Pain coping and acceptance as longitudinal predictors of health-related quality of life among people with haemophilia-related joint pain

Journal article


Elander, James, Morris, J. and Robinson, G. 2012. Pain coping and acceptance as longitudinal predictors of health-related quality of life among people with haemophilia-related joint pain. European Journal of Pain. 17 (6), pp. 929-938. https://doi.org/10.1002/j.1532-2149.2012.00258.x
AuthorsElander, James, Morris, J. and Robinson, G.
Abstract

Interventions based on coping and acceptance can be adapted for people with different painful conditions. Evidence about baseline characteristics that predict improved outcomes is informative for matching people to interventions, whereas evidence about changes that predict improved outcomes is informative about the processes that interventions should target. Participants in a low-intensity program to promote self-management of hemophilia-related chronic joint pain (n=101) reported pain intensity, coping, acceptance and quality of life at baseline and 6-month follow-up. Baseline and change measures of pain intensity, coping and acceptance were used to predict follow-up quality of life, taking account of baseline quality of life. Changed (reduced) pain intensity predicted better physical quality of life, independently of age, hemophilia severity, baseline pain intensity and baseline physical quality of life. Lower baseline passive coping and changed (increased) pain acceptance predicted better mental quality of life, independently of age, severity, and baseline mental quality of life. Increased activity engagement but not pain willingness predicted better mental quality of life when pain acceptance was decomposed. Changed (reduced) negative thoughts also predicted better mental quality of life when separate acceptance subscales were used. Active pain coping did not predict physical or mental quality of life. Initially high levels of passive coping may be an obstacle to improving mental quality of life. Acceptance rather than coping may be a more useful behavioral change target, but more research is needed about the meanings and therapeutic implications of different elements of pain acceptance.

KeywordsHemophilia; Joint pain; Coping; Acceptance; Quality of life
Year2012
JournalEuropean Journal of Pain
Journal citation17 (6), pp. 929-938
PublisherWiley
ISSN1090-3801
Digital Object Identifier (DOI)https://doi.org/10.1002/j.1532-2149.2012.00258.x
Web address (URL)http://hdl.handle.net/10545/625240
http://doi.wiley.com/10.1002/tdm_license_1.1
http://creativecommons.org/licenses/by-nc-nd/4.0/
hdl:10545/625240
Publication dates14 Dec 2012
Publication process dates
Deposited05 Oct 2020, 10:20
Accepted01 May 2012
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Attribution-NonCommercial-NoDerivatives 4.0 International

ContributorsUniversity of Derby
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