For those who arent on the ACT listserv, I just had to trumpet the awesome work the chronic pain researchers are doing with ACT. The Ost meta-analysis doesnt do it justice. In the light of the recent Ost meta-analysis and particularly his assessment of the status of ACT for chronic pain as not fully established, I was curious what chronic pain outcome data does exist. I pulled these RCTs for chronic pain out, and they represent about 15% of the total trials on ACT. That is amazing! Hard to see how ACT isnt an established treatment, given this set of positive RCTs. Geesh this is an impressive list. Way to go everyone with this team effort! Things are changing in the chronic pain world and a lot is due to this fantastic work. Imagine the hundreds of thousands or even millions of people that will be improving their quality of life as this filters through all the chronic pain programs and practitioners around the world. Wow! In case youre in Europe and interested in getting up to date on chronic pain tx, keep in mind JoAnne Dahl is giving a training as part of the Brussels Institute in early September on chronic pain (contextualscience.org/training_institute_2014). Its looking like itll be a pretty intimate event, so if you decide to come, youll get much more individual attention than youd normally get at events by these trainers. I put together a list of all the studies I could find for those interested, pulled from this page contextualscience.org/ACT_Randomized_Controlled_Trials: 96. Pain. ACT vs. Expressive writing vs. Waitlist. N=82. Trompetter, H. R., Bohlmeijer, E. T., Veehof, M. M., & Schreurs, K. M. G. (in press). Internet-based guided self-help intervention for chronic pain based on Acceptance and Commitment Therapy: A randomized controlled trial. Journal of Behavioral Medicine. 92. Pain. ACT vs. Waitlist. N=20. Ghomian, S. & Shairi, M. R. (2014). The effectiveness of Acceptance and Commitment Therapy for children with chronic pain on the quality of life of 7 to 12 year-old children. International Journal of Pediatrics, 2, 47-55. 75. Pain. ACT vs. Waitlist. N=40. Wicksell, R. K., Kemani, M., Jensen, K., Kosek, E., Kadetoff, D., Sorjonen, K., Ingvar, M. & Olsson, G. L. (2013). Acceptance and Commitment Therapy for fibromyalgia: A randomized controlled trial. European Journal of Pain, 17, 599 – 611. DOI: 10.1002/j.1532-2149.2012.00224.x Full Text: ACBS Website 74. Fibromyalgia. ACT vs. Education. N=28 Steiner, J. L., Bogusch, L., Bigatti, S. M., (2013). Values-based action in fibromyalgia: results from a randomized pilot of acceptance and commitment therapy. Health Psychology Research, 1(3), e34 - e34. DOI: 10.4082/hpr.2013.e34 Full Text: ACBS Website 73. Pain. ACT vs. TAU. N=73. McCracken, L. M., Sato, A., & Taylor, G. J. (2013). A trial of brief group-based Form of ACT for chronic pain in general practice: Pilot outcome and process results. The Journal of Pain, 14(11), 1398-1406. DOI: 10.1016/j.jpain.2013.06.011 Full Text: ACBS Website 68. Pain. ACT vs TAU. N=10. Alonso, M. A., Lopez, A., Losada, A., & Gonzalez, J. L. (2013). Acceptance And Commitment Therapy and selective optimization with compensation for older people with chronic pain: A pilot study. Psicologia Conductual, 21, 59-79. 65. Pain. ACT vs. Online Discussion. N=76. Buhrman, M., Skoglund, A., Husell, J., Bergström, K., Gordh, T., Hursti, T., Bendelin, N., Furmark, T. & Andersson, G. (2013). Guided internet-delivered Acceptance and Commitment Therapy for chronic pain patients: A randomized controlled trial. Behaviour Research and Therapy, 51, 307–315. 55. Pain. ACT vs TAU. N=30. Mo’tamedi, H., Rezaiemaram, P., Tavallaie, A. (2012). The Effectiveness of a Group-Based Acceptance and Commitment Additive Therapy on Rehabilitation of Female Outpatients With Chronic Headache: Preliminary Findings Reducing 3 Dimensions of Headache Impact. Headache: The Journal of Head and Face Pain, 52(7), 1106-1119. 52. Pain. ACT vs Waitlist. N=43. Jensen, K. B., Kosek, E., Wicksell, R., Kemani, M., Olsson, G., Merle, J., Kadetoff, D., & Ingvar, M. (2012). Treatment with Cognitive Behavioral Therapy increases pain-evoked activation of the prefrontal cortex in patients suffering from chronic pain. Pain, 153(7), 1495-1503. 39. Pain. ACT vs Applied Relaxation. N= 90. Thorsell, J., Finnes, A., Dahl, J., Lundgren, T., Gybrant, M., Gordh, T., & Buhrman, M. (2011). A comparative study of 2 manual-based self-help interventions, Acceptance and Commitment Therapy and Applied Relaxation, for persons with chronic pain. The Clinical Journal of Pain, 27(8), 716-723. 37. Pain. ACT vs CBT. N=114. Wetherell JL, Afari N, Rutledge T, Sorrell JT, Stoddard JA, Petkus AJ, Solomon BC, Lehman DH, Liu L, Lang AJ, Hampton Atkinson J. (2011). A randomized, controlled trial of acceptance and commitment therapy and cognitive-behavioral therapy for chronic pain. Pain, 152, 2098-2107. 31. Pain. ACT Vs Waitlist. N=14. Johnston, M., Foster, M., Shennan, J., Starkey, N. J., & Johnson, A. (2010). The effectiveness of an Acceptance and Commitment Therapy self-help intervention for chronic pain. Clinical Journal of Pain, 26, 393-402. 24. Pain. ACT vs Multidisciplinary Treatment + Medication. N=32. Wicksell, R. K., Melin, L., Lekander, M., & Olsson, G. L. (2009). Evaluating the effectiveness of exposure and acceptance strategies to improve functioning and quality of life in longstanding pediatric pain - A randomized controlled trial. Pain, 141, 248-257. 20. Pain. ACT vs TAU. N=21. Wicksell, R. K., Ahlqvist, J., Bring, A., Melin, L. & Olsson, G. L. (2008). Can exposure and acceptance strategies improve functioning and life satisfaction in people with chronic pain and whiplash-associated disorders (WAD)? A randomized controlled trial. Cognitive Behaviour Therapy, 37(3), 1-14. 14. Pain. Pain Control vs Pain Acceptance vs Continued Practice. N=74. Vowles, K. E., McNeil, D. W., Gross, R. T. McDaniel, M. L., Mouse, A., Bates, M., Gallimore, P., & McCall, C. (2007). Effects of pain acceptance and pain control strategies on physical impairment in individuals with chronic low back pain. Behavior Therapy, 38, 412-425. 9. Stress / Pain. ACT vs. TAU. N=19. Dahl, J., Wilson, K. G., & Nilsson, A. (2004). Acceptance and Commitment Therapy and the treatment of persons at risk for long-term disability resulting from stress and pain symptoms: A preliminary randomized trial. Behavior Therapy, 35, 785-802.
Posted on: Fri, 05 Sep 2014 18:14:28 +0000
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