Pain Acceptance, Hope, and Optimism: Relationships to Pain and Adjustment in Patients With Chronic Musculoskeletal Pain

Wright, Melissa A.; Wren, Anava A.; Somers, Tamara J.; Goetz, Mark C.; Fras, Anne Marie; Huh, Billy K.; Rogers, Lesco L.; Keefe, Francis J.

doi:10.1016/j.jpain.2011.06.002

Cited by 59 publications

(38 citation statements)

References 50 publications

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“…27,28,29,30,31,42,47,76 The PF model as a whole is currently not well known within the field of chronic pain. Some of its six constituent processes of PF, however, are gaining prominence, especially acceptance, 4,10,11,18,26,56,58,69,84,87,97 and values-based action. 55,56,59,67,84 Even the least well recognized processes of PF now have some empirical support, including present-focused awareness, 51 cognitive defusion and self-as-observer, 53 and committed action.…”

Section: Current Psychological Models Of Chronic Pain Under a Microscopementioning

confidence: 99%

The Psychological Flexibility Model: A Basis for Integration and Progress in Psychological Approaches to Chronic Pain Management

McCracken

Morley

2014

The Journal of Pain

393

346

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Section: Current Psychological Models Of Chronic Pain Under a Microscopementioning

confidence: 99%

The Psychological Flexibility Model: A Basis for Integration and Progress in Psychological Approaches to Chronic Pain Management

McCracken

Morley

2014

The Journal of Pain

393

346

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“…This in turn has stimulated interest in positive adaptation to chronic pain with attention to factors such as resilience rather than vulnerabilities [43,44] and recent constructs such as pain acceptance, hope and optimism have been identified as potential moderators or mediators of clinical outcome. Interestingly they appear to be associated not with perceived pain intensity per se but with adjustment to pain [45] and would seem to merit further investigation.…”

Section: Influence Of Positive Psychology: a New Direction?mentioning

confidence: 90%

The Importance of Psychosocial Influences On Chronic Pain

Main

2013

Pain Manage.

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SUMMARY Recent experimental and clinical studies into the nature of chronic pain and its development have highlighted the importance of psychosocial factors on the perception of pain and response to it. There have been advances in the understanding of not only the biological substrate, but also the nature and influence of specific psychological and social factors in particular. A range of new explanatory models have stimulated new approaches to treatment directed not only at the reduction of pain and its impact, but also at the identification of early indicators or risk factors for the development of chronicity. The purpose of this paper is to attempt a summary and integration of these diverse research findings and identify the next set of research challenges that might serve as a basis for more clearly focused and targeted approaches to multifaceted pain management and perhaps c ontribute to reduction in the burden of chronic pain.*Arthritis Care UK National Primary Care Centre, Keele University, North Staffordshire, ST5 5BG, UK; profcmain@gmail.com Complete cures for chronic pain are often unachievable, so we need to help the patient develop more realistic expectations, with a focus on the impact of pain in terms of function and emotional wellbeing.In meeting this challenge adoption of an evidence-based biopsychosocial framework is required.For most patients, identifying the relevant psychosocial factors will increase the range of therapeutic options and maximize the opportunity to assist the patient to gain/regain control of their symptoms and their impact.Many chronic patients have been ill-served by their encounters with healthcare professionals. The first objective of treatment therefore must be to identify and address possible iatrogenic confusion and distress, and offer appropriate reassurance as a precursor to exploring treatment options.Restructuring clinical assessment specifically to begin with a careful elicitation of the patient's understanding, expectations, beliefs and concerns offers a framework within which to facilitate self-disclosure, identify need for reassurance and embark on the planning of effective interventions.In chronic pain patients, it is important to recognize that many psychosocial factors, which may be perceived as obstacles to recovery, may in fact by repositioned as opportunities to develop more effective interventions. Practice PointsThe importance of psychosocial influences on chronic pain MANAGEMENT PERSPECTIVEChris J Main* Any attempt to treat chronic pain necessitates consideration not only of the nature of chronic pain but also why and how it persists. The gate control theory of pain [1] has spawned a plethora of investigations into peripheral and central pain mechanisms. New techniques such as imaging [2] have supported sophisticated and wide-ranging investigations of its neurobiological substrate [3] holding the promise of further enhancing our understanding of fundamental pain mechanisms. However the experience of pain is ultimately perceptual and the nature a...

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“…Optimism is defined as the generally held expectation of good or meaningful experiences occurring more often than bad in life, and is another important cognitive factor associated with improved well-being and coping with chronic illnesses (Allison, Guichard, & Gilain, 2000;Scheier, Carver, & Bridges, 2001;Wright et al, 2011). Optimists are more likely than pessimists to employ adaptive coping skills (Scheier, Weintraub, & Carver, 1986), and report higher ratings of health-related QoL (Allison et al, 2000). Greater optimism is associated with more positive social interactions (Luger, Cotter, & Sherman, 2009), and optimists are more likely to perceive greater support from an intimate partner than pessimists (Srivastava, McGonigal, Richards, Butler, & Gross, 2006).…”

Section: Introductionmentioning

confidence: 99%

Mechanisms of Quality of Life and Social Support in Inflammatory Bowel Disease

Katz

Tripp

Ropeleski

et al. 2015

J Clin Psychol Med Settings

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Cognitive and social factors are essential considerations in inflammatory bowel disease (IBD) patient management, but existing research is limited. This study aims to expand the IBD literature by examining the relationship between social supports and QoL, while examining mechanisms in these relationships. Consenting patients attending an IBD outpatient clinic were provided a survey package (N = 164). Regressions evaluated predictors of IBD-QoL, and catastrophizing and optimism were examined as mediators between social support and IBD-QoL. Diminished IBD-QoL was predicted by younger age, greater negative spousal responses, and less perceived spousal support. Mediation models showed helplessness catastrophizing to be the lone mediator, acting as a mechanism between both negative spousal responses and perceived spousal support with IBD-QoL. Social interaction variables are associated with IBD-QoL, but patients' experience of helplessness acts to reduce their ability to benefit from social support. Patient care should consider supportive social and cognitive factors to improve IBD-QoL.

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Pain Acceptance, Hope, and Optimism: Relationships to Pain and Adjustment in Patients With Chronic Musculoskeletal Pain

Cited by 59 publications

References 50 publications

The Psychological Flexibility Model: A Basis for Integration and Progress in Psychological Approaches to Chronic Pain Management

The Psychological Flexibility Model: A Basis for Integration and Progress in Psychological Approaches to Chronic Pain Management

The Importance of Psychosocial Influences On Chronic Pain

Mechanisms of Quality of Life and Social Support in Inflammatory Bowel Disease

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