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
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 conducte...
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| Veröffentlicht in: | Clinical nursing research 2022-02, Vol.31 (2), p.217-229 |
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| creator | Ecija, Carmen Catala, Patricia Lopez-Gomez, Irene Bedmar, Dolores Peñacoba, Cecilia |
| description | 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. |
| doi_str_mv | 10.1177/10547738211034307 |
| format | Article |
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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. 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The Role of Cognitive Fusion and Pain Acceptance</title><title>Clinical nursing research</title><addtitle>Clin Nurs Res</addtitle><description>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.</description><subject>Acceptance</subject><subject>Avoidance behavior</subject><subject>Chronic pain</subject><subject>Chronic Pain - complications</subject><subject>Chronic Pain - psychology</subject><subject>Cognition</subject><subject>Depression - psychology</subject><subject>Disability</subject><subject>Female</subject><subject>Fibromyalgia</subject><subject>Fibromyalgia - psychology</subject><subject>Humans</subject><subject>Mental depression</subject><subject>Pain</subject><subject>Pain Measurement - methods</subject><subject>Psychological flexibility</subject><subject>Women</subject><issn>1054-7738</issn><issn>1552-3799</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNp1kc1u1DAURiMEoqXwAGyQJTZsUvwbxytUZhhAKqJCRSwj27mZuPLYaewA81Y8IgkzFAnEyle-5zu29BXFU4LPCZHyJcGCS8lqSghmnGF5rzglQtCSSaXuz_O8LxfgpHiU0g3GmFNMHhYnC0yI4KfFjy-9zmgdIaHcA7pKe9tHH7fOao82Hr4747zLe_QhtuDRKoY8OjNlQDn-SnwCr7OLIfVuQK8hfwMIaA3DCCnN10iHFq1d0keNC2jVjzE4i660C6_Q9eKIHlDsZvs2uOy-AtpMd-EFQxfWwpB1sPC4eNBpn-DJ8TwrPm_eXK_elZcf375fXVyWllV1LjUI02LKVFVzJq2wQI1SDJThRgjGjKIdt4wBoZ1oW6mtMZxwiWnHOlVxdla8OHiHMd5OkHKzc8mC9zpAnFJDhRAEK1arGX3-F3oTpzHMv2toRYXktRTVTJEDZceY0ghdM4xup8d9Q3Cz1Nn8U-eceXY0T2YH7V3id38zcH4Akt7Cn2f_b_wJ2fmouA</recordid><startdate>202202</startdate><enddate>202202</enddate><creator>Ecija, Carmen</creator><creator>Catala, Patricia</creator><creator>Lopez-Gomez, Irene</creator><creator>Bedmar, Dolores</creator><creator>Peñacoba, Cecilia</creator><general>SAGE Publications</general><general>SAGE PUBLICATIONS, INC</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-2687-6732</orcidid><orcidid>https://orcid.org/0000-0001-6307-5921</orcidid></search><sort><creationdate>202202</creationdate><title>What Does the Psychological Flexibility Model Contribute to the Relationship Between Depression and Disability in Chronic Pain? 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| source | MEDLINE; SAGE Complete; Applied Social Sciences Index & Abstracts (ASSIA) |
| subjects | Acceptance Avoidance behavior Chronic pain Chronic Pain - complications Chronic Pain - psychology Cognition Depression - psychology Disability Female Fibromyalgia Fibromyalgia - psychology Humans Mental depression Pain Pain Measurement - methods Psychological flexibility Women |
| title | 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 |
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