Profiles of Pain Acceptance and Values-Based Action in the Assessment and Treatment of Chronic Pain
Open accessAbstract
Pain acceptance and values-based action are relevant to treatment outcomes in those with chronic pain. It is unclear if patterns of responding in these 2 behavioral processes can be used to classify patients into distinct classes at treatment onset and used to predict treatment response. This observational cohort study had 2 distinct goals. First, it sought to classify patients at assessment based on pain acceptance and values-based action (N = 1746). Second, it sought to examine treatment outcomes based on class membership in a sub-set of patients completing an interdisciplinary pain rehabilitation program of Acceptance and Commitment Therapy for chronic pain (N = 343). Latent profile analysis was used in the larger sample to identify 3 distinct patient classes: low acceptance and values-based (AV) action (Low AV; n = 424), moderate acceptance and values-based action (Moderate AV; n = 983) and high acceptance and values-based action (High AV; n = 339). In the smaller treated sample, participants in the Low AV and Moderate AV class demonstrated improvements across all outcome variables, whereas those in the High AV class did not. These findings support the role of pain acceptance and values-based action in those with chronic pain. PERSPECTIVE: Individuals with chronic pain can be classified with respect to pain acceptance and values-based action and these groups may respond differently to treatment.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Attempts to control pain often result in increased pain severity.
“Research indicates that attempts to control pain often result in increased pain severity [15, 16].”
From Acceptance and commitment therapy for patients with chronic pain: A systematic review and meta-analysis on psychological outcomes and quality of life (2024) · cites this paper as [16]
The paper defines pain acceptance in terms of avoiding unsuccessful or harmful attempts to control pain (opening section; page unavailable), and the Discussion refers to ineffective control attempts. Neither passage says those attempts often increase pain severity; searches for increased pain intensity and worsening pain found no such finding. (LLM, conf=0.75)
Experimental — accuracy not yet measured
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Nylund, K. L., Asparouhov, T., & Muthén, B. O. (2007) · Structural Equation Modeling: A Multidisciplinary Journal · doi:10.1080/10705510701575396 · Cited by 11,415 · see citing works
Likelihood Ratio Tests for Model Selection and Non-Nested Hypotheses
Vuong, Q. H. (1989) · Econometrica · doi:10.2307/1912557 · Cited by 5,929 · see citing works
Survey of chronic pain in Europe: Prevalence, impact on daily life, and treatment
Breivik, H., Collett, B., Ventafridda, V., Cohen, R., & Gallacher, D. (2006) · European Journal of Pain · doi:10.1016/j.ejpain.2005.06.009 · Cited by 5,486 · see citing works
Pain assessment: global use of the Brief Pain Inventory.
Cs, C., & Km, R. (1994) · PubMed · Cited by 5,178 · see citing works
Testing the number of components in a normal mixture
Lo, Y. (2001) · Biometrika · doi:10.1093/biomet/88.3.767 · Cited by 4,640 · see citing works
The Sickness Impact Profile: Development and Final Revision of a Health Status Measure
Bergner, M., Bobbitt, R. A., Carter, W. B., & Gilson, B. S. (1981) · Medical Care · doi:10.1097/00005650-198108000-00001 · Cited by 4,619 · see citing works
Application of model-selection criteria to some problems in multivariate analysis
Sclove, S. L. (1987) · Psychometrika · doi:10.1007/bf02294360 · Cited by 2,541 · see citing works
An entropy criterion for assessing the number of clusters in a mixture model
Celeux, G., & Soromenho, G. (1996) · Journal of Classification · doi:10.1007/bf01246098 · Cited by 2,448 · see citing works
Spurk, D., Hirschi, A., Wang, M., Valero, D., & Kauffeld, S. (2020) · Journal of Vocational Behavior · doi:10.1016/j.jvb.2020.103445 · Cited by 2,119 · see citing works
Psychological therapies for the management of chronic pain (excluding headache) in adults
Williams, A. C. D. C., Eccleston, C., & Morley, S. (2012) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd007407.pub3 · Cited by 1,634 · see citing works
Morley, S., Eccleston, C., & Williams, A. (1999) · Pain · doi:10.1016/s0304-3959(98)00255-3 · Cited by 1,597 · see citing works
Acceptance of chronic pain: component analysis and a revised assessment method
McCracken, L. M., Vowles, K. E., & Eccleston, C. (2004) · Pain · doi:10.1016/j.pain.2003.10.012 · Cited by 1,101 · see citing works
Self-citationChronic pain in Australia: a prevalence study.
