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De rol van mindfulness oefeningen binnen de online Acceptance and Commitment Therapy interventie‘Leven met pijn’

Zottmann, C. (2015) De rol van mindfulness oefeningen binnen de online Acceptance and Commitment Therapy interventie‘Leven met pijn’.

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Abstract:Introduction. Approximately one in five people in Europe suffer from chronic pain (Breivik, Collet, Ventafridda, Cohen, & Gallacher, 2006). A treatment that potentially can reduce the negative effects of chronic pain is Acceptance and Commitment Therapy (ACT; Hayes, Strosahl, & Wilson, 1999, 2012). A recent ACT-based intervention that seemed to be effective in reducing these negative effects of chronic pain is the online intervention 'Living with pain'. Mindfulness is a part of ACT. Therefore participants of the intervention performed mindfulness exercises. The aim of this study was to identify the role mindfulness exercises had within the ACT intervention ‘Living with pain’. Method. The sample (n = 82) consisted of people with chronic pain from the general population. The study included five points of measurement. Besides the baseline measurement, there were two measurements during the intervention, a post-test and a follow-up measurement where the participants completed online questionnaires. It was asked how many days and how many minutes the participants practiced mindfulness. The pain interference subscale of the Multidimensional Pain Inventory Inventory and the Psychological Inflexibility in Pain Scale were taken as outcome measure and the Five Facet Mindfulness Questionnaire – Short Form was taken as process variable. Longitudinal mediation models were tested by using PROCESS. Results. The expected relationships between the time invested in mindfulness exercises and the expected decline of the outcome measures were not mediated by an increase of mindfulness skills. The expected dose response relationships between the time investment and the change of pain interference and psychological inflexibility were also not shown to be significant. The largest group of participants practiced mindfulness on at least four days per week during the intervention. Discussion. This study is one of the first that has examined the role of practicing mindfulness within an ACT intervention. In conclusion, mindfulness seemed to play no major role within the intervention. Possible explanations for the observed results were given and further research is recommended.
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/68730
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