Physical Activity of Patients With Chronic Pain Receiving Acceptance and Commitment Therapy or Cognitive Behavioural Therapy

2014 ◽  
Vol 31 (2) ◽  
pp. 131-143 ◽  
Author(s):  
Katherine VanBuskirk ◽  
Scott Roesch ◽  
Niloofar Afari ◽  
Julie Loebach Wetherell
Keyword(s):  
Physical Activity ◽  
Chronic Pain ◽  
Cognitive Behavioural Therapy ◽  
Acceptance And Commitment Therapy ◽  
Psychological Treatment ◽  
Behavioural Therapy ◽  
Tailored Interventions ◽  
Commitment Therapy ◽  
Acceptance And Commitment ◽  
Cognitive Behavioural

Physical activity is positively related to various indices of quality of life and is found to reduce symptoms in individuals with chronic pain. This manuscript presents findings from a post hoc analysis investigating whether treatment-related improvements from psychological treatment for chronic pain are mediated by changes in physical activity (PA). Secondary analyses sought to determine predictor variables of PA in patients with chronic pain and to determine the relationship between objective and self-report measurements of PA. The effect of psychological treatment on physical activity was assessed using accelerometers in a sample of participants with chronic pain in a randomised controlled trial comparing 8 weeks of acceptance and commitment therapy (ACT) to cognitive behavioural therapy (CBT). Participants wore actigraph accelerometers for 7 consecutive days at baseline, post-treatment, and at 6-month follow-up. Hierarchical linear modelling analyses found that the variance in physical activity was not significantly predicted by time (b = 104.67, p = .92) or treatment modality (b = −1659.34, p = .57). Women had greater increases in physical activity than did men (b = 6804.08, p = .02). Current ‘gold standard’ psychological treatments for chronic pain were not found to significantly increase physical activity, an important outcome to target in the treatment of physical and mental health. These results suggest that tailored interventions with greater emphasis on exercise may complement psychological treatment for chronic pain. In particular, gender-tailored interventions may capitalise on physical activity differences found between men and women.

scholarly journals The practice of mindfulness: from Buddhism to secular mainstream in a post-secular society

2012 ◽  
Vol 24 ◽  
pp. 48-61 ◽  
Author(s):  
Liselotte Frisk
Keyword(s):  
Cognitive Behavioural Therapy ◽  
Acceptance And Commitment Therapy ◽  
Personal Development ◽  
Religious Practice ◽  
Behavioural Therapy ◽  
Commitment Therapy ◽  
Acceptance And Commitment ◽  
Cognitive Behavioural ◽  
Western Psychology ◽  
Secular Society

The article focuses on the practice of mindfulness, which has migrated from being part of a religion, Buddhism, to being an integral part of Western psychology. Mindfulness is especially used in cognitive behavioural therapy, but also in, e.g., dialectical behavioural therapy (DBT) and acceptance and commitment therapy (ACT). In Sweden several doctors, psychologists and psychiatrists use and recommend mindfulness for therapeutic purposes. Mindfulness is used today in many segments of mainstream medical and therapeutic care. Mindfulness is also used outside the mainstream medical and therapeutic sector, in the area of personal development or spirituality, as well as in more traditional Buddhist groups and innovative Buddhist groups such as vipassana groups. This paper investigates the migration of mindfulness from a religious to a secular sphere, and discusses whether mindfulness is a religious practice or not.

scholarly journals Introduction to acceptance and commitment therapy

2011 ◽  
Vol 17 (4) ◽  
pp. 309-316 ◽  
Author(s):  
Mark Webster
Keyword(s):  
Acceptance And Commitment Therapy ◽  
Behavioural Change ◽  
Behavioural Therapy ◽  
Commitment Therapy ◽  
Acceptance And Commitment ◽  
Cognitive Behavioural ◽  
Wide Range ◽  
Core Components ◽  
Clinical Conditions ◽  
Behavioural Repertoire