Blyth, F. M., March, L. M., Brnabic, A. J. M., Jorm, L. R., Williamson, M., & Cousins, M. J. (2001) · Pain · doi:10.1016/s0304-3959(00)00355-9 · Cited by 1,096 · see citing works
Meta-analysis of psychological interventions for chronic low back pain
Hoffman, B. M., Papas, R. K., Chatkoff, D. K., & Kerns, R. D. (2007) · Health Psychology · doi:10.1037/0278-6133.26.1.1 · Cited by 844 · see citing works
Robustness of Stepwise Latent Class Modeling With Continuous Distal Outcomes
Bakk, Z., & Vermunt, J. K. (2015) · Structural Equation Modeling A Multidisciplinary Journal · doi:10.1080/10705511.2014.955104 · Cited by 827 · see citing works
Veehof, M. M., Trompetter, H. R., Bohlmeijer, E. T., & Schreurs, K. M. G. (2016) · Cognitive Behaviour Therapy · doi:10.1080/16506073.2015.1098724 · Cited by 737 · see citing works
Cherkin, D. C., Sherman, K. J., Balderson, B. H., Cook, A. J., Anderson, M. L., Hawkes, R. J., Hansen, K. E., & Turner, J. A. (2016) · JAMA · doi:10.1001/jama.2016.2323 · Cited by 729 · see citing works
Andersen, R., Hagenaars, J. A. P., & McCutcheon, A. L. (2003) · The Canadian Journal of Sociology · doi:10.2307/3341848 · Cited by 635 · see citing works
Acceptance and commitment therapy and mindfulness for chronic pain: Model, process, and progress.
McCracken, L. M., & Vowles, K. E. (2014) · American Psychologist · doi:10.1037/a0035623 · Cited by 627 · see citing works
Self-citationAcceptance and Commitment Therapy (ACT) for Chronic Pain: A Systematic Review and Meta-Analyses
Hughes, L. S., Clark, J., Colclough, J. A., Dale, E., & McMillan, D. (2017) · The Clinical Journal of Pain · doi:10.1097/ajp.0000000000000425 · Cited by 611 · see citing works
Psychological therapies for the management of chronic pain (excluding headache) in adults
Williams, A. C. D. C., Fisher, E., Hearn, L., & Eccleston, C. (2020) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd007407.pub4 · Cited by 605 · see citing works
Wetherell, J. L., Afari, N., Rutledge, T., Sorrell, J. T., Stoddard, J. A., Petkus, A. J., Solomon, B. C., Lehman, D. H., Liu, L., Lang, A. J., et al. (2011) · PAIN · doi:10.1016/j.pain.2011.05.016 · Cited by 508 · see citing works
Acceptance and Values-Based Action in Chronic Pain: A Study of Treatment Effectiveness and Process
Vowles, K. E., & McCracken, L. M. (2008) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.76.3.397 · Cited by 500 · see citing works
Self-citationMotivation profiles at work: A self-determination theory approach
Howard, J. L., Gagné, M., Morin, A. J. S., & den Broeck, A. V. (2016) · Journal of Vocational Behavior · doi:10.1016/j.jvb.2016.07.004 · Cited by 500 · see citing works
Characterizing the Course of Low Back Pain: A Latent Class Analysis
Dunn, K. M., Jordan, K. P., & Croft, P. R. (2006) · American Journal of Epidemiology · doi:10.1093/aje/kwj100 · Cited by 355 · see citing works
blank, B. (2016) · Bucknell Digital Commons (Bucknell University) · Cited by 349 · see citing works
Modeling Unobserved Heterogeneity Using Latent Profile Analysis: A Monte Carlo Simulation
