Baseline Psychological Inflexibility Moderates the Outcome Pain Interference in a Randomized Controlled Trial on Internet-based Acceptance and Commitment Therapy for Chronic Pain
This study re-investigated data of a randomized controlled trial on Internet-based Acceptance and Commitment Therapy for chronic pain (ACTonPain). Baseline psychological inflexibility was examined as a moderator of the outcome pain interference. In the ACTonPain trial, participants with chronic pain were randomized to one of three conditions: guided Internet-based ACT (n = 100), unguided Internet-based ACT (n = 101), and waitlist (n = 101).
Current status of Acceptance and Commitment Therapy (ACT) for chronic pain: A narrative review.
It is well known that chronic pain is prevalent, complex to manage, and associated with high costs, in health care and society in general. Thanks to advances in new forms of cognitive behavioral therapy (known as third-wave CBT), currently clinicians and researchers have an empirically validated psychological treatment with increasing research support for the treatment of chronic pain. This treatment is called acceptance and commitment therapy (ACT).
Zetterqvist, V., Grudin, R., Rickardsson, J., Wicksell, R. K., & Holmström, L. (2018) Acceptance-based behavioural treatment for insomnia in chronic pain: A clinical pilot study.
Background
Carvalho, S. A., Palmeira, L., Pinto-Gouveia, J., Gillanders, D., & Castilho, P. (2018) The utility of the Valuing Questionnaire in Chronic Pain.
Existing measures of valued living present several limitations: 1) focus on values in life domains, 2) potentially overlap with satisfaction with life, or 3) do not measure obstacles to valued living. The Valuing Questionnaire (VQ) is a 10-item tool of valued living, able to measure Progress in and Obstructions to valued living.
Kemani, M. (2015) Efficacy and Processes of Change in Acceptance and Commitment Therapy for Chronic Pain. (Dissertation) Karolinska Institutet, Stockholm, Sweden.
Background:
Thorsell Cederberg, J., Cernvall, M., Dahl, J., von Essen, L., and Ljungman, G. (2016) Acceptance as a Mediator for Change in Acceptance and Commitment Therapy for Persons with Chronic Pain? International Journal of Behavioral Medicine Vol 23, no 1, p 21
Background
Cognitive behavior therapy (CBT) is considered effective for chronic pain, but little is known about active treatment components. Although acceptance correlates with better health outcomes in chronic pain patients, no study has examined its mediating effect in an experimental design.
Purpose
Thorsell Cederberg, J. (2017) Acceptance for persons suffering from pain. Evaluation of acceptance-based interventions for adults with chronic pain and children with cancer experiencing acute pain. (Doctoral Dissertation). Uppsala University, Sweden.
It is increasingly clear that pain and emotions are closely interconnected. Pain does not only
cause psychological distress, but psychological distress also amplifies pain through neurological
mechanisms. Treatment of both chronic and acute pain would benefit from acknowledging
the psychological mechanisms of pain neurophysiology. Psychological acceptance predicts
Acceptance and commitment therapy for chronic pain
Objective: To describe Acceptance and Commitment Therapy (ACT) and its application in the treatment of chronic pain. Methods: Review of the theoretical and clinical literature and presentation of a case example. Results: General cognitive behavioral approaches for chronic pain have a consistent and large evidence base supporting their benefits. Even so, these treatments continue to develop with the aim to improve.
The Psychological Inflexibility in Pain Scale (PIPS) – validation, factor structure and comparison to the Chronic Pain Acceptance Questionnaire (CPAQ) and other validated measures in German chronic back pain patients
Background
Acceptance and Commitment Therapy (ACT) for pain offers an alternative to traditional Cognitive Behavioural Therapy (CBT) approaches. ACT focuses on the enhancement of ‘psychological flexibility’ that enables individuals to pursue their values and goals despite pain. To assess specific treatment effect or mediators and moderators of change, questionnaires measuring ACT constructs are needed.