The role of values with personal examples in altering the functions of pain: comparison between acceptance-based and cognitive-control-based protocols

Behav Res Ther. 2008 Jan;46(1):84-97. doi: 10.1016/j.brat.2007.10.008. Epub 2007 Oct 22.

Abstract

The purpose of the present study was twofold. First, to compare the effect of establishing a motivational context of values on pain tolerance, believability, and reported pain, with three experimental conditions: pain acceptance (ACT condition), pain control (CONT condition), or no values (untrained condition). Second, the study aimed to isolate the impact of adding the corresponding coping strategies to both the ACT and the CONT conditions. Thirty adults were randomly assigned to one of the three experimental conditions. The participants went through the pain task in two occasions (Test I and Test II). In Test I, the effects of the ACT-values protocol (which established pain as part of valued action), the CONT-values protocol (which established high pain as opposed to valued action), and the no-values protocol, were compared. In Test II, the effect of adding the corresponding coping strategy to each condition (defusion for ACT vs. suppression for CONT) was examined. Test I showed a clear superiority of the ACT-values protocol in increasing tolerance and lowering pain believability. In Test II, the superiority of the ACT protocol was replicated, while the CONT protocol proved useful to reduce reported pain, in accordance with previous studies.

Publication types

  • Comparative Study
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adaptation, Psychological / physiology*
  • Adult
  • Cognition / physiology*
  • Female
  • Humans
  • Male
  • Motivation
  • Pain / psychology*
  • Pain Measurement / methods
  • Research Design / statistics & numerical data
  • Sensory Thresholds / physiology*
  • Stress, Psychological / etiology
  • Treatment Outcome