Examining Committed Action in Chronic Pain: Further Validation and Clinical Utility of the Committed Action Questionnaire

Content Provider	Scilit
Author	Bailey, Robert W. Vowles, Kevin E. Witkiewitz, Katie Sowden, Gail Ashworth, Julie
Copyright Year	2016
Description	Journal: The journal of pain Psychosocial treatments for chronic pain conditions, such as Acceptance and Commitment Therapy, have highlighted minimizing pain avoidance behaviors and increasing engagement in valued activities as key treatment targets. In terms of salient processes within Acceptance and Commitment Therapy, committed action is considered essential to the pursuit of a meaningful life, as it entails a flexible persistence over time in living consistently with one's values. To date, however, only 1 study has examined the association between measures of committed action and important aspects of pain-related functioning. The purpose of the present study was to analyze the reliability of the Committed Action Questionnaire (CAQ) in a sample of 149 chronic pain patients, perform a confirmatory analysis of its factor structure, and examine how CAQ scores uniquely account for variance in functioning. Confirmatory factor analyses provided support for a 2-factor model, and regression analyses, which examined the cross-sectional direct effects of the 2 subscales on health-related functioning, indicated that the CAQ accounted for significant variance in functioning after controlling for relevant covariates. Overall, these findings provide further support for the CAQ as a measure of adaptive functioning in those with longstanding pain. This article presents additional evidence for the reliability and validity of the CAQ with chronic pain patients. Confirmatory factor analyses provided support for the 2-factor model, with both subscales demonstrating significant associations with multiple facets of health- and pain-related functioning.
Related Links	https://pureadmin.qub.ac.uk/ws/files/182029621/Bailey_Vowles_2016_CAQ_Journal_of_Pain.pdf
Ending Page	1104
Page Count	10
Starting Page	1095
ISSN	15265900
e-ISSN	15288447
DOI	10.1016/j.jpain.2016.06.011
Journal	The journal of pain
Issue Number	10
Volume Number	17
Language	English
Publisher	Elsevier BV
Publisher Date	2016-10-01
Access Restriction	Open
Subject Keyword	Journal: The journal of pain Social Work Acceptance and Commitment Therapy Chronic Pain Behavioral Therapy Committed Action
Content Type	Text
Resource Type	Article
Subject	Neurology Neurology (clinical) Anesthesiology and Pain Medicine