Abstract
Acceptance and chronic pain is an emerging topic both for research and intervention. Initial studies have demonstrated that acceptance is correlated with higher quality of daily emotional, social, and physical functioning in chronic pain populations. The purpose of the present study was to clarify the nature of the relationship between acceptance, appraisals that are relevant to chronic pain (i.e., control and catastrophizing), and coping among migraine headache sufferers. Seventy four participants with migraine headaches completed self report measures assessing appraisal, coping strategies, acceptance, and pain related disability. Sixty three participants also completed a 28-day daily dairy assessing headache activity, catastrophizing, control, acceptance, and coping strategies. Hierarchical regression and multilevel modeling were used to examine the relations between these variables. Results indicated that higher levels of pain-related acceptance were associated with lower levels of catastrophizing and pain-related interference, and increased perceived control. Participants who endorsed higher levels of pain-related acceptance also reported engaging in a higher level of activity and indicated they used fewer coping strategies on a daily basis. Acceptance continues to show promise as a way of viewing pain that lessens the detrimental impact of certain types of thoughts (i.e., catastrophizing), and leads to increased participation in daily life.
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Affleck, G., Zautra, A., Tennen, H., & Armeli, S. (1999). Multilevel daily process designs for consulting and clinical psychology: A preface for the perplexed. Journal of Consulting and Clinical Psychology, 67, 746–754.
Andrew, M. E., Penzien, D. B., Knowlton, & McAnulty, R. D. (1992). Development of a computer application for headache diagnosis: The headache diagnostic system. International Journal of Biomedical Computing, 31, 17–24.
Arulmozhi, D., Veeranjaneyulu, A., & Bodhankar, S. (2005). Migraine: Current concepts and emerging therapies. Vascular Pharmacology, 43, 176–187.
Bond, F. W., & Bunce, D. (2003). The role of acceptance and job control in mental health, job satisfaction, and work performance. Journal of Applied Psychology, 88, 1057–1067.
Bryk, A., & Raudenbush, S. (1992). Hierarchical linear models for social and behavioral research: Applications and data analysis methods. Newbury Park, CA: Sage.
Buckelew, S. P., Conway, R. C., Shutty, M. S., Lawrence, J. A., Grafing, M. R., Anderson, S. K., et al. (1992). Spontaneous coping strategies to manage acute pain and anxiety during electrodiagnostic studies. Archives of Physical Medicine and Rehabilitation, 73, 594–598.
Chiros, C. E. (2002). Cardiovascular reactivity among migraine headache sufferers during and between headaches. Unpublished Master’s Thesis, Bowling Green: Bowling Green State University.
D’Eon, J. L., Harris, C. A., & Ellis, J. A. (2004). Testing factorial validity and gender invariance of the Pain Catastrophizing Scale. Journal of Behavioral Medicine, 27, 361–372.
de Benedittis, G., Lorenzetti, A., & Pieri, A. (1990). The role of stressful life events in the onset of chronic primary headache. Pain, 40, 65–75.
Ferrari, M. D. (1998). The economic burden of migraine to society. PharmacoEconomics, 13, 667.
Gannon, L. R., Haynes, S. N., Cuevas, & Chavez, R. (1987). Psychophysiological correlates of induced headaches. Journal of Behavioral Medicine, 10, 411–423.
Hadjistavropoulos, H. D., MacLeod, F. K., & Asmundson, G. J. G. (1999). Validation of the chronic pain coping inventory. Pain, 80, 471–481.
Hassinger, H. J., Semenchuk, E. M., & O’Brien, W. H. (1999). Appraisal and coping responses to pain and stress in migraine headache sufferers. Journal of Behavioral Medicine, 22, 327–340.
Hayes, S. C., Bissett, R. T., Korn, Z., Zettle, R. D., Rosenfarb, I. S., Cooper, L. D., et al. (1999a). The impact of acceptance versus control rationales on pain tolerance. Psychological Records, 49, 33–47.
Hayes, S. C., Strosahl, K. D., & Wilson, K. (1999b). Acceptance and commitment therapy: An experiential approach to behavior change. New York: Guilford.
Hayes, S. C., Strosahl, K. D., Wilson, K., Bissett, R. T., Pistorello, J., Toarmino, D., et al. (2004). Measuring experiential avoidance: A preliminary test of a working model. The Psychological Record, 54, 553–578.
