Chronic pain acceptance and affective well-being: a coping perspective

Kranz, Dirk; Bollinger, Annicka; Nilges, Paul

doi:10.1016/j.ejpain.2010.03.010

Cited by 79Mindfulness and Compassion InterventionsMusculoskeletal pain and rehabilitationPediatric Pain Management Techniques

Chronic pain acceptance and affective well-being: a coping perspective

Kranz, Dirk, Bollinger, Annicka, Nilges, Paul·2010·European Journal of Pain

DOI 10.1016/j.ejpain.2010.03.010

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Abstract

This study examined the relationship between chronic pain acceptance and affective well-being from a coping perspective. One hundred-fifty patients from a multidisciplinary pain centre provided self-report data including measures of pain acceptance, positive and negative affect, and accommodative flexibility. The bivariate and multiple correlation patterns were consistent with the assumption that pain willingness (the attitudinal component of pain acceptance including the recognition of the uncontrollability of pain) primarily reduces negative affect, whereas activity engagement (the behavioural component of pain acceptance including the pursuit of life activities despite pain) additionally produces positive affect. The data furthermore suggested activity engagement as a mediating link between pain willingness and positive affect. Moderation analyses showed that accommodative flexibility (the general readiness to adjust personal goals to situational constraints) facilitates both pain willingness and activity engagement--especially when average pain intensity is high. In sum, the results support the view that chronic pain patients' well-being is closely tied to the maintenance of life activities which presupposes an accepting attitude towards pain.

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Authors: Kranz, D., Bollinger, A., & Nilges, P.
Affiliations: Universität Trier (DE)
German Red Cross (DE)
Corresponding author: Kranz, Dirk
ORCID: Kranz, Dirk
Venue: European Journal of Pain
Publisher: Wiley
Published: 2010-11
Volume: 14
Issue: 10
Pages: 1021-1025
ISSN: 1090-3801 (ISSN-L)
1532-2149
DOI: 10.1016/j.ejpain.2010.03.010
OpenAlex: W2067168582
Cited by: 79
References: 43
Citations by year: 2026: 2 · 2025: 6 · 2024: 7 · 2023: 3 · 2022: 1 · 2021: 3 · 2020: 3 · 2019: 6 · 2018: 7 · 2017: 6 · 2016: 6 · 2015: 5 · 2014: 7 · 2013: 8 · 2012: 6
FWCI: 5.98
Type: journal article
Language: en
Open access: closed
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor, 438 d)
Locations: European Journal of Pain (publishedVersion)
PubMed (publishedVersion)
Topics: Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
Keywords: chronic pain, pain acceptance, emotional well-being, coping, activity engagement, accommodative flexibility, positive affect, negative affect, pain intensity
MeSH terms: Activities of Daily Living, Adaptation, Psychological, Adolescent, Adult, Affect, Aged, Anxiety, Chronic Disease, Depression, Female, Humans, Male, Middle Aged, Neuropsychological Tests, Pain, Pain Measurement, Personal Satisfaction, Young Adult

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Chronic pain acceptance and affective well-being: a coping perspective

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