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Effects of a Tailored Positive Psychology Intervention on Well-Being and Pain in Individuals With Chronic Pain and a Physical Disability: A Feasibility Trial
Abstract
OBJECTIVES: To determine the feasibility, acceptability, and efficacy of a computer-based positive psychology intervention in individuals with a physical disability and chronic pain. METHODS: Individuals with spinal cord injury, multiple sclerosis, neuromuscular disease, or postpolio syndrome and chronic pain were randomly assigned to a positive psychology or a control condition. Participants in the intervention group were instructed to practice 4 personalized positive psychology exercises. Participants in the control group were instructed to write about life details for 8 weeks. Participants completed online well-being and pain-related questionnaires at baseline, posttreatment, and at the 2.5-month follow-up, and rated treatment satisfaction at posttreatment. RESULTS: Ninety-six participants were randomized and 68 (70%) completed follow-up assessments. Participants in the positive psychology intervention group reported significant pretreatment to posttreatment improvements in pain intensity, pain control, pain catastrophizing, pain interference, life satisfaction, positive affect, and depression. Improvements in life satisfaction, depression, pain intensity, pain interference, and pain control were maintained to the 2.5-month follow-up. Participants in the control group reported significant pretreatment to posttreatment improvements in life satisfaction, and pretreatment to follow-up improvements in pain intensity and pain control. Significant between-group differences, favoring the treatment group, emerged for pretreatment to posttreatment improvements in pain intensity and pain control. Participants were similarly satisfied with both treatments. DISCUSSION/CONCLUSIONS: The results support the feasibility, acceptability, and potential efficacy of a computer-based positive psychology intervention for improving well-being and pain-related outcomes in individuals with physical disabilities and chronic pain, and indicate that a full trial of the intervention is warranted.
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“while passive strategies are linked to poorer outcomes such as increased pain and depression 258, 267–270.”
From Evaluating psychosocial contributions to chronic pain outcomes (2018) · cites this paper as [270]
In the citing paper
“Active coping strategies, for example, have been linked to positive affect, better psychological adjustment, and decreased depression while passive strategies are linked to poorer outcomes such as increased pain and depression 258, 267–270.”
From Evaluating psychosocial contributions to chronic pain outcomes (2018) · cites this paper as [270]
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“predicts functional pain outcomes.”
From Evaluating psychosocial contributions to chronic pain outcomes (2018) · cites this paper as [270]
In the citing paper
“Pain-related self-efficacy, a protective factor for patients with persistent pain and a resiliency factorfor children, adolescents, and adults with chronic pain 270, predicts functional pain outcomes.”
From Evaluating psychosocial contributions to chronic pain outcomes (2018) · cites this paper as [270]
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Metadata
- Authors
- Müller, R., Gertz, K. J., Molton, I. R., Terrill, A. L., Bombardier, C. H., Ehde, D. M., & Jensen, M. P.
- Affiliations
- University of Washington (US)
- Corresponding author
- Müller, Rachel
- Gertz, Kevin J.
- Molton, Ivan R.
- Terrill, Alexandra L.
- Bombardier, Charles H.
- Ehde, Dawn M.
- Jensen, Mark P.
- ORCID
- Venue
- The Clinical Journal of Pain
- Published
- 2016-01
- Volume
- 32
- Issue
- 1
- Pages
- 32-44
- ISSN
- 0749-8047 (ISSN-L)
- OpenAlex
- W2332959124
- Cited by
- 179
- References
- 82
- Citations by year
- 2026: 8 · 2025: 11 · 2024: 13 · 2023: 15 · 2022: 15 · 2021: 15 · 2020: 14 · 2019: 19 · 2018: 43 · 2017: 16 · 2016: 8
- FWCI
- 37.64
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Clinical Journal of Pain (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Social Psychology › Psychological Well-being and Life Satisfaction
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Keywords
- positive psychology interventions, chronic pain, physical disability, spinal cord injury, multiple sclerosis, neuromuscular disorders, post-polio syndrome, computer-based intervention, pain catastrophizing, pain interference, pain management, life satisfaction, depression, positive affect, well-being, feasibility and acceptability
- MeSH terms
- Adult, Affect, Aged, Aged, 80 and over, Computers, Depression, Feasibility Studies, Female, Follow-Up Studies, Humans, International Cooperation, Male, Middle Aged, Pain Measurement, Pilot Projects, Psychotherapy, Single-Blind Method, Patient Satisfaction, Young Adult, Catastrophization, Chronic Pain, Pain Management
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