Pain anxiety, acceptance, and outcomes among individuals with HIV and chronic pain: A preliminary investigation
Autor: | John T. Sorrell, Marcel O. Bonn-Miller, Jennifer L. Huggins, Megan Oser, Jodie A. Trafton |
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Rok vydání: | 2012 |
Předmět: |
Adult
Male medicine.medical_treatment Human immunodeficiency virus (HIV) HIV Infections Experimental and Cognitive Psychology Context (language use) Anxiety medicine.disease_cause Adaptation Psychological HIV Seropositivity medicine Humans skin and connective tissue diseases Pain related anxiety Cognitive Behavioral Therapy Chronic pain Middle Aged Processes of change medicine.disease Cognitive behavioral therapy Psychiatry and Mental health Clinical Psychology Treatment Outcome Female Pain catastrophizing sense organs Chronic Pain medicine.symptom Psychology Clinical psychology |
Zdroj: | Behaviour Research and Therapy. 50:72-78 |
ISSN: | 0005-7967 |
DOI: | 10.1016/j.brat.2011.10.008 |
Popis: | The current study investigated the role of during treatment changes in pain anxiety in the relation between during treatment changes in pain acceptance and chronic pain outcomes. Participants included 45 (15 women) adults ( M age = 50.42, SD = 7.69) who were HIV positive and experienced chronic pain. They were offered 12 weekly, 90-min group CBT sessions to increase understanding about chronic pain and to improve coping skills. Four hierarchical regression analyses were conducted to examine the mediating role of treatment changes in pain anxiety in the relation between treatment changes in pain acceptance and chronic pain outcomes. Results suggest that increases in pain acceptance during treatment were associated with decreased levels of pain anxiety during treatment, as well as decreases in pain-related impairment at treatment completion. Furthermore, decreases in pain anxiety during treatment were associated with decreases in pain-related impairment at treatment completion. Finally, treatment changes in pain anxiety were found to partially mediate the association between treatment changes in pain acceptance and pain-related impairment at treatment completion. Results are discussed within the context of better understanding the processes of change within a CBT model for chronic pain patients. |
Databáze: | OpenAIRE |
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