Article2015

Effects of a Tailored Positive Psychology Intervention on Well-Being and Pain in Individuals With Chronic Pain and a Physical Disability

Rachel Müller · Kevin J. Gertz · Ivan R. Molton · Alexandra L. Terrill · Charles H. Bombardier · Dawn M. Ehde +1 more

179 citations0/0 files storedClinical Journal of Pain

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Psychological Well-being and Life Satisfaction Musculoskeletal pain and rehabilitation Mindfulness and Compassion Interventions

Abstract

OBJECTIVES: To determine the feasibility, acceptability, and efficacy of a computer-based positive psychology intervention in individuals with a physical disability and chronic pain. METHODS: Individuals with spinal cord injury, multiple sclerosis, neuromuscular disease, or postpolio syndrome and chronic pain were randomly assigned to a positive psychology or a control condition. Participants in the intervention group were instructed to practice 4 personalized positive psychology exercises. Participants in the control group were instructed to write about life details for 8 weeks. Participants completed online well-being and pain-related questionnaires at baseline, posttreatment, and at the 2.5-month follow-up, and rated treatment satisfaction at posttreatment. RESULTS: Ninety-six participants were randomized and 68 (70%) completed follow-up assessments. Participants in the positive psychology intervention group reported significant pretreatment to posttreatment improvements in pain intensity, pain control, pain catastrophizing, pain interference, life satisfaction, positive affect, and depression. Improvements in life satisfaction, depression, pain intensity, pain interference, and pain control were maintained to the 2.5-month follow-up. Participants in the control group reported significant pretreatment to posttreatment improvements in life satisfaction, and pretreatment to follow-up improvements in pain intensity and pain control. Significant between-group differences, favoring the treatment group, emerged for pretreatment to posttreatment improvements in pain intensity and pain control. Participants were similarly satisfied with both treatments. DISCUSSION/CONCLUSIONS: The results support the feasibility, acceptability, and potential efficacy of a computer-based positive psychology intervention for improving well-being and pain-related outcomes in individuals with physical disabilities and chronic pain, and indicate that a full trial of the intervention is warranted.

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References

1983The Hospital Anxiety and Depression Scale 1988Development and validation of brief measures of positive and negative affect: The PANAS scales.1988Development and validation of brief measures of positive and negative affect: The PANAS scales.2010CONSORT 2010 Explanation and Elaboration: updated guidelines for reporting parallel group randomised trials 2005Positive Psychology Progress: Empirical Validation of Interventions.2003Counting blessings versus burdens: An experimental investigation of gratitude and subjective well-being in daily life.2005Pursuing Happiness: The Architecture of Sustainable Change 2009Enhancing well‐being and alleviating depressive symptoms with positive psychology interventions: a practice‐friendly meta‐analysis

Cited by

2017Towards a science and practice of resilience in the face of pain 2018Predicting the mental health of college students with psychological capital 2016Resilience and vulnerability in individuals with chronic pain and physical disability.2020Measuring Positive Emotion Outcomes in Positive Psychology Interventions: A Literature Review 2023Shifting the perspective: how positive thinking can help diminish the negative effects of pain

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