Acceptance and commitment therapy for chronic pain

Vowles, Kevin E.; Thompson, Miles

doi:10.1037/e558122009-002

Cited by 22 publications

(31 citation statements)

References 39 publications

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“…The completion rate of 70% is comparable to our previous studies of ICBT for other patient groups, including IBS , social anxiety disorder , and obsessive -compulsive disorder , indicating that ICBT is as acceptable to FM patients as it is to other patient groups. While traditional CBT protocols for chronic pain generally rely on coping strategies to manage symptoms and stress (Vowles & Thompson, 2011), the treatment in the present study emphasized acceptance and exposure strategies to improve the ability to act in accordance with values and long-term goals. Given the pilot nature if this trial, results should be interpreted with caution, but we note that the pre-to post-treatment withingroup effect sizes obtained on measures of FM Glombiewski et al (2010) as well as the recent study of Internet-delivered ACT for chronic pain (Buhrman et al, 2013).…”

Section: Discussionmentioning

confidence: 98%

Internet-Delivered Acceptance and Values-Based Exposure Treatment for Fibromyalgia: A Pilot Study

Ljótsson

Atterlöf

Lagerlöf

et al. 2013

Cognitive Behaviour Therapy

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Section: Discussionmentioning

confidence: 98%

Internet-Delivered Acceptance and Values-Based Exposure Treatment for Fibromyalgia: A Pilot Study

Ljótsson

Atterlöf

Lagerlöf

et al. 2013

Cognitive Behaviour Therapy

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“…A recent example is that of Acceptance and Commitment Therapy (ACT; Hayes, Strosahl, & Wilson, 2012), which has amassed considerable evidence with regard to treatment effectiveness (see Vowles & Thompson, 2011 for a review) and is considered an intervention with “strong” empirical support according to the American Psychological Association’s (APA) Division of Clinical Psychology (APA, 2013). In attempting to change responses to the experience of persistent pain, the overarching focus of ACT is to assist pain sufferers in engaging in a flexible and persistent pattern of values-directed behavior while in contact with continuing pain and discomfort, particularly when efforts to control or reduce pain or discomfort have failed in the past or contributed to greater difficulties over the longer term (McCracken, 2005; McCracken & Vowles, 2014; Vowles & Thompson, 2011). Change in pain responses has, thus far, been operationalized in two ways: (1) reducing the occurrence of pain control efforts and (2) increasing the frequency of activities that directly contribute to valued living.…”

Section: Introductionmentioning

confidence: 99%

Acceptance and Commitment Therapy for chronic pain: A diary study of treatment process in relation to reliable change in disability

Vowles

Fink

Cohen

2014

Journal of Contextual Behavioral Science

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In chronic pain treatment, a primary goal is reduced disability. It is often assumed that a central process by which disability reduction occurs is pain reduction. Conversely, approaches such as Acceptance and Commitment Therapy (ACT) posit that pain reduction is not necessary for reduced disability. Instead, disability reduction occurs when responses to pain are changed, such that as unsuccessful struggles for pain control decreases and engagement in personally-valued activities increases. Treatment outcome studies have supported ACT’s effectiveness; however, less work has examined how within-treatment patterns of change relate to treatment success or failure (i.e., decreased or sustained disability). The present study, therefore, sought to examine this issue. Specifically, struggles for pain control and engagement in valued activities were recorded weekly in 21 patients who completed a four week interdisciplinary ACT intervention for chronic pain. It was hypothesized that the presence or absence of reliable change in disability at a three month follow-up would be predicted by within treatment patterns of change in the weekly data. At follow-up, 47.6% of patients evidenced reliable disability reduction. The expected pattern of change occurred in 81.0% of patients–specifically, when pain control attempts decreased and engagement in valued activities increased, reliably reduced disability typically occurred, while the absence of this pattern was typically associated with a lack of reliable change. Further, changes in pain intensity, also assessed weekly, were unrelated to reliable change. Overall, these results provide additional support for the ACT model and further suggest some possible requirements for treatment success.

