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De ontwikkeling van agency binnen Acceptance and Commitment Therapy bij patiënten met chronische pijn

Paplowski, Yvonne (2010) De ontwikkeling van agency binnen Acceptance and Commitment Therapy bij patiënten met chronische pijn.

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Abstract:There is growing evidence for the effectiveness of Acceptance and Commitment Therapy (ACT) in the treatment of chronic pain patients. The main aim of ACT is to increase psychological flexibility. It is still unclear how this attribute develops. To answer this question, eight chronic pain patients were interviewed weekly during an eight week treatment and were rated on their degree of agency, which has been used as operationalisation of psychological flexibility. Although every patient showed his own pattern, in general, agency reached a low point during treatment and increased at the end of the treatment and at followup. Furthermore the scores from the second and seventh week were significantly correlated with the scores at follow-up. In the middle of the therapy the standard deviation (between the sections of an interview) turned out to be up to one third higher than at the end or beginning of treatment. It is concluded that the aim of the therapy has been achieved and that every patient develops in their own way, with a characteristic crisis that may be a necessary step for further personal development. The response to the therapy at the beginning of treatment is predictive for total therapy response and the patients do not undergo a critical change after therapy ends. In addition, the pattern of the standard deviation indicates that agency develops not totally symmetrically in all life domains.
Item Type:Essay (Master)
Faculty:BMS: Behavioural, Management and Social Sciences
Subject:77 psychology
Programme:Psychology MSc (66604)
Link to this item:http://purl.utwente.nl/essays/60482
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