• Ann Behav Med · Oct 2013

    Pain fear avoidance and pain acceptance: a cross-sectional study comparing their influence on adjustment to chronic pain across three samples of patients.

    • Rosa Esteve and Carmen Ramírez-Maestre.
    • Department of Personality, Assessment and Psychological Treatment, University of Málaga, Málaga, Spain, zarazaga@uma.es.
    • Ann Behav Med. 2013 Oct 1;46(2):169-80.

    BackgroundPrior studies found that pain fear avoidance and pain acceptance are significantly associated with adjustment to chronic pain.PurposeThe purpose of this study is to compare the influence of pain fear avoidance and pain acceptance on adjustment to chronic pain across three samples: patients with chronic back pain treated at primary care centres, patients with heterogeneous pain conditions treated at a pain clinic and patients with pain associated with inflammatory bowel disease.MethodsStructural equation modelling was used to test for differences between groups in the linear relationships between variables.ResultsThe model had the best fit for the group of patients with back pain. Three significant relationships were equal across the groups: experiential avoidance on pain fear avoidance, pain intensity on pain fear avoidance, and pain fear avoidance on negative mood.ConclusionsThe associations between both pain fear avoidance and pain acceptance and adjustment to chronic pain vary depending on the pain condition and the type of health care centres where the patients are treated.

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