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It Is Often Easy For Chronic Pain Patients To Expend Great Amounts Of Effort ...

It is often easy for chronic pain patients to expend great amounts of effort struggling with pain rather than focusing their energies on living according to their values. Living according to values was defined in this particular study as acting according to what they care most about and what they want their life to stand for. If pain is not then reduced, the patient may feel that not only have their limited amounts of energy been wasted, but they have also neglected their core purposes in life, which may result in further angst and anxiety.
In a study examining the process of living according to personal values while suffering from chronic pain, 140 pain patients completed an inventory of values including categories such as family, friends, health, work and growth. The patients were also asked to record information regarding their pain, anxiety and depression. The results showed that the highest values for the patients were family and health, and the values of least importance overall were friends, growth and learning. The patients generally did not feel satisfied that they were living life according to their values, and this could be because of their level of physical and emotive functioning. The results of the study further demonstrated that those who achieved more success at living according to their values reported higher levels of acceptance, although acceptance could not reliably account for the sum of the success.
Although patients felt that overall they were not living according to their values, there was a significantly higher rate of success at living according to family values than maintaining health. In practical terms, this means that out of the areas that patients value most, they were able to achieve much more success in one area, family than the other, health.
Approaches to chronic pain that are contextually based deal with cognitive issues in a different manner than normal cognitive-behavioural approaches. Approaches that are contextually based seek to change the operation of negative thoughts and the way in which they are experienced, which affects other behaviours. A large quantity of the work devoted to these types of approaches involves releasing maladaptive cognitive forces on behaviour and intensifying behavioural elasticity through cognitive de-fusion. Approaches that are founded upon values add an aspect to this type of treatment. Articulating values during treatment for chronic pain is equivalent to adding cognitive influences to behaviour sequences.
On a practical level, the conceptualisations of the cognitive behavioural model of chronic pain can help to explain how patients deal with their pain, particularly the cognitive and meta-cognitive interactions they have with their symptoms and other factors that influence their quality of life and their approach to their pain.

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