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Behavior Modification
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Coping With Pain in the Motivational Context of Values

Comparison Between an Acceptance-Based and a Cognitive Control—Based Protocol

Marisa Páez-Blarrina

Spanish Association Against Cancer, Almería, Spain, marisa.paez{at}aecc.es

Carmen Luciano

Universidad de Almería, Spain

Olga Gutiérrez-Martínez

Universidad de Granada, Spain

Sonsoles Valdivia

Universidad de Almería, Spain

Miguel Rodríguez-Valverde

Universidad de Jaén

Jose Ortega

Universidad Nacional de Educación a Distancia en Madrid, Spain

This study compares the effect of an acceptance-based protocol (ACT) and a cognitive control—based (CONT) protocol on three measures of pain coping: tolerance, self-report, and believability. Specific methodological controls were employed to further isolate the role of the value of participating in a pain task, compared to previous investigations on the alteration of the function of aversive stimulation. Twenty participants were randomly assigned to one of the conditions (ACT vs. CONT), and a pre—post design was used. In the ACT condition, the protocol established a relation of coordination between the pain-related thoughts and the actions in the valued direction. In the CONT condition, the protocol established a relation of opposition between the same aspects. Results show an increase in pain tolerance and a reduction of self-reported pain at posttest for both conditions. However, ACT participants showed significantly lower believability of pain than did CONT participants. Conceptual and clinical implications are discussed.

Key Words: pain • pain treatment • relational frame theory • acceptance and commitment therapy • experiential avoidance disorder • values

Behavior Modification, Vol. 32, No. 3, 403-422 (2008)
DOI: 10.1177/0145445507309029
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