A feasibility trial of online Acceptance and Commitment Therapy for women with provoked vestibulodynia
Author:
Maathz Pernilla1, McCracken Lance M.1, Eriksson Viktor1, Säde Fredrika1, Aneblom Gunilla2, Rikner Åsa3, Skalkidou Alkistis2, Buhrman Monica1
Affiliation:
1. Department of Psychology , Division of Clinical Psychology, Uppsala University , Uppsala , Sweden 2. Department of Women’s and Children’s Health , Uppsala University , Uppsala , Sweden 3. Women’s Health , University Hospital , Uppsala , Sweden
Abstract
Abstract
Objectives
Acceptance and Commitment Therapy (ACT) is an established treatment for chronic pain. However, it is a form of treatment that have not yet been applied much in the treatment of persistent vulvar pain disorders. This study examines the feasibility and preliminary effects of online ACT for patients with provoked vestibulodynia.
Methods
Women diagnosed with provoked vestibulodynia were assigned randomly either to online ACT or to a waitlist control group. Feasibility was assessed in terms of recruitment potential, treatment credibility, completions rates, retention in trial, and data quality. Participants completed measures of pain with sexual activity, sexual functioning, emotional and relational adjustment, and potential treatment processes before and after treatment.
Results
Of the 111 women who were invited to participate in the study, 44 were included (39.6 % recruitment rate). Thirty seven participants (84.1 %) completed the pre-treatment assessment. Participants who received online ACT rated treatment credibility positively, and completed on average 4.31 (SD=1.60) of the six treatment modules. Of participants, 34 provided post treatment data, giving a trial retention rate of 77 %. Effects of online ACT, as compared to waitlist, were large for pain acceptance and quality of life, medium for anxiety and pain catastrophizing, and small for sexual satisfaction, pain with sexual activity, and relationship adjustment.
Conclusions
With some adjustments to recruitment procedures, a full scale randomized controlled trial of online ACT for provoked vestibulodynia appears feasible.
Publisher
Walter de Gruyter GmbH
Subject
Anesthesiology and Pain Medicine,Neurology (clinical)
Reference45 articles.
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