Hayes, S. C., & Wilson, K. (1994). Acceptance and commitment therapy: Altering the verbal support for experiential avoidance. The Behavior Analyst, 17, 289–303.
Haynes, S. N., Gannon, L. R., Bank, J., Shelton, D., & Goodwin, J. (1990). Cephalic blood flow correlates of induced headaches. Journal of Behavioral Medicine, 13, 467–480.
Haythornthwaite, J. A., Menefee, L. A., Heinberg, L. J., & Clark, M. R. (1998). Pain coping strategies predict perceived control over pain. Pain, 77, 33–39.
Headache Classification Subcommittee of the International Headache Society. (1988). Classification and diagnostic criteria for headache disorders, cranial neuralgias, and facial pain. Cephalalgia, Suppl. 7, 1–96.
Holm, J. E., Lokken, C., & Myers, C. E. (1997). Migraine and stress: A daily examination of temporal relationships in women migraineurs. Headache, 37, 553–558.
Hox, J. (2002). Multilevel analysis: Techniques and applications. Mahwah, NJ: Lawrence Erlbaum.
Jensen, M. P., & Karoly, P. (1991). Control beliefs, coping efforts, and adjustment to chronic pain. Journal of Consulting and Clinical Psychology, 59, 431–438.
Jensen, M. P., Turner, J. A., & Romano, J. M. (2001). Changes in beliefs, catastrophizing, and coping are associated with improvement in multidisciplinary pain treatment. Journal of Consulting and Clinical Psychology, 69, 655–662.
Jensen, M. P., Turner, J. A., Romano, J. M., & Strom, S. E. (1995). The chronic pain coping inventory: Development and preliminary validation. Pain, 60, 203–216.
Keefe, F., Caldwell, D., Queen, K., Gil, K.M., et al. (1987). Osteoarthritic knee pain: A behavioral analysis. Pain, 28, 309–321.
Kerns, R. D., Turk, D. C., & Rudy, T. E. (1985). The West Haven-Yale multidimensional pain inventory. Pain, 23, 345–356.
Kohler, T., & Haimerl, C. (1990). Daily stress as a trigger of migraine attacks: Results of thirteen single-subject studies. Journal of Consulting and Clinical Psychology, 58, 870–872.
Lazarus, R. S., & Folkman, S. (1984). Stress, appraisal, and coping. New York: Springer Publishing Company.
Lefebvre, J. C., Lester, N., & Keefe, F. J. (1995). Pain in young adults: II. The use and perceived effectiveness of pain-coping strategies. Clinical Journal of Pain, 11, 36–44.
Leith, J., Meers, M., & O’Brien, W. H. (2009). Acceptance and commitment therapy and chronic pain: A meta analytic study (Under review).
Lipton, R., Bigal, M., Scher, A., & Stewart, W. (2003). The global burden of migraine. Journalof Headaches and Pain, 4, S3–S11.
Lipton, R. B., Diamond, S., Reed, M., Diamond, M. L., & Stewart, W. F. (2001). Migraine diagnosis and treatment: Results from the American Migraine Study II. Headache, 41, 638–645.
Martin, P. R., & Seneviratne, H. M. (1997). Effects of food deprivation and a stressor on head pain. Health Psychology, 16, 310–318.
Materazzo, F., Cathcart, S., & Pritchard, D. (2000). Anger, depression, and coping interactions in headache activity and adjustment: A controlled study. Journal of Psychosomatic Research, 49, 69–75.
McCracken, L. M. (1998). Learning to live with the pain: Acceptance of pain predicts adjustment in patients with chronic pain. Pain, 74, 21–27.
McCracken, L. M., Carson, J. W., Eccleston, C., & Keefe, F. J. (2004a). Topical review: Acceptance and change in the context of chronic pain. Pain, 109, 4–7.
McCracken, L. M., & Eccleston, C. (2003). Coping or acceptance: What to do about chronic pain. Pain, 105, 197–204.
McCracken, L. M., Spertus, I. L., Janeck, A. S., Sinclair, D., & Wetzel, T. (1999). Behavioral dimensions of adjustment in persons with chronic pain: Pain-related anxiety and acceptance. Pain, 80, 1–13.
