title: Coping with pain in the motivational context of values: comparison between an acceptance-based and a cognitive control--based protocol.
abstract: This study compares the effect of an acceptance-based protocol (ACT) and a cognitive control-based (CONT) protocol on three measures of pain coping: tolerance, self-report, and believability. Specific methodological controls were employed to further isolate the role of the value of participating in a pain task, compared to previous investigations on the alteration of the function of aversive stimulation. Twenty participants were randomly assigned to one of the conditions (ACT vs. CONT), and a pre-post design was used. In the ACT condition, the protocol established a relation of coordination between the pain-related thoughts and the actions in the valued direction. In the CONT condition, the protocol established a relation of opposition between the same aspects. Results show an increase in pain tolerance and a reduction of self-reported pain at posttest for both conditions. However, ACT participants showed significantly lower believability of pain than did CONT participants. Conceptual and clinical implications are discussed.
authors.affiliation: Spanish Association Against Cancer, Almería, Spain. marisa.paez@aecc.es
authors.forename: Marisa
authors.initials: M
authors.lastname: Páez-Blarrina
authors.forename: Carmen
authors.initials: C
authors.lastname: Luciano
authors.forename: Olga
authors.initials: O
authors.lastname: Gutiérrez-Martínez
authors.forename: Sonsoles
authors.initials: S
authors.lastname: Valdivia
authors.forename: Miguel
authors.initials: M
authors.lastname: Rodríguez-Valverde
authors.forename: Jose
authors.initials: J
authors.lastname: Ortega
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D009042:Motivation; D010146:Pain / Q000523:psychology*; D059408:Pain Management