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KMID : 0981220190190030299
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Congnitive Behavior Therapy in Korea
2019 Volume.19 No. 3 p.299 ~ p.317
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Cognitive fusion and patient daily functioning in complex regional pain syndrome: The mediating role of experiential avoidance
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Yu Kyung-Hee
Cho Sung-Kun
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Abstract
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The purpose of this study was to investigate the mediating effect of experiential avoidance on the association between cognitive fusion and daily functioning (i.e., avoidance, disability and concentration) in patients with complex regional pain syndrome (CRPS). Twenty-four patients registered with the CRPS Association in Korea, participated in this study. They completed an online end-of-day diary over 14 consecutive days assessing cognitive fusion, experiential avoidance and daily levels of avoidance, disability, and concentration. A multi-level mediation model analysis showed that experiential avoidance partially mediated the association between cognitive fusion and daily functioning (i.e., avoidance, disability, concentration) in patients with CRPS. These results indicate that cognitive fusion not only directly affects daily functioning of patients with CRPS, but also indirectly affects daily functioning through experiential avoidance. This study, in line with the theoretical basis of acceptance and commitment therapy, suggests that it may be effective to promote acceptance of various pain-related experiences, such as pain-related thoughts, emotions, and physical sensations.
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KEYWORD
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Complex regional pain syndrome, patient functioning, diary study, multi-level mediation model
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