Psychological flexibility, acceptance and commitment therapy, and chronic pain

Scott, Whitney; McCracken, Lance M.

doi:10.1016/j.copsyc.2014.12.013

Cited by 64 publications

(48 citation statements)

References 55 publications

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“…Moreover, processes of psychological flexibility were associated with better physical, psychosocial, and emotional functioning at pre-treatment (8). This pattern of findings is similar to those observed in younger adults with chronic pain (18,23). These findings suggest that processes of psychological flexibility are also relevant targets of intervention for older adults with chronic pain.…”

Section: Introductionsupporting

confidence: 74%

Treatment of Chronic Pain for Adults 65 and Over: Analyses of Outcomes and Changes in Psychological Flexibility Following Interdisciplinary Acceptance and Commitment Therapy (ACT)

Scott

Daly

et al. 2016

Pain Med

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Objective: The purpose of this study was to examine the effectiveness of Acceptance and Commitment Therapy (ACT) for older adults with chronic pain. Secondarily, we examined the associations between changes on processes of psychological flexibility and treatment outcome variables.Subjects: Participants were 60 adults with chronic pain aged 65 and older selected from a larger consecutive sample of 928 adults of any age. All participants had longstanding pain that was associated with significant distress and disability.Methods: Participants completed measures of pain, functioning, and depression, and processes of psychological flexibility at baseline, immediately post-treatment, and at a nine month follow-up. Treatment consisted of a two or four week residential program based on principles of ACT delivered by an interdisciplinary team. Treatment was designed to increase daily functioning by enhancing key processes of psychological flexibility, including openness, awareness, and committed action.Results: Participants showed significant improvements in functioning and mental health at posttreatment. Participants also showed significant increases in pain acceptance and committed action from pre-to post-treatment. Small effect sizes were observed for most treatment outcome and process variables in the pre-treatment to follow-up intervals; however, these improvements were not statistically significant. In secondary analyses, changes in facets of psychological flexibility were significantly associated with improvements in social functioning and mental health.Chronic pain in older adults 3Conclusion: This study supports the potential effectiveness of ACT for chronic pain among older adults. Future research is needed to determine how to maximize the impact of this treatment, particularly through greater impact on psychological flexibility.

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Section: Introductionsupporting

confidence: 74%

Treatment of Chronic Pain for Adults 65 and Over: Analyses of Outcomes and Changes in Psychological Flexibility Following Interdisciplinary Acceptance and Commitment Therapy (ACT)

Scott

Daly

et al. 2016

Pain Med

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“…As Scott and McCracken (2015) put it, "…psychological inflexibility is the overall process of excessive, typically restrictive, influence of cognitive, emotional, or sensory experiences on behavior, which contributes to 'unworkable' patterns of behavior" (p. 92; see also McCracken & Morley, 2014). People low in psychological flexibility tend to report high levels of psychological distress (Bond et al, 2011), tolerate and endure less pain (Zettle et al, 2005), and use maladaptive coping strategies to deal with stress (e.g., denial; Karekla & Panayiotou, 2011) compared to those high in psychological flexibility.…”

Section: Psychological Flexibilitymentioning

confidence: 99%

How do we cope with ostracism? Psychological flexibility moderates the relationship between everyday ostracism experiences and psychological distress

Waldeck

Tyndall

Riva

et al. 2017

Journal of Contextual Behavioral Science

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“…This therapy includes a wide variety of methods that foster psychological flexibility, generally including exposure-based techniques, metaphors, mindfulness, and more conventional behavioral activation or skills training. 12,23,25,31 A-Tjak and colleagues meta-analysed 39 studies and indicated that ACT outperforms control conditions (Hedges' g = 0.57) in the global analysis of primary clinical outcome measures across pooled time points and types of disorders. 2 ACT was also superior to control conditions on secondary outcome measures (Hedges' g = 0.30).…”

Section: Introductionmentioning

confidence: 99%

Cost-Utility of Group Acceptance and Commitment Therapy for Fibromyalgia Versus Recommended Drugs: An Economic Analysis Alongside a 6-Month Randomized Controlled Trial Conducted in Spain (EFFIGACT Study)

Luciano

D’Amico

Feliu‐Soler

et al. 2017

The Journal of Pain

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Psychological flexibility, acceptance and commitment therapy, and chronic pain

Cited by 64 publications

References 55 publications

Treatment of Chronic Pain for Adults 65 and Over: Analyses of Outcomes and Changes in Psychological Flexibility Following Interdisciplinary Acceptance and Commitment Therapy (ACT)

Treatment of Chronic Pain for Adults 65 and Over: Analyses of Outcomes and Changes in Psychological Flexibility Following Interdisciplinary Acceptance and Commitment Therapy (ACT)

How do we cope with ostracism? Psychological flexibility moderates the relationship between everyday ostracism experiences and psychological distress

Cost-Utility of Group Acceptance and Commitment Therapy for Fibromyalgia Versus Recommended Drugs: An Economic Analysis Alongside a 6-Month Randomized Controlled Trial Conducted in Spain (EFFIGACT Study)

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