IDEAS home Printed from https://ideas.repec.org/a/sae/clnure/v31y2022i2p217-229.html

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

Author

Listed:
  • Carmen Ecija
  • Patricia Catala
  • Irene Lopez-Gomez
  • Dolores Bedmar
  • Cecilia Peñacoba

Abstract

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.

Suggested Citation

  • Carmen Ecija & Patricia Catala & Irene Lopez-Gomez & Dolores Bedmar & Cecilia Peñacoba, 2022. "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," Clinical Nursing Research, , vol. 31(2), pages 217-229, February.
    • Handle: RePEc:sae:clnure:v:31:y:2022:i:2:p:217-229
    DOI: 10.1177/10547738211034307
    as

    Download full text from publisher

    File URL: https://journals.sagepub.com/doi/10.1177/10547738211034307
    Download Restriction: no
    File URL: https://libkey.io/10.1177/10547738211034307?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. repec:plo:pone00:0203964 is not listed on IDEAS
    2. Carmen Ecija & Patricia Catala & Lucia Sanroman & Sofía Lopez-Roig & M. à ngeles Pastor-Mira & Cecilia Peñacoba, 2021. "Is Perfectionism Always Dysfunctional? Looking into Its Interaction with Activity Patterns in Women with Fibromyalgia," Clinical Nursing Research, , vol. 30(5), pages 567-578, June.
    3. repec:plo:pone00:0203755 is not listed on IDEAS
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.

      More about this item

      Keywords

      ;
      ;
      ;
      ;
      ;

      Statistics

      Access and download statistics

      Corrections

      All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:sae:clnure:v:31:y:2022:i:2:p:217-229. See general information about how to correct material in RePEc.

      If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

      If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

      If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

      For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: SAGE Publications (email available below). General contact details of provider: .

      Please note that corrections may take a couple of weeks to filter through the various RePEc services.

      IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.