L M McCracken

Summary

Affiliation: Derriford Hospital
Country: UK

Publications

  1. ncbi Multimethod assessment of treatment process in chronic low back pain: comparison of reported pain-related anxiety with directly measured physical capacity
    L M McCracken
    Pain Management Unit, Royal National Hospital for Rheumatic Diseases, University of Bath, UK
    Behav Res Ther 40:585-94. 2002
  2. ncbi The role of values in a contextual cognitive-behavioral approach to chronic pain
    Lance M McCracken
    Pain Management Unit, Royal National Hospital for Rheumatic Diseases and University of Bath, Bath, UK
    Pain 123:137-45. 2006
  3. ncbi A contextual analysis of attention to chronic pain: what the patient does with their pain might be more important than their awareness or vigilance alone
    Lance M McCracken
    Pain Management Unit, Royal National Hospital for Rheumatic Diseases, Bath, UK
    J Pain 8:230-6. 2007
  4. ncbi The role of avoidance, pacing, and other activity patterns in chronic pain
    Lance M McCracken
    Pain Management Unit, Royal National Hospital for Rheumatic Diseases, Bath, UK
    Pain 130:119-25. 2007
  5. ncbi The role of mindfulness in a contextual cognitive-behavioral analysis of chronic pain-related suffering and disability
    Lance M McCracken
    Pain Management Unit, Royal National Hospital for Rheumatic Diseases and University of Bath, Bath BA1 1RL, UK
    Pain 131:63-9. 2007
  6. ncbi A comparison of blacks and whites seeking treatment for chronic pain
    L M McCracken
    Department of Psychiatry, The University of Chicago, Illinois, USA
    Clin J Pain 17:249-55. 2001
  7. ncbi Clinical assessment of behavioral coping responses: preliminary results from a brief inventory
    Lance M McCracken
    Pain Management Unit, Royal National Hospital for Rheumatic Diseases, University of Bath, Bath BA1 1RL, UK
    Eur J Pain 9:69-78. 2005
  8. ncbi A prospective investigation of acceptance and control-oriented coping with chronic pain
    Lance M McCracken
    Pain Management Unit, Royal National Hospital for Rheumatic Diseases, University of Bath, Bath, BA1 1RL, UK
    J Behav Med 30:339-49. 2007
  9. ncbi Concerns about medication and medication use in chronic pain
    Lance M McCracken
    Pain Management Unit, Royal National Hospital for Rheumatic Diseases and University of Bath, Bath, United Kingdom
    J Pain 7:726-34. 2006
  10. ncbi Acceptance-based treatment for persons with complex, long standing chronic pain: a preliminary analysis of treatment outcome in comparison to a waiting phase
    Lance M McCracken
    Pain Management Unit, Royal National Hospital for Rheumatic Diseases, University of Bath, Bath BA1 1RL, UK
    Behav Res Ther 43:1335-46. 2005

Detail Information

Publications43

  1. ncbi Multimethod assessment of treatment process in chronic low back pain: comparison of reported pain-related anxiety with directly measured physical capacity
    L M McCracken
    Pain Management Unit, Royal National Hospital for Rheumatic Diseases, University of Bath, UK
    Behav Res Ther 40:585-94. 2002
    ..These results are discussed in the context of how to improve assessment of the chronic pain patient and improve the effectiveness of multidisciplinary CBT...
  2. ncbi The role of values in a contextual cognitive-behavioral approach to chronic pain
    Lance M McCracken
    Pain Management Unit, Royal National Hospital for Rheumatic Diseases and University of Bath, Bath, UK
    Pain 123:137-45. 2006
    ....
  3. ncbi A contextual analysis of attention to chronic pain: what the patient does with their pain might be more important than their awareness or vigilance alone
    Lance M McCracken
    Pain Management Unit, Royal National Hospital for Rheumatic Diseases, Bath, UK
    J Pain 8:230-6. 2007
    ..Acceptance is proposed as a process that expands the framework of attention to include varying cognitive, emotional, and social influences exerted by pain on patient behavior...
