title: Do Acute and Chronic Pain Patients Differ on Affirmation of One Aspect of Pain Acceptance? Acknowledgement that a Cure Is Unlikely.
abstract: BACKGROUND
  Many chronic pain patients (CPPs) cannot be cured of their pain, but can learn to manage it. This has led to research on pain "acceptance" which is defined as a behavior pattern with awareness of pain but not directed at changing pain.
  
  
  OBJECTIVE
  CPPs who have accepted their pain generally acknowledge that a cure is unlikely. Time with pain may be necessary to reach such an acknowledgment. It was therefore hypothesized that fewer acute pain patients (APPs) than CPPs should affirm that a cure is unlikely and that other described aspects of acceptance such as denial of disability status should be associated with cure is unlikely in both APPs and CPPs.
  
  
  METHODS
  APPs and CPPs were compared for frequency of endorsement of 2 items/questions with face validity for cure is unlikely: little hope of getting better from pain (LH) and physical problem (pain) can't be cured (CBC). Demographic variables and variables reported associated with acceptance were utilized in logistic prediction models for the above items in APPs and CPPs.
  
  
  METHODS
  Rehabilitation programs/offices.
  
  
  RESULTS
  CPPs were statistically more likely than APPs to affirm both LH and CBC. In both APPs and CPPs, items reported associated with acceptance, e.g., denial of disability status, predicted LH and CBC.
  
  
  CONCLUSIONS
  Information gathered from CPP self-reports.
  
  
  CONCLUSIONS
  APPs versus CPPs differ on their affirmation on acknowledgement that a cure is unlikely.
authors.affiliation: Miller School of Medicine at University of Miami, Departments of Psychiatry, Neurological Surgery, and Anesthesiology; Department of Psychiatry at Miami Veterans Administration Hospital; Health Psychology Associates, Greeley, Colorado; Graduate School of.
authors.forename: David A
authors.initials: DA
authors.lastname: Fishbain
authors.forename: Daniel
authors.initials: D
authors.lastname: Bruns
authors.forename: Laura J
authors.initials: LJ
authors.lastname: Meyer
authors.forename: John E
authors.initials: JE
authors.lastname: Lewis
authors.forename: Jinrun
authors.initials: J
authors.lastname: Gao
authors.forename: John Mark
authors.initials: JM
authors.lastname: Disorbio
mesh_terms: D000208:Acute Disease; D059787:Acute Pain / Q000523:psychology* / Q000534:rehabilitation; D000223:Adaptation, Psychological; D000328:Adult; D001290:Attitude; D059350:Chronic Pain / Q000523:psychology* / Q000534:rehabilitation / Q000628:therapy; D004185:Disability Evaluation; D005260:Female; D065026:Hope; D006801:Humans; D008297:Male; D008960:Models, Psychological; D059408:Pain Management / Q000523:psychology; D011795:Surveys and Questionnaires