predictor of independent toileting after stroke. This detailed toileting assessment enabled us to document the most difficult components of toileting, and to assess the motor and process skills required for independent toileting. Geriatr Gerontol Int 2018; 18: 1166-1172.

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Pain Acceptance as a Predictor of Medical Utilization and School Absenteeism in Adolescents With Chronic Pain

Cited by 19 publications

References 34 publications

Pain Acceptance in Adolescents: Development of a Short Form of the CPAQ-A

Pain Acceptance in Adolescents: Development of a Short Form of the CPAQ-A

Comparing the Effectiveness of Acceptance and Commitment Therapy and Solution-focused Brief Therapy on Pain Catastrophizing and Psychological Well-Being of Patients With Breast Cancer

Impairment in toileting behavior after a stroke

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