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Effectiviteit van een Begeleide Online Zelfhulpcursus voor Chronische Pijn Gebaseerd op Acceptance & Commitment Therapy (ACT) en Mindfulness: een Gerandomiseerde, Gecontroleerde Studie.

Lohmann, Linus (2013) Effectiviteit van een Begeleide Online Zelfhulpcursus voor Chronische Pijn Gebaseerd op Acceptance & Commitment Therapy (ACT) en Mindfulness: een Gerandomiseerde, Gecontroleerde Studie.

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Abstract:Background: A great part of the Dutch population suffers under chronic pain which is a fundamental limiting factor regarding daily life functioning and mental health status. Therefore it is important to treat both, pain sensations as well as problems with mental health and daily life functioning. In order to improve mental health and daily life functioning, the University of Twente developed an online self-help course – ‘Living with Pain’ based on Acceptance and Commitment Therapy (ACT). Participants in the course learned to accept their pain condition and to lead a value based life. The present study aimed to examine the effects of the guided self help online-course on pain interference, psychological inflexibility and mindfulness. Method: Participants with chronic pain condition were recruited from a clinical population and randomized to the (1) intervention group (n=82), the online course – ‘Living with Pain’, (2) first control group (n=79), the course – ‘Expressive Writing’, en (3) or to a waiting list control condition. Participants completed measures before, after the intervention and at 3-month follow-up to assess pain interference, psychological inflexibility and mindfulness. Results: the intervention group showed a significant decrease of pain interference and psychological inflexibility in comparison with the control groups. There was no significant interaction effect of mindfulness. The effect sizes in this study were small. A mediation analysis revealed that there is a statistical significant relationship between a decrease of pain interference and psychological inflexibility in the ACT condition. Conclusion: The study supports the effectiveness of the guided self help course ‘Living with Pain’ for people with chronic pain to decrease pain interference in daily life and psychological inflexibility. The study doesn’t support a difference in mindfulness between the three groups. Further research is suggested to examine the effectiveness of the intervention on other outcome variables.
Item Type:Essay (Bachelor)
Faculty:BMS: Behavioural, Management and Social Sciences
Subject:77 psychology
Programme:Psychology BSc (56604)
Link to this item:http://purl.utwente.nl/essays/64117
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