Date: Thursday March 6, 4:00pm
Location: VG02
Title: What is pain acceptance, and how does it change? A
longitudinal analysis of the roles played by motivation and behaviour in pain
acceptance changes.
Abstract:
Pain acceptance is a complex construct derived from
Acceptance and Commitment Therapy, and is consistently associated with improved
outcomes among people with chronic pain. However, pain acceptance includes both
motivational and behavioural aspects, and change processes in acceptance are
not well understood. In this talk, James Elander presents evidence from a
12-month longitudinal study of people with chronic haemophilia-related joint
pain who received a low-intensity pain self-management intervention. The data
were used to test hypotheses about whether changes in pain acceptance occur in
sequences that resemble motivational or behavioural changes. A series of
cross-lagged regression analyses showed that changes in pain acceptance were
influenced by prior changes in readiness (motivation) to self-manage pain,
suggesting that changes in pain acceptance are primarily behavioural, but that
changes in behavioural aspects of acceptance preceded and influenced changes in
motivational aspects of acceptance. These insights about sequential change
processes help us to understand better the nature of pain acceptance, and can
inform the design and delivery of acceptance-based interventions to improve
pain self-management.
Bio:
James Elander is Professor of Health Psychology and Head
of the Centre for Psychological Research at the University of Derby. He is a HPC-registered
psychologist and an HEA National Teaching Fellow. He obtained his BSc
Psychology (1991) and PhD (1994) at Royal Holloway College, University of
London. Since then he has worked at London Metropolitan University and the
University of West London. His research interests include behavioural and
psychological aspects of pain management and analgesic use in painful chronic
conditions such as haemophilia, sickle cell disease, and chronic headache. This
includes developing and evaluating interventions to improve people's
self-management of pain, and studies of the interpersonal staff-patient
dynamics that affect quality of pain management, especially in hospital. He has
a particular current interest in the development of pain self-management
interventions based on concepts related to pain acceptance.
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