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Changes in the complexity of Chronic Pain and the effectiveness of acceptance and commitment therapy for patients with (complex) Chronic Pain

Peelen, A. (2020) Changes in the complexity of Chronic Pain and the effectiveness of acceptance and commitment therapy for patients with (complex) Chronic Pain.

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Abstract:Chronic pain (CP) is highly associated with anxiety, depression and low mental health (MH) indicating a psychologically complexity that needs to be treated accordingly. ACT for CP increases psychological flexibility (PF) enabling patients to live fully in the presence of pain and decreases the impact of pain on their life. The present study investigates changes in complexity of CP from 2012 until 2019, the effectiveness of ACT on increasing PF and MH, decreasing depression, anxiety and pain-related disability (PRD) and changes in effectiveness due to an increased psychological complexity of CP. A total of 3115 participants suffering from CP following a treatment at the Roessingh Center for Rehabilitation with an age ranging from 18 to 83 participated in the study. The treatment is ACT-based within a multidisciplinary team including services from different healthcare providers for six weeks up to six months. Statistical methods included Kruskal Wallis’, Wilcoxon Signed Ranks’ test and Spearman correlations to test significant changes in psychological complexity of CP and the effectiveness of ACT. Psychological complexity of CP increased within the past eight years regarding the deterioration of anxiety, depression, PDI, PF and MH. ACT has a moderate effect on increasing PF, an nearly moderate effect on decreasing anxiety and depression, low effect on decreasing PDI and increasing MH. There is a slight decrease in effectiveness of ACT in increasing PF and an increase in effectiveness in improving PRD from 2013 until 2018. Future studies should investigate the mediating function of PF on depression, anxiety and MH. It is advised to integrate ACT or at least any psychological treatment to the treatment of CP since psychological symptoms are evidently present and need to be treated accordingly.
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/82208
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