What Does the Psychological Flexibility Model Contribute to the Relationship Between Depression and Disability in Chronic Pain? The Role of Cognitive Fusion and Pain Acceptance.
Carmen Écija GallardoPatricia CatalaIrene Lopez-GomezDolores BedmarPeñacoba CeciliaPublished in: Clinical nursing research (2021)
This study examines the mediator role of cognitive fusion between depressive symptoms, activity avoidance and excessive persistence at different levels of pain acceptance (moderator) among fibromyalgia patients (FM). Using a sample of 231 women, multiple and moderate mediation analyses were conducted with PROCESS. Results showed that depression was positively associated with activity avoidance and excessive persistence. Furthermore, cognitive fusion and pain acceptance were found to mediate the effect of depression in both patterns. Additionally, pain acceptance was found to play a contextual role in cognitive fusion, as a moderator, between depressive symptoms and maladaptive patterns. Specifically, FM patients with high acceptance levels and low levels of depression presented the strongest associations between depression and cognitive fusion. Techniques aimed at reducing cognitive fusion, could be especially beneficial to FM women with high pain acceptance.
Keyphrases
- chronic pain
- depressive symptoms
- pain management
- sleep quality
- social support
- neuropathic pain
- end stage renal disease
- multiple sclerosis
- type diabetes
- chronic kidney disease
- newly diagnosed
- spinal cord
- spinal cord injury
- weight gain
- prognostic factors
- weight loss
- adipose tissue
- metabolic syndrome
- patient reported outcomes
- polycystic ovary syndrome
- postoperative pain