Chronic Pain Acceptance Questionnaire – Revised CPAQ-R

Chronic Pain Acceptance Questionnaire – Revised CPAQ-R overview

Creator and Context

The Chronic Pain Acceptance Questionnaire – Revised (CPAQ-R) is a 20-item instrument designed to assess the degree of acceptance individuals have regarding their chronic pain. Acceptance in this context refers to the willingness to experience pain without trying to control or avoid it, allowing individuals to focus more on valued life activities and goals.

The CPAQ-R is an updated version of the original CPAQ, offering improved reliability and validity. It was developed by researchers in the field of chronic pain to better understand and measure the concept of pain acceptance.

Presenting Conditions

  • Chronic pain in various contexts (e.g., arthritis, fibromyalgia, chronic back pain).

  • Psychological adaptation to chronic pain.

Administration

The CPAQ-R is a self-report questionnaire. Respondents are asked to rate how each statement applies to them using a scale, typically ranging from 'never true' to 'always true'.

Desired Audience

This tool is applicable to adults experiencing chronic pain, regardless of the specific pain condition or its origin.

Pratical Application

Practical Application

  • Can be used in clinical settings to assess the level of pain acceptance.

  • Helpful in designing and evaluating the effectiveness of pain management programs, especially those focusing on acceptance and commitment therapy (ACT).

  • Useful in research studies investigating the role of pain acceptance in chronic pain management.

Considerations

  • The CPAQ-R is not a diagnostic tool but a measure of pain acceptance.

  • Should be used as part of a broader assessment of pain and psychological well-being.

  • Cultural and personal interpretations of pain and acceptance should be considered.

How to score the Chronic Pain Acceptance Questionnaire – Revised CPAQ-R

Conducting the assessment

Individuals respond to each item based on their agreement or experience related to pain acceptance, using a specified scale.

Interpretation

The CPAQ-R is a 20-item scale (zero to six response format) used to measure acceptance of pain. An overall score is obtained by adding the items together. Total scores range from zero to 120 with higher scores indicating greater level of acceptance.

Clinical Considerations

  • Utilise CPAQ-R scores to understand a patient’s relationship with their chronic pain.

  • Apply results to guide interventions focused on increasing pain acceptance, like ACT.

  • Use as a part of a comprehensive pain assessment protocol.

Chronic Pain Acceptance Questionnaire – Revised CPAQ-R use cases

  • Assessment of pain acceptance in individuals with chronic pain conditions.

  • Monitoring changes in pain acceptance over the course of treatment.

  • Research on chronic pain management strategies.

Category

Chronic Pain

Research Summary

  • McCracken, L. M., Vowles, K. E., & Eccleston, C. (2004). Acceptance of chronic pain: Component analysis and a revised assessment method. Pain, 107(1-2), 159-166.

  • Vowles, K. E., & McCracken, L. M. (2008). Measuring acceptance of chronic pain: A psychometric analysis of the Chronic Pain Acceptance Questionnaire. Journal of Pain, 9(2), 107-116.

Other Assessment Guides

Other Assessment Guides

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Australia

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We acknowledge the Aboriginal and Torres Strait Islander peoples as the first inhabitants of this nation and the traditional custodians of the lands where we live, learn and work.

United Kingdom

St Johns Court, Chester

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