Psychological Flexibility in Chronic Pain Populations; an Observation- and Validation Study

NCT05050565 | Completed

• 1 other identifier: 20210629
• Study Type: observational
• Target: 404
• Locations: 1 country
• Sites: 1

Brief Summary

Chronic pain in general is a substantial problem and is a source of a great deal of disability and suffering. It is known that processes like stigma and psychological flexibility (PF) play a significant role in these outcomes. At the same time, there are many specific chronic pain disorders and there is less knowledge about similarities and differences between these specific conditions, whether the role of processes like these vary between conditions or not. For studies that can address this to be done in Sweden, there will need to be adequately translated and validated measures of the key processes identified. The main aim of the current study is to look at whether the role of PF and stigma in pain-related outcomes differ across pain conditions. In support of that, a secondary aim is to first validate measures of stigma and PF in chronic pain populations. For this secondary aim, the current study seeks to investigate the factor structure, construct - and criterion validity, internal consistency, and test-retest reliability of a Swedish version of the Multidimensional Psychological Flexibility Inventory (MPFI) as well as of a Swedish version of the Stigma Scale for Chronic Illnesses (SSCI-8).

Conditions

Chronic Pain

Keywords

chronic pain; psychological flexibility; stigma

Outcome Measures

Primary Outcomes (2)

• Stigma Scale for Chronic Illnesses (SSCI-8)

  The SSCI-8 is an eight-item measure including items reflecting both enacted and internalized stigma. Minimum score is 8, and maximum score is 40. Higher scores indicate a greater degree of stigma. It is administered alongside the other outcomes in order to establish validity. It is also administered in order to examine similarities and dissimilarities between different chronic pain conditions in the stigma experience and in its relationship to the other outcome measures. The SSCI-8 will be administered a second time in order to examine temporal stability of the instrument.

  Measured immediately following participant consent to undertake survey, and again two weeks thereafter

• Multidimensional Psychological Flexibility Inventory (MPFI)

  The MPFI is a 60-item measure reflecting all facets of psychological flexibility. The measure is divided into two overarching dimensions, namely inflexibility and flexibility. Each dimension contains 30 items, and in each dimension the minimum score is an average of 1 across the 30 items, while the maximum score is an average of 6 across the 30 items. For the inflexibility part of the MPFI, a higher average score indicates higher inflexibility. For the flexibility part of the MPFI, a higher average score indicates higher flexibility. The MPFI is administered alongside the other outcomes in order to establish validity. It is also administered in order to examine similarities and dissimilarities between different chronic pain conditions in psychological flexibility and in its relationship to the other outcome measures. The MPFI will be administered a second time in order to examine temporal stability of the instrument.

  Measured immediately following participant consent to undertake survey, and again two weeks thereafter

Secondary Outcomes (7)

• Chronic Pain Acceptance Questionnaire (CPAQ-8)

  Measured immediately following participant consent to undertake survey, and again two weeks thereafter

• Committed Action Questionnaire 8-item version (CAQ-8)

  Measured immediately following participant consent to undertake survey, and again two weeks thereafter

• Five Facet Mindfulness Questionnaire (FFMQ) - acting with awareness facet

  Measured immediately following participant consent to undertake survey, and again two weeks thereafter

• Patient Health Questionnaire (PHQ-9)

  Measured immediately following participant consent to undertake survey, and again two weeks thereafter

• Coping Strategy Questionnaire (CSQ) - catastrophizing subscale

  Measured immediately following participant consent to undertake survey, and again two weeks thereafter

Interventions

Experiences of stigma and psychological flexibility in chronic pain participants BEHAVIORAL

Chronic pain participants will answer questionnaires at two points in time, two weeks apart. These questionnaires ask about stigma and psychological flexibility, as well as depression, catastrophizing, pain interference, and social adjustment. The data collected is only observational and does not include any intervention.

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

People suffering from a chronic pain condition, such as fibromyalgia, chronic back pain, endometriosis, vulvodynia, or other chronic pain conditions.

You may qualify if:

• Aged 18 or over
• Suffering from chronic or recurrent pain for ≥ 3 months
• Access to an internet enabled phone/computer/tablet
• Fluent in written Swedish
• Willing to be contacted during the study

Sponsors & Collaborators

• Uppsala University: lead

Study Sites (1)

Department of Psychology, Uppsala University

Uppsala, Uppland, 75236, Sweden

Location

Related Publications (1)

• Sundstrom FT, Lavefjord A, Buhrman M, McCracken LM. Assessing Psychological Flexibility and Inflexibility in Chronic Pain Using the Multidimensional Psychological Flexibility Inventory (MPFI). J Pain. 2023 May;24(5):770-781. doi: 10.1016/j.jpain.2022.11.010. Epub 2022 Nov 25.

  PMID: 36442815 DERIVED

MeSH Terms

Conditions

Chronic Pain; Social Stigma

Condition Hierarchy (Ancestors)

Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Social Behavior; Behavior

Study Officials

• Monica Buhrman, PhD

  Uppsala University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: OTHER
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: August 31, 2021
• First Posted: September 20, 2021
• Study Start: October 8, 2021
• Primary Completion: January 4, 2022
• Study Completion: January 4, 2022
• Last Updated: January 11, 2022

Record last verified: 2022-01

Locations

SE (1)