The relationship between pain, disability, guilt and acceptance in low back pain: a mediation analysis.
J Behav Med
; 40(4): 651-658, 2017 Aug.
Article
em En
| MEDLINE
| ID: mdl-28155002
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.
Palavras-chave
Texto completo:
1
Bases de dados:
MEDLINE
Assunto principal:
Dor Lombar
/
Pessoas com Deficiência
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Dor Crônica
/
Culpa
Limite:
Adult
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Aged
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Revista:
J Behav Med
Ano de publicação:
2017
Tipo de documento:
Article
País de afiliação:
Reino Unido