A clinical pilot study of individual and group treatment for adolescents with chronic pain and their parents: Effects of acceptance and commitment therapy on functioning
Pediatric chronic pain is common and can result in substantial long-term disability. Previous studies on acceptance and commitment therapy (ACT) have shown promising results in improving functioning in affected children, but more research is still urgently needed. In the current clinical pilot study, we evaluated an ACT-based interdisciplinary outpatient intervention (14 sessions), including a parent support program (four sessions).
Bendelin, N., Gerdle, B., & Andersson, G. (2018). Internet-delivered aftercare following multimodal rehabilitation program for chronic pain: a qualitative feasibility study. Journal of Pain Research, 11, 1715-1728.
Purpose: Methods for delivering aftercare to help chronic pain patients to continue practice self-management skills after rehabilitation are needed. Internet-delivered cognitive behavioral therapy (ICBT) has the potential to partly fill this gap given its accessibility and emphasis on self-care.
A feasibility study of brief group-based acceptance and commitment therapy for chronic pain in general practice: recruitment, attendance, and patient views
Background
Acceptance and commitment therapy (ACT), a form of cognitive-behavioral therapy, may help meet a need for accessible and cost-effective treatments for chronic pain. ACT has a growing evidence base, but has not yet been tested within general practice settings.
Aim
The purpose of the present study was to examine the feasibility of conducting a full-scale randomized controlled trial of ACT in general practice.
New generation psychological treatments in chronic pain
Chronic pain conditions are common and have a considerable impact on health and wellbeing. This impact can be reduced by cognitive behavioral therapy (CBT), the most commonly applied psychological approach to chronic pain. At the same time, CBT continues to develop, and now includes what is sometimes called “third wave” CBT.
Schenk, S., Genent, D., Hartenstein-Pinter, A. et al. (2022). Spezifische Therapiebedürfnisse junger Erwachsener mit chronischen Schmerzen, Ergebnisse einer qualitativen Interviewstudie [Specific therapy needs of young adults with chronic pain]
Hintergrund
Junge Erwachsene (JE) befinden sich in einer instabilen Lebensphase mit Beziehungsumbrüchen, wegfallenden Strukturen und großen Lebensherausforderungen. Chronische Schmerzen erschweren die Bewältigung dieses Lebensabschnitts aufgrund der funktionalen, emotionalen und sozialen Einschränkungen. Für diese Altersgruppe existieren kaum zielgruppenspezifische Therapieprogramme.
Balter, L.J.T., Lipsker, C.W., Wicksell, R.K. & Lekander, M. (2021). Neuropsychiatric Symptoms in Pediatric Chronic Pain and Outcome of Acceptance and Commitment Therapy. Frontiers in Psychology.
Considerable heterogeneity among pediatric chronic pain patients may at least partially explain the variability seen in the response to behavioral therapies.
Kang, H., Hwang, S., & Jun, S. (2019). 수용-전념 치료가 만성 통증 환자의 증상에 미치는 효과: 체계적 문헌고찰 및 메타분석 [Effectiveness of Acceptance and Commitment Therapy for Chronic Pain Patients: A Systematic Review and Meta-Analysis].
Purpose
The aims of this study was to evaluate the effects of acceptance and commitment therapy (ACT) for chronic pain patients.
Fei, D., Cui, Y., Shen, M., & Zhang, L. (2020). A meta-analysis of randomized controlled trials on acceptance and commitment therapy for chronic pain. Chinese Mental Health Journal, 34(8), 643-649.
目的:评价接纳承诺疗法(ACT)对慢性疼痛患者干预效果.方法:计算机检索Cochrane Library、JBI、EMbase、PubMed、PsycINFO、CINAHL、EBSCO、Springer-Link、SinoMed、知网、万方、维普等数据库,纳入符合标准的随机对照试验,进行文献的筛选、提取并进行质量评价,采用RevMan5.3进行数据分析.结果:共纳入14项随机对照试验(RCT),合计1037例研究对象.Meta分析结果显示:ACT能有效提高疼痛接受程度(MD=11.70,95％ CI:8.17～15.23,P＜0.001),降低疼痛强度(SMD=-0.33, 95％CI:-0.47～-0.19,P＜0.001),降低抑郁评分(SMD=-0.37,95％CI:-0.63～-0.12,P＜0.01),ACT对焦虑的疗效与对照组无差异(SMD=-0.13,95％CI:-0.27～0.02,P=0.10).结论:Meta分析结果显示接纳承诺疗法可能提高慢性疼痛患者的疼痛接受程度、降低患者疼痛强度以及缓解抑郁情绪.