University of Twente Student Theses


Een onderzoek naar een op ACT gebaseerde chronische pijnbehandeling vanuit patiëntperspectief

Zuidema, M. (2014) Een onderzoek naar een op ACT gebaseerde chronische pijnbehandeling vanuit patiëntperspectief.

[img] PDF
Abstract:Introduction. Chronic pain is a serious matter. It causes great suffering for both the patient and his environment. Chronic pain is the most common chronic condition. A promising therapy that is increasingly used in treatment of chronic pain patients is the Acceptance and Commitment Therapy (ACT). Rehabilitation centre Het Roessingh has developed a treatment based on the principles of ACT. By studying the weekly narratives of the pain patients, it can be determined which learning experiences they came across. The current study aims to compare these learning experiences with both the set goals of the treatment at Het Roessingh as well as the ACT processes. The goal is to research the level of effectivity of the treatment, based on the experiences of the patient. Method. A qualitative data analysis was conducted, according to the Grounded Theory. For the current study the series of interviews of one pain patient were analyzed, consisting of seven interviews in total. The learning experiences mentioned in the interviews were categorized and compared to both the ACT processes and the goals of the treatment set by Het Roessingh in general. Following, it was concluded to what extent the learning experiences resembled ACT and the goals set by Het Roessingh. Lastly, based on the analysis it was determined which learning experiences did not match the goals. Results. The learning experiences were divided into twelve categories. The following categories were distinguished: Dealing with restricted capacity, Strategic approach of stimulants, Standing still in the present, Knowledge, Social/Communicative, Accepting/Letting go, Sports/Movement, Taking rest, Living by values, Choosing consciously, Self-understanding, Focusing on the positive. Based on the results, it appeared that 42% of the learning experiences were related to ACT processes. 55% of the experiences related to the remaining four set goals by Het Roessingh. Learning experiences concerning Taking rest and Directing to the positive were neither mentioned in the goals of Het Roessingh nor the ACT processes. Learning experiences based on Knowledge were also barely in agreement with the set goals by Het Roessingh. Conclusions. From the patient’s perspective the treatment appears to be largely in accordance with the set goals by Het Roessingh and the ACT processes (83%). The treatment could possibly increase its effectiveness by taking into account the different ways a patient deals with his pain. A pain-avoiding patient might benefit from treatment that activates him. On the contrary, a patient who overestimates his abilities, might benefit from taking rest to better cope with the pain. Furthermore the research indicates that taking part in weekly interviews may contribute positively to the treatment as a whole. Looking back at the learning experiences could help maintaining learned competences and increase self-understanding. Self-understanding, on its turn, could lead to increased self-awareness and ultimately encourage the development of the patient during treatment.
Item Type:Essay (Master)
Faculty:BMS: Behavioural, Management and Social Sciences
Subject:77 psychology
Programme:Psychology MSc (66604)
Link to this item:
Export this item as:BibTeX
HTML Citation
Reference Manager


Repository Staff Only: item control page