  4. ncbi The role of avoidance, pacing, and other activity patterns in chronic pain
    Lance M McCracken
    Pain Management Unit, Royal National Hospital for Rheumatic Diseases, Bath, UK
    Pain 130:119-25. 2007
    ..Moreover, avoidance patterns may be subtle, sometimes resembling healthy coping, and sometimes presenting along side patterns of high activity...
  5. ncbi The role of mindfulness in a contextual cognitive-behavioral analysis of chronic pain-related suffering and disability
    Lance M McCracken
    Pain Management Unit, Royal National Hospital for Rheumatic Diseases and University of Bath, Bath BA1 1RL, UK
    Pain 131:63-9. 2007
    ..The behavioral processes of mindfulness and their accessibility to scientific study are considered...
  6. ncbi A comparison of blacks and whites seeking treatment for chronic pain
    L M McCracken
    Department of Psychiatry, The University of Chicago, Illinois, USA
    Clin J Pain 17:249-55. 2001
    ..The current study compared adjustment to chronic pain by blacks and whites seeking treatment for chronic pain...
  7. ncbi Clinical assessment of behavioral coping responses: preliminary results from a brief inventory
    Lance M McCracken
    Pain Management Unit, Royal National Hospital for Rheumatic Diseases, University of Bath, Bath BA1 1RL, UK
    Eur J Pain 9:69-78. 2005
    ..These results demonstrate that, in some instances, attempts at avoidance and control of chronic pain may be less helpful compared with a willingness to experience pain and focus on functioning...
  8. ncbi A prospective investigation of acceptance and control-oriented coping with chronic pain
    Lance M McCracken
    Pain Management Unit, Royal National Hospital for Rheumatic Diseases, University of Bath, Bath, BA1 1RL, UK
    J Behav Med 30:339-49. 2007
    ..These results support the inclusion of contextual acceptance-related processes in current frameworks for understanding adjustment to chronic pain...
  9. ncbi Concerns about medication and medication use in chronic pain
    Lance M McCracken
    Pain Management Unit, Royal National Hospital for Rheumatic Diseases and University of Bath, Bath, United Kingdom
    J Pain 7:726-34. 2006
    ..We suggest that concerns about medication use warrant further study and may deserve clinical attention...
  10. ncbi Acceptance-based treatment for persons with complex, long standing chronic pain: a preliminary analysis of treatment outcome in comparison to a waiting phase
    Lance M McCracken
    Pain Management Unit, Royal National Hospital for Rheumatic Diseases, University of Bath, Bath BA1 1RL, UK
    Behav Res Ther 43:1335-46. 2005
    ..The majority of improvements continued at 3-months post-treatment. Improvements in most outcomes during treatment were correlated with increases in acceptance, supporting the proposed process of treatment...
  11. ncbi A prospective study of acceptance of pain and patient functioning with chronic pain
    Lance M McCracken
    Pain Management Unit, Royal National Hospital for Rheumatic Diseases, The University of Bath, UK
    Pain 118:164-9. 2005
    ..Treatment outcome and process studies may demonstrate the potential for acceptance-based clinical methods for chronic pain management...
  12. ncbi A short version of the Pain Anxiety Symptoms Scale (PASS-20): preliminary development and validity
    Lance M McCracken
    Pain Management Unit, Royal National Hospital for Rheumatic Disease and University of Bath, United Kingdom
    Pain Res Manag 7:45-50. 2002
    ..Research has shown significant relations between fear and avoidance of pain and the suffering and disability of chronic pain. Effective measurement tools have formed the foundation for studying these relations...
  13. ncbi Acceptance of chronic pain
    Lance M McCracken
    Pain Management Unit, Royal National Hospital for Rheumatic Diseases and University of Bath, Bath BA1 1RL, UK
    Curr Pain Headache Rep 10:90-4. 2006
    ..It appears that acceptance-related processes will at least expand our range of psychologic treatment methods for chronic pain sufferers and, at best, significantly improve them...
