Lance M McCracken

Summary

Affiliation: King's College London
Country: UK

Publications

  1. ncbi request reprint 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
  2. doi request reprint Current and future trends in psychology and chronic pain: time for a change?
    Lance M McCracken
    Health Psychology Section, Psychology Department, King s College London and INPUT Pain Management, Guy s and St Thomas NHS Foundation Trust, London, UK
    Pain Manag 4:113-21. 2014
  3. doi request reprint The psychological flexibility model: a basis for integration and progress in psychological approaches to chronic pain management
    Lance M McCracken
    Health Psychology Section, Psychology Department, Institute of Psychiatry, King s College London and INPUT Pain Management Centre, Guy s and St Thomas NHS Foundation Trust, London, United Kingdom Electronic address
    J Pain 15:221-34. 2014
  4. pmc A trial of a brief group-based form of acceptance and commitment therapy (ACT) for chronic pain in general practice: pilot outcome and process results
    Lance M McCracken
    Health Psychology Section, Psychology Department, King s College London, London, United Kingdom INPUT Pain Management, Guy s and St Thomas Hospitals, London, United Kingdom Electronic address
    J Pain 14:1398-406. 2013
  5. pmc Testing the credibility, feasibility and acceptability of an optimised behavioural intervention (OBI) for avoidant chronic low back pain patients: protocol for a randomised feasibility study
    Tamar Pincus
    Department of Psychology, University of London, Royal Holloway, Egham, Surrey TW20 0EX, UK
    Trials 14:172. 2013
  6. doi request reprint Committed action: an application of the psychological flexibility model to activity patterns in chronic pain
    Lance M McCracken
    Psychology Department, King s College London and INPUT Pain Management Centre, Guy s and St Thomas Hospital NHS Foundation Trust, London, UK
    J Pain 14:828-35. 2013
  7. doi request reprint Training for general practitioners in opioid prescribing for chronic pain based on practice guidelines: a randomized pilot and feasibility trial
    Lance M McCracken
    Centre for Pain Services, Royal National Hospital for Rheumatic Diseases, Bath, United Kingdom
    J Pain 13:32-40. 2012
  8. doi request reprint Treatment for chronic pain for adults in the seventh and eighth decades of life: a preliminary study of Acceptance and Commitment Therapy (ACT)
    Lance M McCracken
    Centre for Pain Services, Royal National Hospital for Rheumatic Diseases, University of Bath, Bath, UK
    Pain Med 13:860-7. 2012
  9. doi request reprint 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
  10. doi request reprint 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