McCracken, L. M., & Velleman, S. C. (2010). Psychological flexibility in adults with chronic pain: A study of acceptance, mindfulness, and values-based action in primary care. Pain, 148, 141–147.
McCracken, L. M., & Vowles, K. E. (2008). A prospective analysis of acceptance of pain and values-based action in patients with chronic pain. Health Psychology, 27, 215–220.
McCracken, L. M., Vowles, K. E., & Eccleston, C. (2004b). Acceptance of chronic pain: Component analysis and a revised assessment method. Pain, 107, 159–166.
Morley, S., Davies, C., & Barton, S. (2005). Possible selves in chronic pain: Self-pain enmeshment, adjustment, and acceptance. Pain, 115, 84–94.
Osman, A., Barrios, F. X., Gutierrez, P. M., Kopper, B. A., Merrifield, T., & Grittmann, L. (2000). The pain catastrophizing scale: Further psychometric evaluation with adult samples. Journal of Behavioral Medicine, 23, 351–365.
Penzien, D. B. (1991). Structured diagnostic interview for headache. Jackson, MS: University of Mississippi Headache Clinic.
Penzien, D. B., Rains, J. C., Andrew, M. E., Knowlton, G. E., McAnulty, R. D., & Hursey, K. G. (1992). Computer-aided system for diagnosis of headache: Refinement and validation. New York: Paper presented at the Society of Behavioral Medicine.
Raudenbush, S., Bryk, A., Cheong, Y. F., Congdon, R., & du Toit, M. (2004). HLM 6: Hierarchical linear and nonlinear modeling. Lincolnwood, IL: Scientific Software International.
Robbins, L. (1994). Precipitating factors in migraine: a retrospective review of 494 patients. Headache, 34, 214–216.
Robinson, M. E., Riley, J. L., Myers, C. D., Sadler, I. J., Kvaal, S. A., Geisser, M. E., et al. (1997). The Coping Strategies Questionnaire: A large sample, item level analysis. The Clinical Journal of Pain, 13, 43–49.
Romano, J. M., Jensen, M. P., & Turner, J. A. (2003). The chronic pain coping inventory-42: Reliability and validity. Pain, 104, 65–73.
Rosenstiel, A. K., & Keefe, F. J. (1983). The use of coping strategies in chronic low back pain patients: Relationship to patient characteristics and current adjustment. Pain, 17, 33–44.
Russell, M. B., Rasmussen, B. K., Thorvaldsen, P., & Olesen, J. (1995). Prevalence and sex-ratio of the subtypes of migraine. International Journal of Epidemiology, 24, 612.
Scientific Software International (2007). 7383 N. Lincoln Ave., Suite 100, Lincolnwood, IL 60712-1747.
Sorbi, M., & Tellegen, B. (1988). Stress-coping in migraine. Social Science Medicine, 26, 351–358.
Spinhoven, P., & Linssen, A. (1991). Behavioral treatment of chronic low back pain: Relation of coping strategy use to outcome. Pain, 45, 29–34.
Stewart, W. F., Lipton, R. B., Celentano, D. D., & Reed, M. L. (1992). Prevalence of migraine headache in the United States. Journal of the American Medical Association, 267, 64–69.
Sullivan, M. J. L., Bishop, S. R., & Pivik, J. (1995). The pain catastrophizing scale: Development and validation. Psychological Assessment, 7, 524–532.
Swartzman, L. C., Gwadry, F. G., Shapiro, A. P., & Teasell, R. W. (1994). The factor structure of the Coping Strategies Questionnaire. Pain, 57, 311–316.
Tan, G., Jensen, M. P., Robinson-Whelen, S., Thornby, J. I., & Monga, T. N. (2001). Coping with chronic pain: A comparison of two measures. Pain, 90, 127–133.
Viane, I., Crombez, G., Eccleston, C., Poppe, C., Devulder, J., Van Houdenhove, B., et al. (2003). Acceptance of pain is an independent predictor of mental well-being in patients with chronic pain: Empirical evidence and reappraisal. Pain, 106, 65–72.
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Chiros, C., O’Brien, W.H. Acceptance, appraisals, and coping in relation to migraine headache: an evaluation of interrelationships using daily diary methods. J Behav Med 34, 307–320 (2011). https://doi.org/10.1007/s10865-011-9313-0
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DOI: https://doi.org/10.1007/s10865-011-9313-0