The relationship between pain, disability, guilt and acceptance in low back pain: a mediation analysis
The relationship between pain, disability, guilt and acceptance in low back pain: a mediation analysis
Pain-related guilt is a common yet unexplored psychological factor in low back pain (LBP). It has recently been linked to greater depression, anxiety and disability in LBP, hence an understanding of how it can be managed in the presence of pain and disability is necessary. Since acceptance of pain has been shown to be associated with improved outcomes in chronic pain, we examined whether it might also help reduce guilt in people with LBP. To this end, a series of mediation analyses were conducted on data from 287 patients with chronic LBP, in which acceptance of pain was tested as a mediator of the relationship between pain/disability and guilt. Results showed that acceptance of pain reduced the impact of pain/disability on pain-related guilt in all mediation analyses. Pain-related guilt might be a potential target for acceptance based interventions, thus this relationship should be further tested using longitudinal designs.
651-658
Serbic, Danijela
9b108bdc-52dd-4374-9aed-1f57991c92df
Pincus, Tamar
55388347-5d71-4fc0-9fd2-66fbba080e0c
1 August 2017
Serbic, Danijela
9b108bdc-52dd-4374-9aed-1f57991c92df
Pincus, Tamar
55388347-5d71-4fc0-9fd2-66fbba080e0c
Serbic, Danijela and Pincus, Tamar
(2017)
The relationship between pain, disability, guilt and acceptance in low back pain: a mediation analysis.
Journal of Behavioral Medicine, 40 (4), .
(doi:10.1007/s10865-017-9826-2).
Abstract
Pain-related guilt is a common yet unexplored psychological factor in low back pain (LBP). It has recently been linked to greater depression, anxiety and disability in LBP, hence an understanding of how it can be managed in the presence of pain and disability is necessary. Since acceptance of pain has been shown to be associated with improved outcomes in chronic pain, we examined whether it might also help reduce guilt in people with LBP. To this end, a series of mediation analyses were conducted on data from 287 patients with chronic LBP, in which acceptance of pain was tested as a mediator of the relationship between pain/disability and guilt. Results showed that acceptance of pain reduced the impact of pain/disability on pain-related guilt in all mediation analyses. Pain-related guilt might be a potential target for acceptance based interventions, thus this relationship should be further tested using longitudinal designs.
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e-pub ahead of print date: 2 February 2017
Published date: 1 August 2017
Additional Information:
Copyright © 2017, The Author(s)
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Local EPrints ID: 469467
URI: http://eprints.soton.ac.uk/id/eprint/469467
ISSN: 0160-7715
PURE UUID: 76c2a896-7cef-4562-97fe-e481f6ae3bb5
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Date deposited: 15 Sep 2022 16:35
Last modified: 17 Mar 2024 04:11
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Author:
Danijela Serbic
Author:
Tamar Pincus
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