Peugh, J., & Fan, X. (2013) · Structural Equation Modeling A Multidisciplinary Journal · doi:10.1080/10705511.2013.824780 · Cited by 346 · see citing works
McCracken, L. M., & Gutiérrez-Martínez, O. (2011) · Behaviour Research and Therapy · doi:10.1016/j.brat.2011.02.004 · Cited by 283 · see citing works
Turner, J. A., Mancl, L., & Aaron, L. A. (2006) · Pain · doi:10.1016/j.pain.2005.11.017 · Cited by 270 · see citing works
The role of values in a contextual cognitive-behavioral approach to chronic pain
McCracken, L. M., & Yang, S.-Y. (2006) · Pain · doi:10.1016/j.pain.2006.02.021 · Cited by 260 · see citing works
Vowles, K. E., McCracken, L. M., McLeod, C., & Eccleston, C. (2008) · Pain · doi:10.1016/j.pain.2008.08.012 · Cited by 226 · see citing works
Self-citationVowles, K. E., Witkiewitz, K., Sowden, G., & Ashworth, J. (2014) · The Journal of Pain · doi:10.1016/j.jpain.2013.10.002 · Cited by 181 · see citing works
Self-citationLatent Class Analysis and Latent Profile Analysis
Williams, G. A., & Kibowski, F. (2015) · Oxford University Press eBooks · doi:10.1093/med:psych/9780190243654.003.0015 · Cited by 181 · see citing works
Vowles, K. E., McCracken, L. M., & O’Brien, J. Z. (2011) · Behaviour Research and Therapy · doi:10.1016/j.brat.2011.08.002 · Cited by 179 · see citing works
Self-citationMediators of change in Acceptance and Commitment Therapy for pediatric chronic pain
Wicksell, R. K., Olsson, G. L., & Hayes, S. C. (2011) · Pain · doi:10.1016/j.pain.2011.09.003 · Cited by 160 · see citing works
McCracken, L. M., & Keogh, E. (2009) · The Journal of Pain · doi:10.1016/j.jpain.2008.09.015 · Cited by 153 · see citing works
The Mediating Role of Acceptance in Multidisciplinary Cognitive-Behavioral Therapy for Chronic Pain
Åkerblom, S., Perrin, S., Rivano Fischer, M., & McCracken, L. M. (2015) · The Journal of Pain · doi:10.1016/j.jpain.2015.03.007 · Cited by 129 · see citing works
Scott, W., Hann, K. E. J., & McCracken, L. M. (2016) · Journal of Contemporary Psychotherapy · doi:10.1007/s10879-016-9328-5 · Cited by 111 · see citing works
Trajectories of acute low back pain
Downie, A., Hancock, M. J., Rzewuska, M., Williams, C. M., Lin, C. C., & Maher, C. G. (2015) · Pain · doi:10.1097/j.pain.0000000000000351 · Cited by 110 · see citing works
Dziak, J. J., Bray, B. C., Zhang, J., Zhang, M., & Lanza, S. T. (2016) · Methodology · doi:10.1027/1614-2241/a000114 · Cited by 85 · see citing works
Cederberg, J. T., Cernvall, M., Dahl, J., von Essen, L., & Ljungman, G. (2016) · International Journal of Behavioral Medicine · doi:10.1007/s12529-015-9494-y · Cited by 79 · see citing works
Kittelson, A. J., Stevens‐Lapsley, J. E., & Schmiege, S. J. (2015) · Arthritis Care & Research · doi:10.1002/acr.22734 · Cited by 78 · see citing works
Lin, J., Klatt, L.-I., McCracken, L. M., & Baumeister, H. (2018) · PAIN · doi:10.1097/j.pain.0000000000001134 · Cited by 76 · see citing works
Burns, J. W., Jensen, M. P., Thorn, B., Lillis, T. A., Carmody, J., Newman, A. K., & Keefe, F. (2022) · Pain · doi:10.1097/j.pain.0000000000002357 · Cited by 58 · see citing works