  14. ncbi Contextual cognitive-behavioral therapy for severely disabled chronic pain sufferers: effectiveness and clinically significant change
    Lance M McCracken
    Pain Management Unit, Royal National Hospital for Rheumatic Diseases, University of Bath, Upper Borough Walls, Bath BA1 1RL, UK
    Eur J Pain 11:314-22. 2007
    ..This research plays an important part in establishing an evidence base to inform service development, ensuring that chronic pain services do not exclude people on the basis of the severity of their disability...
  15. ncbi Social context and acceptance of chronic pain: the role of solicitous and punishing responses
    Lance M McCracken
    Pain Management Unit, Royal National Hospital for Rheumatic Diseases and University of Bath, Upper Borough Walls, Bath BA1 1RL, UK
    Pain 113:155-9. 2005
    ..These results suggest that social influences can play a role in patients' engagement in activity with pain present and their willingness to have pain without trying to avoid or control it...
  16. ncbi Acceptance and change in the context of chronic pain
    Lance M McCracken
    Pain Management Unit, Royal National Hospital for Rheumatic Diseases and The University of Bath, Bath BA1 1RL, UK
    Pain 109:4-7. 2004
  17. doi A prospective analysis of acceptance of pain and values-based action in patients with chronic pain
    Lance M McCracken
    Pain Management Unit, Royal National Hospital for Rheumatic Diseases, University of Bath, Bath, UK
    Health Psychol 27:215-20. 2008
    ..Acceptance of pain and values-based action appear important in the emotional, physical, and social functioning of individuals with chronic pain. The purpose of the current study was to prospectively investigate these combined processes...
  18. ncbi A comparison of the relative utility of coping and acceptance-based measures in a sample of chronic pain sufferers
    Lance M McCracken
    Pain Management Unit, Royal National Hospital for Rheumatic Diseases and The University of Bath, Bath BA1 1RL, UK
    Eur J Pain 10:23-9. 2006
    ..Increasing data support the view that the pain management field may benefit from evolving toward incorporating a less control-oriented and more accommodating view of aversive private experiences in some circumstances...
  19. ncbi Satisfaction with treatment for chronic pain in a specialty service: preliminary prospective results
    Lance M McCracken
    Department of Psychiatry, The University of Chicago, Chicago, USA
    Eur J Pain 6:387-93. 2002
    ....
  20. ncbi Disrupted sleep patterns and daily functioning in patients with chronic pain
    Lance M McCracken
    Pain Management Unit, Royal National Hospital for Rheumatic Diseases, and the University of Bath, Bath, United Kingdom
    Pain Res Manag 7:75-9. 2002
    ..To investigate the role of disturbed sleep in the daily functioning of persons with chronic pain. subjects and..
  21. ncbi Behavioral and cognitive-behavioral treatment for chronic pain: outcome, predictors of outcome, and treatment process
    Lance M McCracken
    Royal National Hospital for Rheumatic Diseases and University of Bath, United Kingdom
    Spine (Phila Pa 1976) 27:2564-73. 2002
    ..A literature review was conducted...
  22. ncbi Psychological flexibility and traditional pain management strategies in relation to patient functioning with chronic pain: an examination of a revised instrument
    Lance M McCracken
    Pain Management Unit, Royal National Hospital for Rheumatic Disease and University of Bath, Bath, United Kingdom
    J Pain 8:700-7. 2007
    ..These results may call for a shift in our approaches to chronic pain in line with developments taking place in broader areas of behavioral and cognitive therapy...
  23. ncbi Acceptance of chronic pain: component analysis and a revised assessment method
    Lance M McCracken
    Pain Management Unit, Royal National Hospital for Rheumatic Diseases and University of Bath, Bath BA1 1RL, UK
    Pain 107:159-66. 2004
    ..A revised version of the CPAQ is suggested...
