Cited by 226Musculoskeletal pain and rehabilitationMindfulness and Compassion InterventionsPediatric Pain Management Techniques

Adjustment to chronic pain: The role of pain acceptance, coping strategies, and pain-related cognitions

Esteve, Rosa, Ramírez-Maestre, Carmen, López-Martínez, Alicia E.·2007·Annals of Behavioral Medicine

Abstract

Background Previous research has found that acceptance of pain is more successful than coping variables in predicting adjustment to pain. Purpose To compare the influence of acceptance, pain-related cognitions and coping in adjustment to chronic pain. Methods One hundred seventeen chronic pain patients attending the Clinical Pain Unit were administered a battery of questionnaires assessing pain acceptance, active and passive coping, pain-related cognitions, and adjustment. Results The influence of acceptance, coping, and cognition on all the adjustment variables was considered simultaneously via Structural Equation Modeling using LISREL 8.30 software. A multigroup analysis showed that the male and female samples did not significantly differ regarding path coefficients. The final model showed that acceptance of pain determined functional status and functional impairment. However, coping measures had a significant influence on measures of emotional distress. Catastrophizing self-statements significantly influenced reported pain intensity and anxiety; resourcefulness beliefs had a negative and significant influence on depression. Conclusions These findings suggest that acceptance may play a critical role in the maintenance of functioning and, with this aim, acceptance-based treatments are promising to avoid the development of disability. They also lend support to the role of control beliefs and of active coping to maintain a positive mood. Acceptance and coping are presented as…

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Crossref · 10.1007/bf02879899

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  • Given the negative relationship between acceptance and negative affect, people who accept and face painful sensations process and regulate emotions better, thus achieving a beneficial effect over the functional disability caused by the illness.

    “In addition, given the negative relationship between acceptance and negative affect, it may be that people who accept and face painful sensations process and regulate emotions better, thus achieving a beneficial effect over the functional disability caused by the illness itself (40, 41).”

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Authors
Esteve, R., Ramírez-Maestre, C., & López-Martínez, A. E.
Affiliations
Universidad de Málaga (ES)
Corresponding author
Esteve, Rosa
Venue
Annals of Behavioral Medicine
Published
2007-06
Volume
33
Issue
2
Pages
179-188
ISSN
  • 0742-5554 (ISSN-L)
  • 0883-6612
  • 1532-4796
OpenAlex
W2024998098
Cited by
226
References
21
Citations by year
2026: 8 · 2025: 6 · 2024: 11 · 2023: 13 · 2022: 16 · 2021: 14 · 2020: 18 · 2019: 7 · 2018: 13 · 2017: 14 · 2016: 14 · 2015: 10 · 2014: 11 · 2013: 11 · 2012: 10
FWCI
7.71
Type
journal article
Language
en
Open access
closed
Locations
  • Annals of Behavioral Medicine (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
  • Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
Keywords
chronic pain, pain acceptance, coping strategies, pain-related cognitions, catastrophizing, control beliefs, functional status, functional disability, emotional distress, anxiety, depression, pain intensity, gender differences
MeSH terms
Activities of Daily Living, Adaptation, Psychological, Adult, Aged, Anxiety, Behavior Therapy, Chronic Disease, Culture, Depression, Female, Helplessness, Learned, Humans, Internal-External Control, Male, Mathematical Computing, Middle Aged, Pain, Personality Inventory, Psychometrics, Sex Factors, Sick Role, Software, Models, Statistical

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