Craner, J. R., Lake, E. S., Bancroft, K. A., & George, L. L. (2020) · Pain Practice · doi:10.1111/papr.12824 · Cited by 55 · see citing works
Åkerblom, S., Perrin, S., Rivano Fischer, M., & McCracken, L. M. (2021) · Journal of Behavioral Medicine · doi:10.1007/s10865-020-00168-9 · Cited by 52 · see citing works
Adamson, G., Murphy, S., Shevlin, M. E., Buckle, P., & Stubbs, D. (2006) · Pain · doi:10.1016/j.pain.2006.10.015 · Cited by 51 · see citing works
Vowles, K. E., Witkiewitz, K., Cusack, K. J., Gilliam, W. P., Cardon, K. E., Bowen, S., Edwards, K. A., McEntee, M. L., & Bailey, R. W. (2020) · The Journal of Pain · doi:10.1016/j.jpain.2019.11.007 · Cited by 49 · see citing works
Self-citationValidation of the chronic pain acceptance questionnaire-8 in an Australian pain clinic sample
Baranoff, J., Hanrahan, S. J., Kapur, D., & Connor, J. P. (2014) · International Journal of Behavioral Medicine · doi:10.1007/s12529-012-9278-6 · Cited by 46 · see citing works
Vowles, K. E., Pielech, M., Edwards, K. A., McEntee, M. L., & Bailey, R. W. (2020) · The Journal of Pain · doi:10.1016/j.jpain.2019.10.004 · Cited by 43 · see citing works
Self-citationSlawek, D. E., Syed, M., Cunningham, C. O., Zhang, C., Ross, J., Herman, M., Sohler, N., Minami, H., LEVIN, F. R., Arnsten, J. H., et al. (2021) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2021.12.001 · Cited by 43 · see citing works
McWilliams, D. F., Ferguson, E., Young, A., Kiely, P. D. W., & Walsh, D. A. (2016) · Arthritis Research & Therapy · doi:10.1186/s13075-016-1186-8 · Cited by 42 · see citing works
Vowles, K. E., Witkiewitz, K., Levell, J., Sowden, G., & Ashworth, J. (2017) · Journal of Consulting and Clinical Psychology · doi:10.1037/ccp0000159 · Cited by 41 · see citing works
Self-citationKemani, M. K., Hesser, H., Olsson, G. L., Lekander, M., & Wicksell, R. K. (2016) · European Journal of Pain · doi:10.1002/ejp.754 · Cited by 39 · see citing works
Exploring the Enumeration Accuracy of Cross-Validation Indices in Latent Class Analysis
Whittaker, T., & Miller, J. E. (2020) · Structural Equation Modeling A Multidisciplinary Journal · doi:10.1080/10705511.2020.1802280 · Cited by 33 · see citing works
Rovner, G., Vowles, K. E., Gerdle, B. U. C., & Gillanders, D. T. (2015) · Journal of Pain · doi:10.1016/j.jpain.2015.07.007 · Cited by 27 · see citing works
Self-citationThree subgroups of pain profiles identified in 227 women with arthritis: a latent class analysis
de Luca, K. E., Parkinson, L., Downie, A., Blyth, F., & Byles, J. (2016) · Clinical Rheumatology · doi:10.1007/s10067-016-3343-5 · Cited by 24 · see citing works
Development of pain in older adults: a latent class analysis of biopsychosocial risk factors
O’Neill, A., O’Sullivan, K., O’Keeffe, M., Hannigan, A., Walsh, C., & Purtill, H. (2018) · Pain · doi:10.1097/j.pain.0000000000001251 · Cited by 19 · see citing works
Development of a chronic pain–specific version of the Sickness Impact Profile.
