Preliminary investigation of self-as-context in people with fibromyalgia

Article


Yu, L., Norton, S., Almarzooqi, S. and McCracken, L. 2017. Preliminary investigation of self-as-context in people with fibromyalgia. British Journal of Pain. 11 (3), pp. 134-143. https://doi.org/10.1177/2049463717708962
TypeArticle
TitlePreliminary investigation of self-as-context in people with fibromyalgia
AuthorsYu, L., Norton, S., Almarzooqi, S. and McCracken, L.
Abstract

Acceptance and commitment therapy (ACT), based on the Psychological Flexibility (PF) model, has been recently applied to fibromyalgia (FM), and appeared effective in improving functioning. However, evidence for some of the processes within the PF model, self-as-context (SAC) in particular, is lacking within this population. The current study validates a measure of SAC, the Self Experiences Questionnaire (SEQ), and preliminarily investigates the role of SAC in relation to functioning in FM. Participants (N = 298, 93.3% women) self-reporting a diagnosis of FM were recruited via the Internet and completed an online survey. Measures included pain, pain acceptance and SAC, as processes, and pain interference, work and social adjustment, depression and depression-related interference, as outcomes. Confirmatory factor analysis of the SEQ suggested a bi-factor structure, with a general factor underlying all items and two sub-factors, self-as-distinction and self-as-observer (χ2 = 46.55, p = .06, comparative fit index (CFI) = .99, Tucker–Lewis Index (TLI) = .99, root mean square error of approximation (RMSEA) = .04). Component factors showed good reliability, Cronbach’s α = .90, and construct validity, supported by significant Pearson’s correlations between SEQ scores, acceptance and outcomes (r = −.14 to −.33). In multiple regression analyses, SEQ scores significantly predicted pain-related interference (β = −.17, p < .05), work and social adjustment (β = −.14, p < .05) and depression (β = −.21, p < .01), but not depression-related interference, after controlling for pain, but only significantly predicted depression after controlling pain acceptance. These preliminary results show potentially important associations between SAC and functioning in people with FM.

KeywordsFibromyalgia; psychological flexibility; acceptance and commitment therapy; self-as-context; Self Experiences Questionnaire
Research GroupFoundations of Computing group
LanguageEnglish
PublisherSage
JournalBritish Journal of Pain
ISSN2049-4637
Electronic2049-4645
Publication dates
Online08 May 2017
Print01 Aug 2017
Publication process dates
Deposited07 Feb 2020
Accepted12 Mar 2017
Output statusPublished
Accepted author manuscript
Copyright Statement

Yu, L., Norton, S., Almarzooqi, S., & McCracken, L. M. (2017). Preliminary investigation of self-as-context in people with fibromyalgia. British Journal of Pain, 11(3), 134–143. Copyright © The British Pain Society 2017. DOI: https://doi.org/10.1177/2049463717708962

Digital Object Identifier (DOI)https://doi.org/10.1177/2049463717708962
PubMed ID28785409
PubMed Central IDPMC5521349
Web of Science identifierWOS:000458588200004
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