Psychological Treatment Targeting Acceptance and Compassion in Patients With Chronic Pain

Author:

Buhrman Monica1,Tillfors Maria2,Holländare Fredrik3,Lekström Emily1,Håkansson Alexander3,Boersma Katja34

Affiliation:

1. Department of Psychology, Uppsala University, Uppsala

2. Department of Social and Psychological Studies, Section of Psychology, Karlstad University, Karlstad

3. School of Medical Sciences

4. Center for Health and Medical Psychology, School of Law, Psychology and Social Work, Örebro University, Örebro, Sweden

Abstract

Objectives: Chronic pain is often associated with lower function. Self-criticism is associated with depressive symptoms. The purpose of this study was to explore if fusing Acceptance and Commitment Therapy and compassion-focused therapy could improve psychological well-being and disability in individuals with chronic pain with high levels of self-criticism in comparison to a wait-list control group. Methods: Individuals with chronic pain (n=71) were randomly assigned to an 8-week internet-based intervention focused on acceptance and compassion or a wait-list condition. Primary treatment outcomes were the Chronic Pain Acceptance Questionnaire, Self-Compassion Scale, and Pain Disability Index. Secondary outcomes were the Montgomery Åsberg Depression Rating Scale, Anxiety Sensitivity Index, Quality of Life Inventory, Multidimensional Pain Inventory, and Perseverative Thinking Questionnaire. Results: Missing data at postintervention were 22.5%. Intention-to-treat analyses were conducted using linear mixed models. The results revealed greater levels of acceptance and self-compassion for the treatment group, which were primary outcomes, with effect sizes ranging from small to large, and these results were maintained at 6-month follow-up. The rates of clinically significant improvements were also greater for the treatment group in comparison to the wait-list control group on acceptance and compassion. The treatment group also improved in the third primary outcome, pain disability. Significant differences were found in several of the secondary outcomes, in favor of the treatment group. Discussion: Internet-based Acceptance and Commitment Therapy with compassion-focused therapy components shows promise as a viable treatment option in the management of chronic pain.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Reference75 articles.

1. Psychological therapies for the management of chronic pain (excluding headache) in adults;Williams;Cochrane Database Syst Rev,2020

2. Internet interventions for chronic pain including headache: a systematic review;Buhrman;Internet Interv,2016

3. Can pain be managed through the Internet? A systematic review of randomized controlled trials;Bender;Pain,2011

4. Psychological therapies (Internet-delivered) for the management of chronic pain in adults;Eccleston;Cochrane Database Syst Rev,2014

5. Acceptance and Commitment Therapy and contextual behavioral science: examining the progress of a distinctive model of behavioral and cognitive therapy;Hayes;Behav Ther,2013

Cited by 1 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3