NDLI: Acceptance of pain in adolescents with chronic pain: validation of an adapted assessment instrument and preliminary correlation analyses.

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Year: 2010 Volume: 14 Issue: 2

Year: 2010 Volume: 14 Issue: 1

Year: 2009 Volume: 13

Year: 2008 Volume: 12

Year: 2007 Volume: 11

Acceptance of pain in adolescents with chronic pain: validation of an adapted assessment instrument and preliminary correlation analyses.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	McCracken, Lance M. Gauntlett-Gilbert, Jeremy Eccleston, Christopher
Description	Country affiliation: United kingdom Author Affiliation: McCracken LM ( Bath Centre for Pain Services, Royal National Hospital for Rheumatic Diseases and Centre for Pain Research, University of Bath, Bath BA1 1RL, UK. L.McCracken@Bath.ac.uk)
Abstract	It is important to understand the processes that contribute to disability and distress in adolescents with chronic pain. For example, research has identified that when adolescents can positively adapt to the consequences of health condition, rather than attempt to change the condition itself, they also function better and experience less distress. This pattern of behavior is similar to what is referred to as 'acceptance' of pain in the adult literature. Although acceptance is consistently associated with positive outcomes in adult studies, there has been less investigation of acceptance in adolescents. This study aimed to examine the reliability and validity of an adolescent-adapted version of the Chronic Pain Acceptance Questionnaire (CPAQ-A), and, using this instrument, to carry out a preliminary investigation of acceptance in adolescents with chronic pain. A sample of 122 highly disabled adolescents with chronic pain attending a specialty service completed the adapted CPAQ-A. They also completed standardized measures of their pain and daily functioning. Results supported the reliability and validity of the CPAQ-A. Correlation analyses showed that higher levels of acceptance were associated with lower levels of distress and disability, but not with lower pain intensity. Regression analyses were carried out to assess the independent contribution of acceptance after pain intensity and demographic variables were taken into account. In these analyses acceptance accounted for significant variance in disability, psychological distress, and developmental and family functioning. We discuss developmental aspects of acceptance in adolescents and clinical implications of these findings.
File Format	HTM / HTML
ISSN	10903801
Issue Number	3
Volume Number	14
e-ISSN	15322149
Journal	European Journal of Pain
Language	English
Publisher	Wiley-Blackwell
Publisher Date	2010-03-01
Publisher Place	Great Britain (UK)
Access Restriction	Subscribed
Subject Keyword	Discipline Neurology Discipline Anesthesiology Adaptation, Psychological Physiology Pain Psychology Quality Of Life Activities Of Daily Living Adolescent Child Chronic Disease Female Humans Male Psychometrics Regression Analysis Severity Of Illness Index Questionnaires Journal Article
Content Type	Text
Resource Type	Article
Subject Domain (in MeSH)	Eukaryota Nervous System Diseases Pathological Conditions, Signs and Symptoms Therapeutics Investigative Techniques Behavior and Behavior Mechanisms Behavioral Disciplines and Activities Social Sciences Persons
Subject	Anesthesiology and Pain Medicine

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