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Acceptance of chronic pain: component analysis and a revised assessment method
Lance M McCracken1, Kevin E Vowles, Christopher Eccleston
1Pain Management Unit, Royal National Hospital for Rheumatic Diseases and University of Bath, Bath BA1 1RL, UK. lance.mccracken@rnhrd-tr.swest.nhs.uk
Pain
|January 13, 2004
Summary
Acceptance of chronic pain involves engaging in valued activities despite discomfort. This study refined the Chronic Pain Acceptance Questionnaire (CPAQ), finding that life engagement and pain willingness predict better patient functioning.
Area of Science:
- Psychology
- Rehabilitation Medicine
- Behavioral Science
Background:
- Chronic pain acceptance involves shifting focus from pain control to engagement in valued activities.
- Prior research indicates pain acceptance enhances functioning beyond depression and pain intensity.
- The Chronic Pain Acceptance Questionnaire (CPAQ) has shown preliminary psychometric support.
Purpose of the Study:
- To further refine the CPAQ by examining its factor structure.
- To evaluate the relationship between CPAQ factors and pain-related distress and disability.
Main Methods:
- Examined the factor structure of the CPAQ.
- Assessed the reliability and validity of identified factors.
- Correlated CPAQ factors with measures of patient functioning, distress, and disability.
Main Results:
- The previously identified factor structure of the CPAQ was generally supported.
- Factors assessing engagement in life activities and willingness to experience pain demonstrated adequate reliability and validity.
- These key factors were significantly associated with other measures of patient functioning.
Conclusions:
- A revised CPAQ, focusing on life engagement and pain willingness, is proposed.
- These refined factors of pain acceptance are crucial for improving emotional and physical functioning in chronic pain patients.
- Further validation of the revised CPAQ is recommended for clinical and research applications.