University of Twente Student Theses


Acceptance-based interventies voor de behandeling van chronische pijn : een systematische review en meta-analyse

Oskam, M.J. (2009) Acceptance-based interventies voor de behandeling van chronische pijn : een systematische review en meta-analyse.

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Abstract:Acceptance-based interventions such as Mindfulness-Based Stress Reduction program (MBSR), and Acceptance and Commitment Therapy (ACT) are alternative therapies for Cognitive-Behavioural Therapy (CBT) for treating chronic pain patients. The aim of this review was to analyze the overall effects of acceptance-based interventions on patients with pain. We undertook a systematic review and meta-analysis of controlled, uncontrolled, and unpublished studies from four databases from inception to January 2009 which reported on an effect study with an acceptance-based intervention with pain patients. Methodological quality was assessed, and data extraction undertaken by one reviewer with a second reviewer checking for accuracy. The fixed-effects model to estimate the intervention effect among controlled studies was used, and the random-effects model to calculate an average effect among all studies. Main outcome measures were pain intensity and depression. Anxiety, physical wellbeing and quality of life were also extracted. Twenty-two studies (9 RCT’s, 15 controlled, 7 uncontrolled) totalling 1511 patients met inclusion. An effect on pain of 0.49 was found for the controlled studies. The effect on depression was 0.47. When comparing directly, a moderate effect (0.54) was found for acceptance-based interventions compared to CBT for pain, and a large effect (1.02) for depression. This data suggests that acceptance-based interventions are at least as effective as CBT for chronic pain patients
Item Type:Essay (Master)
Faculty:BMS: Behavioural, Management and Social Sciences
Subject:77 psychology
Programme:Psychology MSc (66604)
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