Korean J Pain.  2019 Jan;32(1):22-29. 10.3344/kjp.2019.32.1.22.

Acceptance versus catastrophizing in predicting quality of life in patients with chronic low back pain

Affiliations
  • 1Department of Psychology, Atma Jaya Catholic University of Indonesia, Jakarta, Indonesia. mayuni_91@hotmail.com, magdalena.halim@atmajaya.ac.id

Abstract

BACKGROUND
The aim of this study was to investigate the relationship between pain catastrophizing, acceptance, and quality of life in relation to chronic low back pain in Jakarta, the capital city of Indonesia. We also analyze the effect of personality in catastrophizing and acceptance.
METHODS
A total of 52 chronic low back pain patients were enrolled as participants from 2 hospitals in Jakarta (43 females, 9 males, mean age 54.38 years). Participants completed a set of self-reported questionnaires: the NEO Five Factor Inventory (NEO-FFI), Chronic Pain Acceptance Questionnaire-Revised (CPAQ-R), Pain Catastrophizing Scale (PCS), and Pain Discomfort Module (PDM).
RESULTS
This study showed that acceptance increased the patient's quality of life by giving physical relief from pain. In contrast, pain catastrophizing decreased the quality of life, and increased the patients' tendency to get frustrated, irritated, and anxious about the pain. From a personality perspective, the trait neuroticism may lead to a higher level of pain catastrophizing.
CONCLUSIONS
This study showed that catastrophizing, compared with acceptance, had a greater impact on the patient's life by reducing its quality.

Keyword

Anxiety; Chronic pain; Catastrophization; Low back pain; Personality disorders; Quality of life; Self report; Survey and questionnaires

MeSH Terms

Anxiety
Catastrophization*
Chronic Pain
Female
Humans
Indonesia
Low Back Pain*
Male
Personality Disorders
Quality of Life*
Self Report

Cited by  1 articles

Effectiveness of virtual reality immersion on procedure-related pain and anxiety in outpatient pain clinic: an exploratory randomized controlled trial
Young Joo, Eun-Kyung Kim, Hyun-Gul Song, Haesun Jung, Hanssl Park, Jee Youn Moon
Korean J Pain. 2021;34(3):304-314.    doi: 10.3344/kjp.2021.34.3.304.