SummaryAcceptance and commitment therapy (ACT) is a descendant of cognitive-behavioural therapy (CBT). The model draws techniques from a wide variety of sources and unites them within a philosophical and scientific framework to create a principle-driven therapy. Psychopathology is understood as a narrowing behavioural repertoire that develops over time through maladaptive strategies to cope with unwanted private events. The six core components of the therapy remain consistent across a wide range of clinical conditions. The approach combines processes of acceptance and mindfulness with those of commitment and behavioural change to produce increased psychological flexibility and an expanded behavioural repertoire. Since its introduction in 1999 an increasing number of trials show promising results for a wide range of conditions.

scholarly journals The Role of Acceptance and Commitment Therapy in Cardiovascular and Diabetes Healthcare: A Scoping Review

2021 ◽  
Vol 18 (15) ◽  
pp. 8126
Author(s):  
Amineh Rashidi ◽  
Lisa Whitehead ◽  
Lisa Newson ◽  
Felicity Astin ◽  
Paramjit Gill ◽  
...  
Keyword(s):  
Acceptance And Commitment Therapy ◽  
Scoping Review ◽  
Behavioural Therapy ◽  
Post Intervention ◽  
Commitment Therapy ◽  
Acceptance And Commitment ◽  
Cognitive Behavioural ◽  
Scoping Reviews ◽  
Patient Reported ◽  
Randomised Controlled

Acceptance and commitment therapy (ACT) is an adapted form of cognitive behavioural therapy. ACT focuses on how thinking affects behaviour and promotes psychological flexibility. The prevalence of psychological distress among people living with cardiovascular disease (CVD) and/or type 2 diabetes mellitus (T2DM) is high, and ACT may offer an alternative treatment approach. This scoping review explored the use of ACT as an intervention to support adults living with CVD and/or T2DM. A systematic search of the literature resulted in the inclusion of 15 studies. Studies were reviewed using the Joanna Briggs Institute approach to conducting scoping reviews. Most studies (n = 13) related to people living with T2DM, and most (n = 10) used a pre-post design, four studies were randomised controlled trials, and one was a qualitative study. Eight studies reported an improvement in the outcome(s) assessed post-intervention, suggesting that ACT was an acceptable and valid intervention to support people living with CVD or T2DM. However, studies were underpowered and only limited studies involved people living with CVD. ACT was assessed as a valuable approach to improve a range of patient-reported outcomes for those living with CVD or T2DM, and further research involving robust study designs and larger cohorts are warranted.

scholarly journals Do quality of life, anxiety, depression and acceptance improve after interdisciplinary pain rehabilitation? A multicentre matched control study of acceptance and commitment therapy-based versus cognitive–behavioural therapy-based programmes

2021 ◽  
Vol 49 (7) ◽  
pp. 030006052110274
Author(s):  
Marcelo Rivano Fischer ◽  
Marie-Louise Schult ◽  
Monika Löfgren ◽  
Britt-Marie Stålnacke
Keyword(s):  
Quality Of Life ◽  
Chronic Pain ◽  
Acceptance And Commitment Therapy ◽  
Depression Scale ◽  
Life Questionnaire ◽  
Commitment Therapy ◽  
Acceptance And Commitment ◽  
Cognitive Behavioural ◽  
Health Related

Objective Interdisciplinary pain rehabilitation (IPR) usually employs a cognitive–behavioural therapeutic (CBT) approach. However, there is growing support for chronic pain treatments based on acceptance and commitment therapy (ACT). Most studies of ACT and CBT for chronic pain have evaluated their effects after psychological interventions, not after IPR. We compared the results of an ACT-based IPR programme with two CBT-based IPR programmes. Methods We used a retrospective multicentre pretest–posttest design with matched patient groups at three centres. Data were collected from the Swedish Quality Registry for Pain Rehabilitation before and after IPR participation. Participants completed the EQ-5D health-related quality of life questionnaire, the Chronic Pain Acceptance Questionnaire, (CPAQ) and the Hospital Anxiety and Depression Scale (HADS). Analyses were performed to compare the effects of the different interventions. Results Neither EQ-5D nor HADS depression scores were affected by the psychological approach used. The score changes on both CPAQ subscales (activity engagement and pain willingness) indicated significant improvements between admission and discharge at all centres. Conclusions These findings indicate the effectiveness of using psychological approaches to manage chronic pain. Both CBT and ACT had a beneficial effect on most of the assessed health-related parameters.

scholarly journals Cognitive behavioral psychotherapeutic treatment at a psychiatric trauma clinic for refugees: description and evaluation

2018 ◽  
Vol 25 (1) ◽  
pp. 16
Author(s):  
Cæcilie Buhmann ◽  
Ida Andersen ◽  
Erik Lykke Mortensen ◽  
Jasmina Ryberg ◽  
Merete Nordentoft ◽  
...  
Keyword(s):  
Acceptance And Commitment Therapy ◽  
Behavioral Therapy ◽  
Behavioural Therapy ◽  
Cognitive Behavioral ◽  
Psychotherapeutic Treatment ◽  
Commitment Therapy ◽  
Acceptance And Commitment ◽  
Cognitive Behavioural ◽  
Co Morbidity ◽  
Before And After

Introduction: Cognitive behavioural therapy (CBT) with trauma focus is the most evidence supported psychotherapeutic treatment of PTSD, but few CBT treatments for traumatized refugees have been described in detail. Purpose: To describe and evaluate a manualized cognitive behavioral therapy for traumatized refugees incorporating exposure therapy, mindfulness and acceptance, and commitment therapy. Material and methods: 85 patients received six months’ treatment at a Copenhagen Trauma Clinic for Refugees and completed self-ratings before and after treatment. The treatment administered to each patient was monitored in detail. The changes in mental state and the treatment components associated with change in state were analyzed statistically. Results: Despite the low level of functioning and high co-morbidity of patients, 42% received highly structured CBT, which was positively associated with all treatment outcomes. The more methods used and the more time each method was used, the better the outcome. The majority of patients were able to make homework assignments and this was associated with better treatment outcome. Correlation analysis showed no association between severity of symptoms at baseline and the observed change. Conclusion: The study suggests that CBT treatment incorporating mindfulness and acceptance and commitment therapy is promising for traumatized refugees and punctures the myth that this group of patients are unable to participate fully in structured CBT. However, treatment methods must be adapted to the special needs of refugees and trauma exposure should be further investigated. 

Internet-Delivered Acceptance and Commitment Therapy for Adolescents with Chronic Pain and Their Parents: A Nonrandomized Pilot Trial

2020 ◽  
Vol 45 (9) ◽  
pp. 990-1004
Author(s):  
Vendela Zetterqvist ◽  
Charlotte Gentili ◽  
Jenny Rickardsson ◽  
Isabel Sörensen ◽  
Rikard K Wicksell
Keyword(s):  
Chronic Pain ◽  
Acceptance And Commitment Therapy ◽  
Psychological Treatment ◽  
Pilot Trial ◽  
Evidence Base ◽  
Recruitment Rate ◽  
Outcome Evaluation ◽  
Commitment Therapy ◽  
Acceptance And Commitment

Abstract Background Acceptance and Commitment Therapy (ACT) is an empirically supported treatment for chronic pain in adults. There is also a small but growing evidence base of ACT for pediatric chronic pain. However, because of limited access to psychological treatment for pain, and geographical distances from pain facilities, many patients will not receive such treatment. Objective The aim of the study was to evaluate the feasibility and preliminary effects of an internet-delivered ACT for adolescents with chronic pain, and their parents. Methods In this nonrandomized pilot study 28 self-recruited adolescents, aged 13–17 years, received 8 weeks of internet-delivered ACT, while outcomes were assessed at pre-, posttreatment, and at follow-up (17–25 weeks). Parents of the adolescents received an 8-week internet-delivered parental program, and their outcomes were assessed at the same timepoints. Both treatments were guided by a therapist experienced in ACT and chronic pain. Results Some threats to feasibility were identified such as slow recruitment rate, low compliance and a delay in completion of follow-up assessments. Preliminary outcome evaluation showed that adolescents showed a large significant improvement on their main outcome (pain interference, d = 1.09), and parents a medium improvement on their main outcome, pain reactivity (d = 0.70). Improvements were also seen in adolescents’ depressive symptoms and insomnia severity. Conclusion The preliminary results of internet-delivered ACT are promising with regards to improvements in adolescent and parent outcome. Measures to improve feasibility are needed prior to conducting a larger randomized trial.

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