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Acceptance-based therapies for treatment of chronic pain : a systematic review

Olde Dubbelink, A.S.M. (2014) Acceptance-based therapies for treatment of chronic pain : a systematic review.

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Abstract:Acceptance-based therapies as Mindfulness-Based Stress Reduction (MBSR), Mindfulness-Based Cognitive Therapy (MBCT) and Acceptance and Commitment Therapy (ACT) are alternative treatments for Cognitive Behavioral Therapy (CBT) for chronic pain. The objective of this review was to evaluate the effectiveness of acceptance-based therapies on the outcome measures quality of life, depression and anxiety of chronic pain patients. A systematic review was conducted of randomized controlled trials (RCT’s) and clinical controlled trials (CCT’s) from three databases. Twenty-six studies (22 RCT’s and 4 CCT’s) met the inclusion criteria. In total, 1747 chronic pain patients were included. This review reported evidence for the effectiveness of acceptance-based therapies. Acceptance-based interventions are effective for the treatment of chronic pain but seem not superior to active treatments like CBT. MBSR seems to have an inferior effect on depression compared to ACT or MBCT. In addition, ACT may have a superior effect to MBSR and MBCT on anxiety. Only few studies reported significant follow-up effects. It seems that the pre-post effects are not preserved. A meta-analysis to compare the quantitative results of studies would be more validated. In addition, more insight in the factors that create positive long-term effects is required.
Item Type:Essay (Master)
Faculty:BMS: Behavioural, Management and Social Sciences
Subject:77 psychology
Programme:Psychology MSc (66604)
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