Reference

1. Mason VL, Mathias B, Skevington SM. Accepting low back pain: is it related to a good quality of life? Clin J Pain. 2008; 24:22–29. PMID: 18180632.
Article
2. National Institute of Neurological Disorders and Stroke (NINDS). Chronic pain information page [Internet]. Rockville (MD): NINDS;2016. cited 2017 Sep 20. Available at https://www.ninds.nih.gov/Disorders/All-Disorders/Chronic-Pain-Information-Page.
3. Purwata TE, Sadeli HA, Yudiyanta Y, Anwar Y, Amir D, Asnawi C, et al. Characteristics of neuropathic pain in Indonesia: a hospital based national clinical survey. Neurol Asia. 2015; 20:389–394.
4. Amris K, Wæhrens EE, Jespersen A, Bliddal H, Danneskiold-Samsøe B. Observation-based assessment of functional ability in patients with chronic widespread pain: a cross-sectional study. Pain. 2011; 152:2470–2476. PMID: 21715094.
Article
5. Breivik H, Collett B, Ventafridda V, Cohen R, Gallacher D. Survey of chronic pain in Europe: prevalence, impact on daily life, and treatment. Eur J Pain. 2006; 10:287–333. PMID: 16095934.
Article
6. McBeth J, Nicholl BI, Cordingley L, Davies KA, Macfarlane GJ. Chronic widespread pain predicts physical inactivity: results from the prospective EPIFUND study. Eur J Pain. 2010; 14:972–979. PMID: 20400346.
Article
7. Bentsen SB, Hanestad BR, Rustøen T, Wahl AK. Quality of life in chronic low back pain patients treated with instrumented fusion. J Clin Nurs. 2008; 17:2061–2069. PMID: 18705783.
Article
8. Doran NJ. Experiencing wellness within illness: exploring a mindfulness-based approach to chronic back pain. Qual Health Res. 2014; 24:749–760. PMID: 24728110.
9. Evers AW, Kraaimaat FW, van Lankveld W, Jongen PJ, Jacobs JW, Bijlsma JW. Beyond unfavorable thinking: the illness cognition questionnaire for chronic diseases. J Consult Clin Psychol. 2001; 69:1026–1036. PMID: 11777106.
Article
10. McCracken LM, Eccleston C. A prospective study of acceptance of pain and patient functioning with chronic pain. Pain. 2005; 118:164–169. PMID: 16203093.
Article
11. Poppe C, Crombez G, Devulder J, Hanoulle I, Vogelaers D, Petrovic M. Personality traits in chronic pain patients are associated with low acceptance and catastrophizing about pain. Acta Clin Belg. 2011; 66:209–215. PMID: 21837930.
12. Quartana PJ, Campbell CM, Edwards RR. Pain catastrophizing: a critical review. Expert Rev Neurother. 2009; 9:745–758. PMID: 19402782.
Article
13. Vowles KE, McCracken LM, Eccleston C. Processes of change in treatment for chronic pain: the contributions of pain, acceptance, and catastrophizing. Eur J Pain. 2007; 11:779–787. PMID: 17303452.
Article
14. McCracken LM, Eccleston C. Coping or acceptance: what to do about chronic pain? Pain. 2003; 105:197–204. PMID: 14499436.
Article
15. McCracken LM, Vowles KE, Eccleston C. Acceptance of chronic pain: component analysis and a revised assessment method. Pain. 2004; 107:159–166. PMID: 14715402.
Article
16. Viane I, Crombez G, Eccleston C, Poppe C, Devulder J, Van Houdenhove B, et al. Acceptance of pain is an independent predictor of mental well-being in patients with chronic pain: empirical evidence and reappraisal. Pain. 2003; 106:65–72. PMID: 14581112.
Article
17. Sturgeon JA, Zautra AJ. Psychological resilience, pain catastrophizing, and positive emotions: perspectives on comprehensive modeling of individual pain adaptation. Curr Pain Headache Rep. 2013; 17:317. PMID: 23338769.
Article
18. Cecchi F, Molino-Lova R, Paperini A, Boni R, Castagnoli C, Gentile J, et al. Predictors of short- and long-term outcome in patients with chronic non-specific neck pain undergoing an exercise-based rehabilitation program: a prospective cohort study with 1-year follow-up. Intern Emerg Med. 2011; 6:413–421. PMID: 21153893.
Article
19. Rosenberg JC, Schultz DM, Duarte LE, Rosen SM, Raza A. Increased pain catastrophizing associated with lower pain relief during spinal cord stimulation: results from a large post-market study. Neuromodulation. 2015; 18:277–284. PMID: 25817755.
Article
20. Smith AD, Jull GA, Schneider GM, Frizzell B, Hooper RA, Sterling MM. Low pain catastrophization and disability predict successful outcome to radiofrequency neurotomy in individuals with chronic whiplash. Pain Pract. 2016; 16:311–319. PMID: 25594839.