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“…Parmi les processus de la flexibilité psychologique, le concept d'acceptation est le plus étudié (Vowles et Thompson, 2011). Pour mesurer l'acceptation de la douleur, le Questionnaire d'acceptation de la DC (CPAQ, McCracken, Vowles et al, 2004) est le mieux validé actuellement (Reneman, Dijkstra, Dijkstra et Pieter, 2010) et une version francophone est en processus de validation (Whitney, Bernier, Garland et Sullivan, 2013).…”

Section: L'ouverture Relativement à La Douleurunclassified

“…L'évolution des TCC dans la prise en charge de la DC L'évolution observée dans le traitement psychologique de la DC suit les mêmes avancées que ceux des TCC, qui peuvent être décrits comme trois grandes vagues (Vowles et Thompson, 2011). La première vague correspond à l'approche comportementale basée sur les principes d'apprentissages opérant et répondant (voir par exemple Monestès et Serra, 2005).…”

Section: Introductionunclassified

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Mieux vivre avec la douleur chronique grâce à la thérapie d’acceptation et d’engagement

Dionne

Blais

Monestès³

2014

smq

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Cet article vise à présenter les particularités de la thérapie d’acceptation et d’engagement (Acceptance and Commitment Therapy ou « ACT ») dans l’intervention auprès de patients souffrant de douleur chronique. Il décrit le contexte historique du développement des thérapies comportementales et cognitives dans ce domaine et présente les fondements théoriques de l’ACT. Il introduit les composantes d’une intervention basée sur l’acceptation et la pleine conscience en visitant plusieurs concepts du modèle de la flexibilité psychologique. Enfin, il synthétise un certain nombre de données probantes provenant des études expérimentales, corrélationnelles et cliniques qui appuient l’utilisation de l’ACT dans le domaine de la douleur chronique.Objectives: The purpose of this article is to present the characteristics of the Acceptance and Commitment Therapy (ACT) for the treatment of chronic pain. The historical context of the development of cognitive and behavioural therapy (CBT) for chronic pain will be described and the theoretical aspects of ACT will be introduced. The components of an acceptance and mindfulness based treatment will also be presented by exploring various processes of the psychological flexibility model. Finally, the article will summarize the scientific evidence supporting ACT based on experimental, correlational and clinical studies in the field of chronic pain.Method: The theoretical aspects underlying ACT, as well as its clinical components in the specific domain of chronic pain were described based on major books in this area, such as McCracken (2005) and Dahl et al. (2005). A descriptive literature review was undertaken to explore the data on the efficacy of ACT for the treatment of chronic pain. Psycinfo and Medline, as well as the Association for Contextual Science website were analyzed for relevant articles. The key search terms were: “Acceptance and Commitment Therapy” or “ACT” or “acceptance” or “mindfulness” or “defusion” and “chronic pain” or “pain.” The reference lists of the articles retrieved were also analyzed. The articles that were not in English or French were excluded as well as those that were not specific to ACT and chronic pain. Results: Results show that ACT is a relevant and empirically supported approach that may be used as a complement to CBT strategies in the treatment of chronic pain. There is growing evidence stemming from experimental and correlational studies that support the majority of the ACT processes. Clinical studies undertaken in the field of chronic pain from different backgrounds support the efficacy of ACT for the management of this condition. Conclusion: ACT is a promising and evidence-based approach for the treatment of chronic pain. More research is needed to further validate its theoretical model and further refine our understanding of how ACT could be effective for the management of chronic pain and enhance quality of life for people who suffer from this health condition. For now, ACT is considered to be as effective as traditional cognitive and behavioral ...

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Acceptance and commitment therapy for chronic pain

Cited by 22 publications

References 39 publications

Internet-Delivered Acceptance and Values-Based Exposure Treatment for Fibromyalgia: A Pilot Study

Internet-Delivered Acceptance and Values-Based Exposure Treatment for Fibromyalgia: A Pilot Study

Acceptance and Commitment Therapy for chronic pain: A diary study of treatment process in relation to reliable change in disability

Mieux vivre avec la douleur chronique grâce à la thérapie d’acceptation et d’engagement

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