Collaborators

Detail Information

Publications41

  1. ncbi request reprint 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...
  2. doi request reprint Current and future trends in psychology and chronic pain: time for a change?
    Lance M McCracken
    Health Psychology Section, Psychology Department, King s College London and INPUT Pain Management, Guy s and St Thomas NHS Foundation Trust, London, UK
    Pain Manag 4:113-21. 2014
    ..This integration could be helped by an appropriately designed and appropriately organizing theoretical model. It is suggested that what is called the psychological flexibility model could provide such a point of integration. ..
  3. doi request reprint The psychological flexibility model: a basis for integration and progress in psychological approaches to chronic pain management
    Lance M McCracken
    Health Psychology Section, Psychology Department, Institute of Psychiatry, King s College London and INPUT Pain Management Centre, Guy s and St Thomas NHS Foundation Trust, London, United Kingdom Electronic address
    J Pain 15:221-34. 2014
    ..The scientific strategy associated with this model seeks to find limitations in current models and to update them. It is assumed within this strategy that all current treatment approaches will one day appear lacking and will change...
  4. pmc A trial of a brief group-based form of acceptance and commitment therapy (ACT) for chronic pain in general practice: pilot outcome and process results
    Lance M McCracken
    Health Psychology Section, Psychology Department, King s College London, London, United Kingdom INPUT Pain Management, Guy s and St Thomas Hospitals, London, United Kingdom Electronic address
    J Pain 14:1398-406. 2013
    ..A larger trial of ACT delivered in primary care, in the format employed here, appears feasible with some recommended adjustments in the methods used here (Trial registration: ISRCTN49827391)...
  5. pmc Testing the credibility, feasibility and acceptability of an optimised behavioural intervention (OBI) for avoidant chronic low back pain patients: protocol for a randomised feasibility study
    Tamar Pincus
    Department of Psychology, University of London, Royal Holloway, Egham, Surrey TW20 0EX, UK
    Trials 14:172. 2013
    ..There is therefore a need to test theoretically driven interventions that focus on specific high-risk sub-groups, in which the intervention is delivered at full integrity against a credible control...
  6. doi request reprint Committed action: an application of the psychological flexibility model to activity patterns in chronic pain
    Lance M McCracken
    Psychology Department, King s College London and INPUT Pain Management Centre, Guy s and St Thomas Hospital NHS Foundation Trust, London, UK
    J Pain 14:828-35. 2013
    ..In regression analyses the CAQ was able to account for significant variance in depression, social functioning, mental health, vitality, and general health, beyond the contributions of pain and acceptance of pain...
  7. doi request reprint Training for general practitioners in opioid prescribing for chronic pain based on practice guidelines: a randomized pilot and feasibility trial
    Lance M McCracken
    Centre for Pain Services, Royal National Hospital for Rheumatic Diseases, Bath, United Kingdom
    J Pain 13:32-40. 2012
    ..Finally, processes of psychological flexibility before and after training significantly correlated with measures of GP well-being, providing partial support for the relevance of these processes as a focus in GP training...
  8. doi request reprint Treatment for chronic pain for adults in the seventh and eighth decades of life: a preliminary study of Acceptance and Commitment Therapy (ACT)
    Lance M McCracken
    Centre for Pain Services, Royal National Hospital for Rheumatic Diseases, University of Bath, Bath, UK
    Pain Med 13:860-7. 2012
    ..The purpose of this study was to examine results for older adults attending treatment based on Acceptance and Commitment Therapy (ACT) for chronic pain. Both clinical outcome and treatment process variables were examined...
  9. doi request reprint 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...
  10. doi request reprint 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...
  11. ncbi request reprint 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
    ....
  12. ncbi request reprint 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...
  13. doi request reprint 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...
  14. doi request reprint 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...
  15. doi request reprint 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...
  16. ncbi request reprint 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...
  17. ncbi request reprint 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
    ..The value of various mental, mechanical, behavior-focused, and contextual models of attention in chronic pain is discussed...
  18. doi request reprint 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...
  19. ncbi request reprint 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...
  20. ncbi request reprint 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
    ....
  21. ncbi request reprint 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...
  22. ncbi request reprint 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...
  23. doi request reprint Acceptance and values-based treatment of adolescents with chronic pain: outcomes and their relationship to acceptance
    Jeremy Gauntlett-Gilbert
    Bath Centre for Pain Services, Royal National Hospital for Rheumatic Diseases, Bath, BA1 1RL, UK
