Well-being in patients with chronic fatigue syndrome: The role of acceptance

Damme, Stefaan Van; Crombez, Geert; Houdenhove, Boudewijn Van; Mariman, An; Michielsen, Walter

doi:10.1016/j.jpsychores.2006.04.015

Cited by 98 publications

(83 citation statements)

References 38 publications

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“…In a questionnaire study in chronic pain patients, Viane et al (20) showed that acceptance was related to better psychological but not physical well-being. In agreement with the above findings, research in patients with chronic fatigue has pointed out that acceptance was related to more emotional stability and less psychological distress (21).…”

Section: Introductionsupporting

confidence: 73%

The Construct Validity of the Illness Cognition Questionnaire: The Robustness of the Three-factor Structure Across Patients with Chronic Pain and Chronic Fatigue

et al. 2009

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Method: The ICQ was administered to 821 individuals with chronic pain and 295 patients with chronic fatigue. Confirmatory factor analyses were performed to assess the hypothesized three-factor structure, containing the factors "helplessness", "acceptance" and "perceived benefits". A multi-group analysis was performed to investigate the stability of the factor structure in both groups.Results: Results confirmed the three-factor structure in the two samples. The factor structure was invariant across individuals with chronic pain and chronic fatigue.Conclusion: As the three-factor structure provided a good fit in both groups, we confirm the usefulness of the subscale scores in research and clinical practice.

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Section: Introductionsupporting

confidence: 73%

The Construct Validity of the Illness Cognition Questionnaire: The Robustness of the Three-factor Structure Across Patients with Chronic Pain and Chronic Fatigue

et al. 2009

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“…The current study supports previous findings [10,9,39,40] that increasing PF processes is associated with recovery from functional disability associated with CFS/ME.…”

Section: Discussionsupporting

confidence: 92%

“…This study extends previous research exploring aspects of PF in a CFS/ME population and provides evidence for the relevance of PF in long term health conditions [10,34,39,40].…”

Section: Discussionsupporting

confidence: 82%

“…The management of CFS/ME has been linked to processes associated with the concept of Psychological Flexibility (PF) [10]. PF is defined as an overarching process of being able to accept the presence of both unwanted and wanted experiences, using this awareness to choose whether to change or persist in behaviour in response to those experiences, depending on what is most adaptive and functional for a meaningful life [11].…”

Section: Psychological Flexibility (Pf)mentioning

confidence: 99%

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Enhanced psychological flexibility and improved quality of life in chronic fatigue syndrome/myalgic encephalomyelitis

Densham

Williams

Johnson

et al. 2016

Journal of Psychosomatic Research

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Objective: Psychological Flexibility (PF) is a relatively new concept in physical health. It can be defined as an overarching process of being able to accept the presence of wanted/unwanted experiences, choosing whether to change or persist in behaviour in response to those experiences. Associations between processes of PF and quality of life (QoL) have been found in long-term health conditions such as chronic pain, PF has not yet been applied to Chronic Fatigue Syndrome/Myalgic Encephalomyelitis (CFS/ME). Methods:Changes in PF, fatigue severity and QoL were examined in one hundred and sixtyfive patients with CFS/ME engaged in a six-week outpatient interdisciplinary group treatment programme. Participants were assessed using a series of self-report measures at the start of the start (T1) and end of a six-week programme (T2) and at six months follow up (T3).Results: Significant changes in PF and QoL were observed from pre-treatment (T1) to post treatment follow-up (T2 and T3); changes in fatigue severity were observed from T1 to T3 only. Controlling for fatigue severity, changes in the PF dimension of activity/occupational engagement were associated with improvement in QoL at six month follow up (T3) but not at six weeks post programme (T2). Conclusion:Findings indicate an interdisciplinary group treatment approach for people with CFS/ME may be associated with improved QoL, processes of PF and fatigue severity, supporting a link between PF and long term health conditions. Results highlight links Running head: Psychological flexibility in CFS/ME 3 between PF and patient QoL in CFS/ME and the value of interdisciplinary treatment approaches in this patient population. Keywords

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“…Research has shown that higher levels of psychological flexibility, and its subprocesses (primarily acceptance, mindfulness, committed action) are related to lower symptom severity, physical and psychological disability, interference in work and other daily activities, negative affect, depression and pain-related anxiety, and to more positive affect, better performance of activities, and more emotional stability in chronic pain and chronic fatigue samples (Viane et al, 2003;McCracken and Eccleston, 2005;McCracken and Yang, 2006;Van Damme et al, 2006;McCracken et al, 2007;Vowles and McCracken, 2008;McCracken and Gutierrez-Martínez, 2011;Cho et al, 2013;Trompetter et al, 2015a). An experimental study by Petter and colleagues (2014) showed that an induction of state mindfulness was indirectly related to lower levels of pain and better pain tolerance, mediated by changes in pain catastrophizing.…”

Section: The Psychological Flexibility Modelmentioning

confidence: 99%

Towards a science and practice of resilience in the face of pain

Goubert

Trompetter

2017

European Journal of Pain

131

135

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. Electronic mail may be sent to Liesbet.Goubert@UGent.be. Conflicts of interestThe authors declare to have no conflicts of interest. 2 Statement of "significance":What does this review add? The resilience approach put forward in this review spotlights sustainability of positive outcomes (e.g. engagement in meaningful activities) in the presence of pain as an outcome to pursue beyond recovery of negative outcomes. We illuminate the evidence-base and practical application of promising resilience mechanisms (positive emotions, psychological flexibility, needs satisfaction).3 Abstract Background and Objective: The primary objective of this paper is to discuss how a resilience approach to (chronic) pain may advance our current understanding of (mal)adaptation to pain. Different resilience perspectives are described, and future challenges for research, prevention and treatment of (chronic) pain are discussed. Databases and Data Treatment:Literature searches were performed in Web of Science and PubMed to identify relevant literature on risk and resilience in the context of pain. Results:Resilience can be best defined as the ability to restore and sustain living a fulfilling life in the presence of pain. The Psychological Flexibility Model, the Broaden-and-Build Theory, and Self-Determination Theory are described as theories that may provide insight into resilience within the context of (chronic) pain. Conclusions:We describe how a resilience paradigm shifts the outcomes to pursue in pain research and intervention and argue the need for including positive outcomes in addition to negative outcomes. Psychological flexibility, positive affect and basic psychological needs satisfaction are described as potentially important resilience mechanisms with the potential to target both sustainability and recovery from pain. A resilience approach to chronic pain may have important implications for the prevention and treatment of chronic pain problems, as it may give specific indications on how to empower patients to continue living a fulfilling life (in the presence of pain).4

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Well-being in patients with chronic fatigue syndrome: The role of acceptance

Cited by 98 publications

References 38 publications

The Construct Validity of the Illness Cognition Questionnaire: The Robustness of the Three-factor Structure Across Patients with Chronic Pain and Chronic Fatigue

The Construct Validity of the Illness Cognition Questionnaire: The Robustness of the Three-factor Structure Across Patients with Chronic Pain and Chronic Fatigue

Enhanced psychological flexibility and improved quality of life in chronic fatigue syndrome/myalgic encephalomyelitis

Towards a science and practice of resilience in the face of pain

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