Relationship between behavioural coping strategies and acceptance in patients with fibromyalgia syndrome: Elucidating targets of interventions
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Background: Previous research has found that acceptance of pain is more successful than cognitive coping variables for predicting adjustment to pain. This research has a limitation because measures of cognitive coping rely on observations and reports of thoughts or attempts to change thoughts rather than on overt behaviours. The purpose of the present study, therefore, is to compare the influence of acceptance measures and the influence of different behavioural coping strategies on the adjustment to chronic pain. Methods: A sample of 167 individuals diagnosed with fibromyalgia syndrome completed the Chronic Pain Coping Inventory (CPCI) and the Chronic Pain Acceptance Questionnaire (CPAQ). Results: Correlational analyses indicated that the acceptance variables were more related to distress and functioning than were behavioural coping variables. The average magnitudes of the coefficients for activity engagement and pain willingness (both subscales of pain acceptance) across the measures of distress and functioning were r = 0.42 and 0.25, respectively, meanwhile the average magnitude of the correlation between coping and functioning was r = 0.17. Regression analyses examined the independent, relative contributions of coping and acceptance to adjustment indicators and demonstrated that acceptance accounted for more variance than did coping variables. The variance contributed by acceptance scores ranged from 4.0 to 40%. The variance contributed by the coping variables ranged from 0 to 9%. Conclusions: This study extends the findings of previous work in enhancing the adoption of acceptance-based interventions for maintaining accurate functioning in fibromyalgia patients.
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In ACT, efforts are made to plan for patients in various areas including increased awareness of bodily sensations, thoughts, emotions, and adaptive reactions to cope with warning signs of disease relapse, so that along with committed action and recognition of values and goals in life, it improves their level of functioning and quality of life.
“به عبارت دیگر، در درمان مبتنی بر پذیرش و تعهد تلاش میشود برای بیماران در زمینههای مختلف اعم از افزایش آگاهی نسبت به احساسات بدنی، افکار، هیجانات و واکنشهای سازگارانه در مقابله با نشانگان هشداردهنده عود بیماری برنامهریزیهای لازم انجام شود تا همگام با بهکارگیری عمل متعهدانه، شناخت ارزشها و اهداف در زندگی باعث ارتقای سطح کارکرد و کیفیت زندگی در آنان شود ] 30 [ .”
From The Effect of Acceptance and Commitment Therapy on the Psychological Consequences of Anxiety, Pain Intensity, and Fatigue in Women with Fibromyalgia: Study with the Effect of Waiting (2022) · cites this paper as [30]
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Experimental — accuracy not yet measuredA previous study found great similarities between a behavioural coping strategy (task persistence) and pain acceptance.
“Indeed, a previous study found great similarities between a behavioural coping strategy (that is, task persistence) and pain acceptance [55].”
From Effectiveness of cognitive behaviour therapy for the treatment of catastrophisation in patients with fibromyalgia: A randomised controlled trial (2011) · cites this paper as [55]
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L’adaptation à la fibromyalgie : le rôle de la représentation de la maladie face à la douleur
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- Authors
- Rodero, B., Casanueva, B., Luciano, J. V., Gili, M., Serrano-Blanco, A., & García-Campayo, J.
- Affiliations
- Red de Investigación en Actividades Preventivas y Promoción de la Salud (ES)
- Corresponding author
- Luciano, Juan V
- Gili, Margalida
- Venue
- BMC Musculoskeletal Disorders
- Published
- 2011-06-29
- Volume
- 12
- Issue
- 1
- Pages
- 143-143
- ISSN
- 1471-2474 (ISSN-L)
- PMC
- PMC3150336
- OpenAlex
- W2148103561
- Cited by
- 54
- References
- 48
- Citations by year
- 2026: 3 · 2025: 3 · 2023: 4 · 2022: 8 · 2021: 3 · 2020: 2 · 2019: 6 · 2018: 3 · 2017: 3 · 2016: 6 · 2015: 4 · 2014: 3 · 2013: 2 · 2012: 3
- FWCI
- 1.97
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- BMC Musculoskeletal Disorders (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Funders
- Instituto de Salud Carlos III (PI09/90301)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Fibromyalgia and Chronic Fatigue Syndrome Research
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Keywords
- fibromyalgia, pain acceptance, Chronic Pain Acceptance Questionnaire, activity engagement, psychological distress, functioning, acceptance-based interventions
- MeSH terms
- Adaptation, Psychological, Adult, Aged, Attitude to Health, Behavior, Behavior Therapy, Female, Fibromyalgia, Humans, Male, Middle Aged, Pain Measurement, Surveys and Questionnaires, Syndrome, Young Adult
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