McEntee, M. L., Vowles, K. E., & McCracken, L. M. (2015) · Health Psychology · doi:10.1037/hea0000257 · Cited by 16 · see citing works
Self-citationFurther validation of the Chronic Pain Values Inventory in a Swedish chronic pain sample
Åkerblom, S., Perrin, S. G., Fischer, M. R., & McCracken, L. M. (2017) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2017.06.001 · Cited by 11 · see citing works
Flagged first, then by citations
Research works printed but not linked: 1
- McCracken LM: Mindfulness & Acceptance in Behav- ioral Medicine: Current Theory & Practice. Oakland, CA, Context Press/New Harbinger Publications, 2011
Cited by
Sorted by citations
Ye, L., Li, Y., Deng, Q., Zhao, X., Zhong, L., & Yang, L. (2024) · PLoS ONE · doi:10.1371/journal.pone.0301226 · Cited by 43 · see citing works
Experiences of patients with advanced cancer coping with chronic pain: a qualitative analysis
Xia, W., Ou, M., Chen, Y., Chen, F., Yan, M., Xiao, Z., & Xu, X. (2024) · BMC Palliative Care · doi:10.1186/s12904-024-01418-2 · Cited by 20 · see citing works
Reilly, E. D., Kelly, M. M., Grigorian, H. L., Waring, M. E., Quigley, K. S., Hogan, T. P., Heapy, A. A., Drebing, C. E., Volonte, M., Kathawalla, U., et al. (2024) · JMIR Formative Research · doi:10.2196/56437 · Cited by 9 · see citing works
Early Evaluation of Psychological Factors after Traumatic Injury
Kruger, E. S., Cummings, D., Curtis, W., Shultz, C., & Wharton, M. G. (2025) · Clinical Journal of Pain · doi:10.1097/ajp.0000000000001318
Self-citationXia, W., Ou, M., Chen, Y., Chen, F., Yan, M., Xiao, Z., & Xu, X. (2024) · Figshare · doi:10.6084/m9.figshare.25583901
- Authors
- Kruger, E., Ashworth, J., Sowden, G., Hickman, J., & Vowles, K. E.
- Affiliations
- University of New Mexico (US)
- Midlands Partnership NHS Foundation Trust (GB)
- Keele University (GB)
- Sandwell & West Birmingham Hospitals NHS Trust (GB)
- Queen's University Belfast (GB)
- Corresponding author
- Kruger, Eric
- Venue
- The Journal of Pain
- Publisher
- Elsevier BV
- Published
- 2022-11
- Volume
- 23
- Issue
- 11
- Pages
- 1894-1903
- ISSN
- 1526-5900 (ISSN-L)
- OpenAlex
- W4283449506
- Cited by
- 5
- References
- 60
- Citations by year
- 2025: 1 · 2024: 4
- FWCI
- 0.75
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Journal of Pain (publishedVersion)
- PubMed (publishedVersion)
- Keele Research Repository (Keele University) (submittedVersion, cc-by)
- Research Portal (Queen's University Belfast) (submittedVersion, cc-by-nc-nd)
- Funders
- Queen's University Belfast
- Queen's University
- Topics
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Treatment
- Keywords
- pain acceptance, values-based action, chronic pain, acceptance and commitment therapy, interdisciplinary pain rehabilitation, patient classification, treatment response prediction, latent profile analysis, treatment outcomes
- MeSH terms
- Humans, Pain Measurement, Treatment Outcome, Chronic Pain, Pain Management, Acceptance and Commitment Therapy
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
