The Role of Cognitive Content and Cognitive Processes in Chronic Pain: An Important Distinction?

dc.contributor.authorJensen, Mark P.
dc.contributor.authorThorn, Beverly E.
dc.contributor.authorCarmody, James
dc.contributor.authorKeefe, Francis J.
dc.contributor.authorBurns, John W.
dc.contributor.otherUniversity of Washington
dc.contributor.otherUniversity of Washington Seattle
dc.contributor.otherUniversity of Alabama Tuscaloosa
dc.contributor.otherUniversity of Massachusetts Worcester
dc.contributor.otherDuke University
dc.contributor.otherRush University
dc.date.accessioned2023-09-28T19:04:14Z
dc.date.available2023-09-28T19:04:14Z
dc.date.issued2018
dc.description.abstractObjectives:Pain-related cognitive content (what people think about pain) and cognitive processes (how people think about pain; what they do with their pain-related thoughts) and their interaction are hypothesized to play distinct roles in patient function. However, questions have been raised regarding whether it is possible or practical to assess cognitive content and cognitive process as distinct domains. The aim of this study was to determine the extent to which measures that seem to assess mostly pain-related cognitive content, cognitive processes, and content and process, are relatively independent from each other and contribute unique variance to the prediction of patient function.Materials and Methods:Individuals with chronic low back pain (N=165) participating in an ongoing RCT were administered measures of cognitions, pain, and function (depressive symptoms and pain interference) pretreatment.Results:Analyses provided support for the hypothesis that cognitive content and cognitive process, while related, can be assessed as distinct components. However, the measure assessing a cognitive processmindfulnessevidenced relatively weak associations with function, especially compared with the stronger and more consistent findings for the measures of content (catastrophizing and self-efficacy).Discussion:The results provide preliminary evidence for the possibility that mindfulness could have both benefits and costs. Research to evaluate this possibility is warranted.en_US
dc.format.mediumelectronic
dc.format.mimetypeapplication/pdf
dc.identifier.citationJensen, M. P., Thorn, B. E., Carmody, J., Keefe, F. J., & Burns, J. W. (2018). The Role of Cognitive Content and Cognitive Processes in Chronic Pain. In The Clinical Journal of Pain (Vol. 34, Issue 5, pp. 391–401). Ovid Technologies (Wolters Kluwer Health). https://doi.org/10.1097/ajp.0000000000000559
dc.identifier.doi10.1097/AJP.0000000000000559
dc.identifier.urihttps://ir.ua.edu/handle/123456789/10781
dc.languageEnglish
dc.language.isoen_US
dc.publisherLippincott Williams & Wilkins
dc.subjectcognitive content
dc.subjectcognitive process
dc.subjectchronic pain
dc.subjectFACET MINDFULNESS QUESTIONNAIRE
dc.subjectLOW-BACK-PAIN
dc.subjectCOMMITMENT THERAPY
dc.subjectBEHAVIORAL TREATMENT
dc.subjectSELF-EFFICACY
dc.subjectOLDER-ADULTS
dc.subjectACCEPTANCE
dc.subjectMODEL
dc.subjectMECHANISMS
dc.subjectAnesthesiology
dc.subjectClinical Neurology
dc.titleThe Role of Cognitive Content and Cognitive Processes in Chronic Pain: An Important Distinction?en_US
dc.typeArticle
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