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Leven met pijn : de rol van comorbiditeit bij de afname van pijninterferentie bij mensen met chronische pijn die deelnemen aan een online interventie gebaseerd op Acceptance and Commitment Therapy (ACT)

Kemerink, D.A.T. (2015) Leven met pijn : de rol van comorbiditeit bij de afname van pijninterferentie bij mensen met chronische pijn die deelnemen aan een online interventie gebaseerd op Acceptance and Commitment Therapy (ACT).

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Abstract:Background: Living with Pain is an online intervention for people who suffer from chronic pain, based on the principals of Acceptance and Commitment Therapy (ACT). The intervention proved to be effective in improving symptoms of depression, pain intensity, psychological inflexibility and pain catastrophizing in people who suffer from chronic pain. The purpose of this follow-up study is to identify the role of comorbidity as potential moderator in the effectiveness of the intervention Living with Pain. Method: The research sample consisted of 238 adults who suffered from chronic pain. They were randomly allocated to an ACT condition (n=82), a control condition Expressive Writing (n=79) or a waiting list condition (n=77). Participants completed the Multidimensional Pain Inventory (MPI) questionnaire as well as the Hospital Anxiety Depression Scale (HADS) questionnaire before they started participating in the intervention and during a six-month follow-up. Results: This study found no significant differences in decrease of the number of comorbid anxiety- and/or depression disorders between participants in the three conditions. Furthermore, the results show that there was a larger decrease in the number of anxiety disorders than in the number of depression disorders. For none of the conditions existed a significant moderation-effect between comorbidity and condition on decrease of pain interference. Conclusion: Comorbidity does not play a role in the decrease of pain interference on people who suffer from chronic pain and were following the intervention Living with Pain or Expressive Writing or being placed on a waiting list. Therefore, comorbidity does not function as a working mechanism for the intervention Living with Pain. This study shows evidence that online interventions based on ACT can be applied to people with comorbid psychological disorders beside chronic pain as well as to people without comorbid psychological disorders to decrease the pain interference. Concluding, this study delivered new insights about the role of psychological comorbidity in the effectiveness of online interventions based on ACT in people who suffer from chronic pain.
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/68630
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