    J Pediatr Psychol 38:72-81. 2013
    ..This study examines the effects of Acceptance and Commitment Therapy (ACT) treatment on a severely disabled group of adolescents with chronic pain, examining relationships between outcome and acceptance...
  24. doi request reprint 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
    ....
  25. ncbi request reprint 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...
  26. doi request reprint Concerns about medication and medication adherence in patients with chronic pain recruited from general practice
    Benjamin A Rosser
    Bath Centre for Pain Research, University of Bath, Bath, UK
    Pain 152:1201-5. 2011
    ..Training general practitioners to identify and address these concerns may reduce concerns, improve adherence, and facilitate the doctor-patient relationship...
  27. doi request reprint Processes of change in psychological flexibility in an interdisciplinary group-based treatment for chronic pain based on Acceptance and Commitment Therapy
    Lance M McCracken
    Centre for Pain Services, Royal National Hospital for Rheumatic Diseases, Upper Borough Walls, Bath BA1 1RL, UK
    Behav Res Ther 49:267-74. 2011
    ..The current study clarifies potential processes of change in treatment for chronic pain, particularly those aiming to enhance psychological flexibility...
  28. ncbi request reprint 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...
  29. ncbi request reprint 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...
  30. doi request reprint Role of psychological flexibility in parents of adolescents with chronic pain: development of a measure and preliminary correlation analyses
    Lance M McCracken
    Centre for Pain Services, Royal National Hospital for Rheumatic Diseases Centre for Pain Research, University of Bath, Bath, UK
    Pain 152:780-5. 2011
    ..It seems potentially applicable for parent training in the context of adolescent chronic pain...
  31. ncbi request reprint 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...
  32. doi request reprint 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...
  33. doi request reprint "Decentering" reflects psychological flexibility in people with chronic pain and correlates with their quality of functioning
    Lance M McCracken
    Centre for Pain Services, Royal National Hospital for Rheumatic Diseases and Centre for Pain Research, University of Bath, Bath, United Kingdom
    Health Psychol 32:820-3. 2013
    ..This study examines relations of decentering with other processes related to "psychological flexibility" and the daily functioning of people with chronic pain...
  34. doi request reprint Acceptance and related processes in adjustment to chronic pain
    Miles Thompson
    Centre for Pain Services, Royal National Hospital for Rheumatic Diseases, Upper Borough Walls, Bath BA11RL, UK
    Curr Pain Headache Rep 15:144-51. 2011
    ..The review also notes how work in this area is drawing attention to the wider concept of "psychological flexibility," an overarching process that includes other component processes, such as mindfulness and values...
  35. doi request reprint Psychological advances in chronic pain: a concise selective review of research from 2010
    Lance M McCracken
    Bath Centre for Pain Services, Royal National Hospital for Rheumatic Diseases, Bath, UK
    Curr Opin Support Palliat Care 5:122-6. 2011
    ..There are many different theories and variables and the volume of literature is vast. The purpose of this review is to highlight some key trends in this research in 2010...
  36. ncbi request reprint 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 request reprint Further development of an instrument to assess psychological flexibility in people with chronic pain
    Lance M McCracken
    Centre for Pain Service, Royal National Hospital for Rheumatic Disease, University of Bath, Bath BA1 1RL, UK
    J Behav Med 33:346-54. 2010
    ..These analyses provide additional support for the relevance of psychological flexibility to the problem of chronic pain, as well as initial evidence for the BPRI as a measure of this process...
  38. doi request reprint Psychological flexibility may reduce insomnia in persons with chronic pain: a preliminary retrospective study
    Lance M McCracken
    Centre for Pain Services, Royal National Hospital for Rheumatic Diseases and Centre for Pain Research, University of Bath, Bath, UK
    Pain Med 12:904-12. 2011
    ..Research into insomnia with chronic pain sufferers has not yet examined the role of psychological flexibility, a process from acceptance and commitment therapy. We examined this role...
  39. ncbi request reprint 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..
  40. doi request reprint Psychological flexibility in coping with chronic pain: further examination of the brief pain coping inventory-2
    Kevin E Vowles
    Department of Psychology, University of New Mexico, Albuquerque, NM Psychology Department, Institute of Psychiatry, King s College, London Interdisciplinary Musculoskeletal Pain Assessment and Community Treatment IMPACT Service, The Haywood Hospital and Arthritis Research UK Primary Care Centre, Keele University, Staffordshire, UK
    Clin J Pain 30:324-30. 2014
    ....
  41. doi request reprint Acceptance and commitment therapy and mindfulness for chronic pain: Model, process, and progress
    Lance M McCracken
    Psychology Department, Institute of Psychiatry, King s College London
    Am Psychol 69:178-87. 2014
    ..Three specific recommendations are offered here to achieve this progress. (PsycINFO Database Record (c) 2014 APA, all rights reserved). ..