  24. doi General psychological acceptance and chronic pain: there is more to accept than the pain itself
    Lance M McCracken
    Centre for Pain Services, Royal National Hospital for Rheumatic Diseases and Centre for Pain Research, University of Bath, Bath BA1 1RL, UK
    Eur J Pain 14:170-5. 2010
    ..General acceptance may have a unique role to play in the disability and suffering of chronic pain beyond similar processes such as acceptance of pain or mindfulness...
  25. ncbi Behavioral dimensions of adjustment in persons with chronic pain: pain-related anxiety and acceptance
    L M McCracken
    Department of Psychiatry, University of Chicago, IL 60637, USA
    Pain 80:283-9. 1999
    ..Decreasing anxiety and increasing acceptance may 'move' patients with chronic pain from the dysfunctional to the adaptive coper category...
  26. doi Acceptance, mindfulness, and values-based action may counteract fear and avoidance of emotions in chronic pain: an analysis of anxiety sensitivity
    Lance M McCracken
    Centre for Pain Services, Royal National Hospital for Rheumatic Diseases, and Centre for Pain Research, University of Bath, Bath, United Kingdom
    J Pain 10:408-15. 2009
    ..These results suggest that AS may amplify the impact of emotional distress on patient functioning in chronic pain and that processes of acceptance, mindfulness, and values-based action may reduce this effect...
  27. doi Psychological flexibility in adults with chronic pain: a study of acceptance, mindfulness, and values-based action in primary care
    Lance M McCracken
    Centre of Pain Services, Royal National Hospital for Rheumatic Diseases, Upper Borough Walls, Bath BA1 1RL, UK
    Pain 148:141-7. 2010
    ..Due to a particularly conservative recruitment strategy the overall response rate in this study was low and the generality of these results remains to be established...
  28. ncbi Learning to live with the pain: acceptance of pain predicts adjustment in persons with chronic pain
    L M McCracken
    The University of Chicago, Department of Psychiatry, IL 60637, USA
    Pain 74:21-7. 1998
    ..These results are preliminary. Further study will be needed to show for whom and under what circumstances, accepting some aspects of the pain experience may be beneficial...
  29. doi The Chronic Pain Acceptance Questionnaire: confirmatory factor analysis and identification of patient subgroups
    Kevin E Vowles
    Centre for Pain Research, School for Health, University of Bath, Claverton Down, Bath BA2 7AY, UK
    Pain 140:284-91. 2008
    ..These results provide further support for the 20-item, two-factor CPAQ and indicate that it is both theoretically and practically useful...
  30. doi Acceptance of pain in adolescents with chronic pain: validation of an adapted assessment instrument and preliminary correlation analyses
    Lance M McCracken
    Bath Centre for Pain Services, Royal National Hospital for Rheumatic Diseases and Centre for Pain Research, University of Bath, Bath BA1 1RL, UK
    Eur J Pain 14:316-20. 2010
    ..We discuss developmental aspects of acceptance in adolescents and clinical implications of these findings...
  31. ncbi Cardiac exposure history as a determinant of symptoms and emergency department utilization in noncardiac chest pain patients
    J E Aikens
    University of Chicago, Illinois, USA
    J Behav Med 22:605-17. 1999
    ..No effects emerged for gender, ethnicity, avoidance, or depression. Results suggest that beyond the effects of age and distress intensity, prior exposure to other people's cardiac distress may influence NCCP...
  32. ncbi Assessing depressive symptoms in multiple sclerosis: is it necessary to omit items from the original Beck Depression Inventory?
    J E Aikens
    Department of Psychiatry, University of Chicago Medical Center, Illinois 60637, USA
    J Behav Med 22:127-42. 1999
    ..Somatic items were unassociated with major MS parameters. We thus encourage continued application of the full BDI for assessing depressive symptoms in patients with MS...
  33. ncbi Gender moderates the association between depression and disability in chronic pain patients
    Edmund Keogh
    Pain Management Unit, Royal National Hospital for Rheumatic Diseases and University of Bath, UK
    Eur J Pain 10:413-22. 2006
    ..Together these results not only suggest that gender is an important moderator of the relationship between emotional responses and disability, but that such associations may be related more to depression than anxiety...