Article
21. Walton DM, Macdermid JC, Giorgianni AA, Mascarenhas JC, West SC, Zammit CA. Risk factors for persistent problems following acute whiplash injury: update of a systematic review and meta-analysis. J Orthop Sports Phys Ther. 2013; 43:31–43. PMID: 23322093.
Article
22. Sullivan MJ, Bishop SR, Pivik J. The pain catastrophizing scale: development and validation. Psychol Assess. 1995; 7:524–532.
Article
23. Elander J, Robinson G, Mitchell K, Morris J. An assessment of the relative influence of pain coping, negative thoughts about pain, and pain acceptance on health-related quality of life among people with hemophilia. Pain. 2009; 145:169–175. PMID: 19573989.
Article
24. Poppe C, Crombez G, Hanoulle I, Vogelaers D, Petrovic M. Improving quality of life in patients with chronic kidney disease: influence of acceptance and personality. Nephrol Dial Transplant. 2013; 28:116–121. PMID: 22822093.
Article
25. McCrae RR, Costa PT. Personality in adulthood: a five-factor theory perspective. 2nd ed. New York: Guilford Press;2003.
26. American Chronic Pain Association. Resource guide to chronic pain management [Internet]. Rocklin (CA): American Chronic Pain Association, inc.;2018. cited 2018 Dec 31. Available at https://www.theacpa.org/wp-content/uploads/2018/05/ACPA_Resource_Guide_2018-update.pdf.
27. Mason VL, Skevington SM, Osborn M. The quality of life of people in chronic pain: developing a pain and discomfort module for use with the WHOQOL. Psychol Health. 2008; 23:135–154. PMID: 25160047.
Article
28. Costa PT, McCraes RR. Revised NEO personality inventory (NEO PI-R) and NEP five-factor inventory (NEO-FFI): professional manual. Odessa: Psychological Assessment Resources;1992.
29. McCracken LM, Eccleston C, Bell L. Clinical assessment of behavioral coping responses: preliminary results from a brief inventory. Eur J Pain. 2005; 9:69–78. PMID: 15629877.
Article
30. Arovah NI. Dasar-dasar fisioterapipada cedera olahraga. Yogyakarta: FIK UNY;2010.
31. Severeijns R, Vlaeyen JW, van den Hout MA, Weber WE. Pain catastrophizing predicts pain intensity, disability, and psychological distress independent of the level of physical impairment. Clin J Pain. 2001; 17:165–172. PMID: 11444718.
Article
32. Banozic A, Miljkovic A, Bras M, Puljak L, Kolcic I, Hayward C, et al. Neuroticism and pain catastrophizing aggravate response to pain in healthy adults: an experimental study. Korean J Pain. 2018; 31:16–26. PMID: 29372022.
Article
33. Burger JM. Personality. Belmont: Thomson Wadsworth;2004.
34. Hajek A, Bock JO, König HH. The role of personality in health care use: results of a population-based longitudinal study in Germany. PLoS One. 2017; 12:e0181716. PMID: 28746388.
Article
35. Widiger TA, Oltmanns JR. Neuroticism is a fundamental domain of personality with enormous public health implications. World Psychiatry. 2017; 16:144–145. PMID: 28498583.
Article
36. Meucci RD, Fassa AG, Faria NM. Prevalence of chronic low back pain: systematic review. Rev Saude Publica. 2015; 49:73.
Article
37. Shmagel A, Foley R, Ibrahim H. Epidemiology of chronic low back pain in US adults: data from the 2009–2010 National Health and Nutrition Examination Survey. Arthritis Care Res (Hoboken). 2016; 68:1688–1694. PMID: 26991822.
Article
38. Barbe MF, Gallagher S, Massicotte VS, Tytell M, Popoff SN, Barr-Gillespie AE. The interaction of force and repetition on musculoskeletal and neural tissue responses and sensorimotor behavior in a rat model of work-related musculoskeletal disorders. BMC Musculoskelet Disord. 2013; 14:303. PMID: 24156755.
Article
39. Wang YXJ. Postmenopausal Chinese women show accelerated lumbar disc degeneration compared with Chinese men. J Orthop Translat. 2015; 3:205–211. PMID: 30035059.
Article
40. Habib RR, El Zein K, Hojeij S. Hard work at home: musculoskeletal pain among female homemakers. Ergonomics. 2012; 55:201–211. PMID: 21846278.
Article
41. Sari KP, Halim MS. Perbedaan kualitas hidup antara berbagai metode manajemen nyeri pada pasien nyeri kronis. J Psikol. 2017; 44:107–125.
Article
Full Text Links
  • KJP
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr