Guided internet-delivered acceptance and commitment therapy for chronic pain patients: A randomized controlled trial

Acceptance and commitment therapy (ACT) interventions for persons with chronic pain have recently received empirical support. ACT focuses on reducing the disabling influences of pain through targeting ineffective control strategies and teaches people to stay in contact with unpleasant emotions, sens...

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Bibliographic Details
Published in:	Behaviour research and therapy Vol. 51; no. 6; pp. 307 - 315
Main Authors:	Buhrman, Monica, Skoglund, Astrid, Husell, Josefin, Bergström, Kristina, Gordh, Torsten, Hursti, Timo, Bendelin, Nina, Furmark, Tomas, Andersson, Gerhard
Format:	Journal Article
Language:	English
Published:	Kidlington Elsevier Ltd 01-06-2013 Elsevier Elsevier Science Ltd
Subjects:	Acceptance Acceptance and commitment therapy Acceptance and Commitment Therapy - methods Adaptation, Psychological Adult Aged Behavior modification Behavior therapy. Cognitive therapy Biological and medical sciences Chronic pain Chronic Pain - psychology Chronic Pain - therapy Clinical trials Commitments Elektroteknik och elektronik Emotions Female Follow-Up Studies Guided self-help Humans Internet Internet-delivered CBT Interventions Klinisk medicin Male Medical sciences Medicin och hälsovetenskap Mental disorders Middle Aged Mindfulness Pain management Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Psykiatri Quality of Life Randomized controlled trials SAMHÄLLSVETENSKAP SOCIAL SCIENCES Surveys and Questionnaires Teknik Telekommunikation Treatment Outcome Treatments Unpleasant Guided self-help Internet-delivered CBT Acceptance and commitment therapy Mindfulness Chronic pain Human Cognitive therapy Controlled therapeutic trial Chronic Treatment Pain Selfcare Behavior therapy Internet
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Summary:	Acceptance and commitment therapy (ACT) interventions for persons with chronic pain have recently received empirical support. ACT focuses on reducing the disabling influences of pain through targeting ineffective control strategies and teaches people to stay in contact with unpleasant emotions, sensations, and thoughts. The aim of the present study was to investigate the effect of a guided internet-delivered ACT intervention for persons with chronic pain. A total of 76 patients with chronic pain were included in the study and randomized to either treatment for 7 weeks or to a control group that participated in a moderated online discussion forum. Intent-to-treat analyses showed significant increases regarding activity engagement and pain willingness. Measurements were provided with the primary outcome variable Chronic Pain Acceptance Questionnaire which was in favour of the treatment group. Reductions were found on other measures of pain-related distress, anxiety and depressive symptoms. A six month follow-up showed maintenance of improvements. We conclude that an acceptance based internet-delivered treatment can be effective for persons with chronic pain. •Internet-delivered acceptance and commitment therapy for chronic pain is investigated.•Chronic pain patients are randomized to a treatment or to a control group.•Internet-delivered ACT shows some promise as a treatment option for chronic pain.•The findings are important as it add to the literature on ACT and chronic pain.•Results add to the field examining cost-effective interventions for chronic pain.
Bibliography:	ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-News-1 ObjectType-Feature-3 content type line 23 ObjectType-Article-1 ObjectType-Feature-2
ISSN:	0005-7967 1873-622X 1873-622X
DOI:	10.1016/j.brat.2013.02.010