Acceptance and Commitment Therapy and Mindfulness for Chronic Pain Model, Process, and Progress

• Published in: The American psychologist Vol. 69; no. 2; pp. 178 - 187
• Main Authors: McCracken, Lance M, Vowles, Kevin E
• Format: Journal Article
• Language: English
• Published: United States American Psychological Association 01-02-2014
• Subjects: Acceptance; Acceptance and Commitment Therapy; Acceptance and Commitment Therapy - methods; Behavior modification; Chronic illnesses; Chronic Pain; Chronic Pain - psychology; Chronic Pain - therapy; Cognition; Cognitive Behavior Therapy; Cognitive therapy; Cognitive Therapy - methods; Human; Humans; Mental health; Mindfulness; Mindfulness - methods; Models, Psychological; Pain; Pain management; Psychological factors; Research methods; Social psychology; Treatment Outcome; chronic pain; acceptance and commitment therapy; mindfulness; cognitive behavior therapy
• ISBN: 9781433817823; 1433817829
• ISSN: 0003-066X; 1935-990X
• DOI: 10.1037/a0035623

Over 30 years ago, treatments based broadly within cognitive behavioral therapy (CBT) began a rise in prominence that eventually culminated in their widespread adoption in chronic pain treatment settings. Research into CBT has proliferated and continues today, addressing questions very similar to those addressed at the start of this enterprise. However, just as it is designed to do, the process of conducting research and analyzing evidence reveals gaps in our understanding of and shortcomings within this treatment approach. A need for development seems clear. This article reviews the progress of CBT in the treatment of chronic pain and the challenges now faced by researchers and clinicians interested in meeting this need for development. It then focuses in greater detail on areas of development within CBT, namely acceptance and commitment therapy (ACT) and mindfulness-based approaches, areas that may hold potential for future progress. Three specific recommendations are offered here to achieve this progress.