  34. ncbi Do men and women differ in their response to interdisciplinary chronic pain management?
    Edmund Keogh
    Pain Management Unit, Royal National Hospital for Rheumatic Disease and University of Bath, Bath BA2 7AY, UK
    Pain 114:37-46. 2005
    ..However, the current results are different from those previously reported. We discuss potential reasons for such differences...
  35. ncbi Processes of change in treatment for chronic pain: the contributions of pain, acceptance, and catastrophizing
    Kevin E Vowles
    Pain Management Unit, Royal National Hospital for Rheumatic Diseases, The University of Bath, Upper Borough Walls, Bath, UK
    Eur J Pain 11:779-87. 2007
    ..Issues relating to change at the level of frequency or content of psychological experiences are considered relative to change in the functions of these experiences...
  36. ncbi The Bath Adolescent Pain Questionnaire (BAPQ): development and preliminary psychometric evaluation of an instrument to assess the impact of chronic pain on adolescents
    Christopher Eccleston
    Pain Management Unit, University of Bath, Level 7, Wessex House, Bath BA2 7AY, UK
    Pain 118:263-70. 2005
    ..Further investigation is needed on the predictive validity of the subscales. Additional data from samples of patients with diagnoses that are not musculoskeletal in origin would be of great assistance...
  37. doi Patient functioning and catastrophizing in chronic pain: the mediating effects of acceptance
    Kevin E Vowles
    Department of Psychology, Royal National Hospital for Rheumatic Diseases and University of Bath, Bath, UK
    Health Psychol 27:S136-43. 2008
    ....
  38. ncbi Development and preliminary psychometric evaluation of the parent report version of the Bath Adolescent Pain Questionnaire (BAPQ-P): A multidimensional parent report instrument to assess the impact of chronic pain on adolescents
    Christopher Eccleston
    Pain Management Unit, University of Bath, Level 7, Wessex House, Bath BA2 7AY, UK
    Pain 131:48-56. 2007
    ....
  39. ncbi Coping or acceptance: what to do about chronic pain?
    Lance M McCracken
    Pain Management Unit, Royal National Hospital for Rheumatic Diseases and University of Bath, Bath BA1 1RL, UK
    Pain 105:197-204. 2003
    ..Results from these analyses demonstrated that acceptance of pain repeatedly accounted for more variance than coping variables...
  40. ncbi The Bath Adolescent Pain--Parental Impact Questionnaire (BAP-PIQ): development and preliminary psychometric evaluation of an instrument to assess the impact of parenting an adolescent with chronic pain
    Abbie Jordan
    Pain Management Unit, University of Bath, Bath BA27AY, UK
    Pain 137:478-87. 2008
    ..Additional data from samples comprising fathers of adolescents with chronic pain and parents of adolescents with non-musculoskeletal pain would be of benefit...
  41. doi Acceptance and values-based action in chronic pain: a study of treatment effectiveness and process
    Kevin E Vowles
    Centre for Pain Research, School for Health, University of Bath, Bath, UK
    J Consult Clin Psychol 76:397-407. 2008
    ..4% of patients demonstrated improvement in at least one key domain. Both acceptance of pain and values-based action improved, and increases in these processes were associated with improvements in the primary outcome domains...
  42. ncbi Predicting complaints of impaired cognitive functioning in patients with chronic pain
    L M McCracken
    Department of Psychiatry, The University of Chicago, Chicago, IL, USA
    J Pain Symptom Manage 21:392-6. 2001
    ..When these complaints are encountered, a careful evaluation considering a range of neurological, social, and emotional influences is in order...
  43. ncbi Reassurance: help or hinder in the treatment of pain
    Steven J Linton
    Center for Health and Medical Psychology CHAMP, Department of Behavioral, Social and Legal Sciences, Psychology Orebro University, Orebro, Sweden
    Pain 134:5-8. 2008