Psychological Flexibility, Pain Characteristics and Risk of Opioid Misuse in Noncancerous Chronic Pain Patients

Rhodes, Amanda; Marks, Donald R.; Block-Lerner, Jennifer; Lomauro, T.

doi:10.1007/s10880-020-09729-1

Cited by 8 publications

(13 citation statements)

References 87 publications

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“…These six core processes can be fostered in the ACT by different exercises. From the view of the psychological flexibility model, chronic pain patients can relieve the psychological burden or improve their psychological functioning through accepting inner experiences, being mindful, and participating in actions that are aligned with individual goals and values ( 2 , 32 ). Likewise, many researches have classified functioning into physical and psychological functioning ( 7 , 33 ).…”

Section: Introductionmentioning

confidence: 99%

“…Chronic pain is one of the most common physical problems all over the world in the general population (1)(2)(3) and is a source of distress and disability that affects all aspects of a patient's life (4,5). Furthermore, individuals in a state of psychological distress experience more intense pain, leading to a reciprocal reinforcement between psychological distress and pain (5,6).…”

Section: Introductionmentioning

confidence: 99%

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Associations Between Six Core Processes of Psychological Flexibility and Functioning for Chronic Pain Patients: A Three-Level Meta-Analysis

Ding

Zheng

2022

Front. Psychiatry

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The previous research showed contradictions in the relationships between psychological flexibility processes and functioning. This meta-analysis is the first to provide a comprehensive meta-analysis of the associations between six core processes of psychological flexibility and functioning among chronic pain patients. Four databases were searched (PsycINFO; PubMed; CINAHL; Web of Science) along with reference lists. Thirty-six cross-sectional studies were included (7,812 chronic pain patients). A three-level meta-analytic model was used to examine the associations. The publication bias was assessed with the Egger test, funnel plot, and p-curve analysis. Significant associations were found between functioning and six processes of psychological flexibility (i.e., acceptance, defusion, present moment, committed action, self as context, and values). Except for the relationship between defusion and functioning, the relationships between the other five psychological flexibility processes and functioning were all moderated by domains of functioning. No moderators were found regarding age, percentage of females, country, or type of instrument used to measure functioning. These findings may carry significant implications for chronic pain patients and clinical workers. It might be more effective to focus on functioning-related psychological flexibility processes rather than all therapy packages if the relationships between functioning and specific processes of psychological flexibility were better informed. Limitations were also discussed.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Associations Between Six Core Processes of Psychological Flexibility and Functioning for Chronic Pain Patients: A Three-Level Meta-Analysis

Ding

Zheng

2022

Front. Psychiatry

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“…Higher PF, reflected in acceptance, mindfulness, cognitive defusion, and acting on values, was responsible for more frequent use of health care and more frequent undertaking of jobs [38]. The studies of Rhodes [39] found that chronic pain patients with a higher PF used fewer opioids. Various PF measures have proved to be significant mediators of therapeutic treatment in patients with chronic pain [40].…”

Section: Psychological Flexibility Versus Painmentioning

confidence: 98%

Health in the context of psychological flexibility and acceptance and commitment therapy

Prokopowicz

Stańczykiewicz

Uchmanowicz

2021

Medical Research Journal

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Losing health is associated with an imbalance in one or more areas that are important to an individual. The spectacular achievements of modern medicine have made people believe that the only source of health is the treatment and reduction of symptoms. The ability to function in conditions of unavoidable discomfort can bring back an individual's loss of balance. The article aims to present the model of Psychological Flexibility and its relationship with selected health aspects of an individual. According to the statement of the founders of Acceptance and Commitment Therapy (ACT), suffering in various forms is an integral part of human life. In situations of discomfort that cannot be avoided, and with which an individual must learn to function on a daily basis over a longer period of time, ACT proposes the development of Psychological Flexibility, which strengthens the psyche and body's immune resistance. The Covid-19 pandemic, which has been going on for a year, has disrupted the macro balance. At the micro-scale, this balance can be disturbed by chronic disease states such as pain, anxiety and depression. The above conditions reduce the quality of life and health. Psychological Flexibility shapes a set of skills that improve the quality of life and also affect balance despite perceived discomfort. Psychological Flexibility is a base that has a wide application and significance for the quality of life and health. Its higher resources help an individual live a rich, worthwhile life despite suffering from pain, anxiety or pandemic stress.

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“…Chronic pain is one of the most common health conditions worldwide in the general population (Brooks et al, 2017 ; Si et al, 2019 ; Rhodes et al, 2021 ) and is a source of distress and disability that affects all aspects of a patient's life. For example, chronic physical pain is linked to various psychological distress, such as anxiety, stress, and depression (Goldbart et al, 2020 ; Esteve et al, 2021 ).…”

Section: Introductionmentioning

confidence: 99%

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

Fang

Ding

2022

Front. Psychol.

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The psychological flexibility model can be seen as a basis for an integrated and progressive psychological approach to chronic pain management. Some researchers suggest that psychological flexibility and inflexibility represent distinct processes and constructs. This meta-analysis is the first to provide a summary estimate of the overall effect size for the relationship between psychological (in)flexibility and common outcomes among chronic pain patients. The research protocol was registered in the International Prospective Register of Systematic Reviews (PROSPERO, https://www.crd.york.ac.uk/PROSPERO/), registration number CRD42021285705. Four databases were searched (PsycINFO; PubMed; Web of Science, CINAHL) along with reference lists. Thirty-six cross-sectional studies were included (7,779 participants). Meta-analyses (random effects model) indicated a significant medium negative association between psychological flexibility and pain intensity or functional impairment. The present study also indicated a significant small to medium association between psychological inflexibility and pain intensity, a nearly large association between psychological inflexibility and functional impairment as well as the quality of life, and a large association between psychological inflexibility and anxiety/depression. Due to the limited number of included studies, the relationship between risk behavior and psychological inflexibility may not be significant. Types of countries and instruments measuring psychological inflexibility may explain part of the heterogeneity. These findings may carry significant implications for chronic pain patients regarding the potential relationship between psychological inflexibility or flexibility and these outcomes. It may consequently form the basis for more robust testing of causal and manipulable relationships.Systematic review registrationhttps://www.crd.york.ac.uk/PROSPERO/, identifier: CRD42021285705.

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Psychological Flexibility, Pain Characteristics and Risk of Opioid Misuse in Noncancerous Chronic Pain Patients

Cited by 8 publications

References 87 publications

Associations Between Six Core Processes of Psychological Flexibility and Functioning for Chronic Pain Patients: A Three-Level Meta-Analysis

Associations Between Six Core Processes of Psychological Flexibility and Functioning for Chronic Pain Patients: A Three-Level Meta-Analysis

Health in the context of psychological flexibility and acceptance and commitment therapy

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

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