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The Role of Acceptance and Pain Intensity in Chronic Pain Disability and Physical Functioning

Ferguson, Lisa Lukwinski
http://rave.ohiolink.edu/etdc/view?acc_num=csu1231957301

Abstract Details

2008, Master of Arts in Psychology, Cleveland State University, College of Science.
Chronic pain is a wide spread, debilitating disorder. With the development of Relational Frame Theory, the pathological nature of avoidance behaviors has been brought to the forefront of chronic pain research and acceptance based therapies are being extensively studied. Although interdisciplinary chronic pain rehabilitation programs draw from a variety of disciplines, they incorporate many components of acceptance therapy. The purpose of the present study was to examine the relationship between chronic pain acceptance, pain intensity, disability, and physical functioning. This study sought to answer the following questions: 1) Do patients who complete an interdisciplinary chronic pain rehabilitation program differ from those who drop out by demographics or outcome measures?, 2) Is an interdisciplinary chronic pain rehabilitation program effective in promoting acceptance of chronic pain and physical functioning while decreasing disability?, 3) What is the relationship between chronic pain acceptance, pain intensity, disability, and physical functioning?, and 4) Will changing levels of acceptance interact with changes in disability and physical functioning independent of pain intensity? Of the 487 patients admitted into a Cleveland area chronic pain program between 2006 and 2007, 393 patients completed the program and were included in the main analyses. Pre- and post-treatment measures included pain intensity, CPAQ, UAB, PDI, and a six-minute treadmill test. Chi-square and independent sample t-tests were performed to compare completers and non-completers, paired sample t-tests were used to determine the effectiveness of the program, and Pearson correlations and hierarchal multiple regression were used to examine the relationship of the outcome variables. The tests were considered significant at the .05 level. Program completers differed significantly from non-completers in age, primary complaint, and marital status. Program completers significantly improved across all outcome measures. Greater acceptance and lower pain intensity correlated with lower disability and fewer pain behaviors, but there was no significant relationships between physical functioning and either acceptance or pain intensity. While both acceptance and pain intensity predicted both disability and pain behaviors, changing in acceptance was the strongest predictor of both. These results support previous research indicating the importance of chronic pain acceptance and its independence from pain intensity.
Richard Rakos, PhD (Committee Chair)
Judith Scheman, PhD (Committee Member)
Stephan Slane, PhD (Committee Member)
98 p.
Psychology
Chronic Pain; Acceptance; Disability; Physical Function

Recommended Citations

Citations

  • Ferguson, L. L. (2008). The Role of Acceptance and Pain Intensity in Chronic Pain Disability and Physical Functioning [Master's thesis, Cleveland State University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=csu1231957301

    APA Style (7th edition)

  • Ferguson, Lisa. The Role of Acceptance and Pain Intensity in Chronic Pain Disability and Physical Functioning. 2008. Cleveland State University, Master's thesis. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=csu1231957301.

    MLA Style (8th edition)

  • Ferguson, Lisa. "The Role of Acceptance and Pain Intensity in Chronic Pain Disability and Physical Functioning." Master's thesis, Cleveland State University, 2008. http://rave.ohiolink.edu/etdc/view?acc_num=csu1231957301

    Chicago Manual of Style (17th edition)

csu1231957301
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© 2009, all rights reserved.
This open access ETD is published by Cleveland State University and OhioLINK.