University of Twente Student Theses


Inzichten die chronische pijnpatiënten opdoen in de Acceptance and Commitment Therapy

Wesseldijk, D.L. (2014) Inzichten die chronische pijnpatiënten opdoen in de Acceptance and Commitment Therapy.

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Abstract:Background: The prevalence of chronic low back pain is high, what makes it a major problem for social healthcare. There are several treatments to deal with this kind of pain, who are primarily focused on active coping. Recent research has shown that focusing on the process of acceptance is more effective. The Acceptance and Commitment Therapy (ACT) is a relative new therapy that is focused on this process. Research on the effectiveness has proved that the therapy is effective. However, little research has been done to the point of view of patients with low back pain even though the perspective of patients appears to provide insight into the effect of the therapy. The aim of this research is to point out the perspective of patients in order to evaluate and improve ACT. Method: The evaluation of fourteen chronic low back pain patients, who have completed the ACT in het Roessingh, have been analysed to create a coding scheme. This scheme has been developed through inductively methods on the basis of the grounded theory. By selecting codes that contains insights reported by participants, this study has analysed the patients’ perspectives on the ACT. The code scheme that eventually has been created refers to the categories activity, acceptance, relations and the self. Results: The results show that most of the insights has been gained in the self. Participants are more aware of their thoughts and seem to get more self-esteem. Participants are aware that they need to create a balance between activity and rest, but this seems to be a difficult aspect in practice. Moreover they need to learn to set limits. They also need to learn to accept the pain as something that is permanent and dealing with the consequences of it. Yet this is a difficult process for the participants. Finally there are insights made that involve relationships. It turns out that participants are not alone in their pathology, but are also influenced by the outside world. Paticipants with chronical low back pain report the most insights in the self followed by insights in activities. A lot less insights are reported regarding acceptance and relations. Conclusion: Only the results of the four participants who suffer from chronic low back pain are included in the conclusion. It seems that almost all the aims that are set by ACT are reflected in the insights reported by the participants with low back pain. Only the aim ‘life values’ is not reflected in the findings. In addition, there have been reported a lot of insights about relationships and self-esteem. These aspects are not included in the aims of the ACT. Perhaps there are some opportunities in these aspects that can help improve the therapy.
Item Type:Essay (Master)
Faculty:BMS: Behavioural, Management and Social Sciences
Subject:77 psychology
Programme:Psychology MSc (66604)
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