Highlights
- •We investigated the Committed Action Questionnaire in patients with chronic pain.
- •We included 149 patients with pain in the analyses.
- •Results of the analyses showed support for the 2-factor model.
- •The 2 factors were significantly associated with psychosocial functioning.
Abstract
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.
Perspective
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.
Key words
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Article info
Publication history
Published online: July 19, 2016
Accepted:
June 24,
2016
Received in revised form:
May 12,
2016
Received:
January 30,
2016
Footnotes
The authors have no conflicts of interest to declare.
Supplementary data accompanying this article are available online at www.jpain.org and www.sciencedirect.com.
Identification
Copyright
Crown Copyright © 2016 Published by Elsevier Inc. on behalf of the American Pain Society
