The Efficacy of Acceptance and Commitment Therapy (ACT) for Chronic Pain Management: A Meta-Analysis of Randomized Controlled Trials
Abstract
Acceptance and Commitment Therapy (ACT) has shown promise as a treatment approach for chronic pain management. This meta-analysis of randomized controlled trials (RCTs) evaluates the efficacy of ACT in reducing pain severity and improving functional outcomes in individuals with chronic pain conditions. Through a thorough review of the literature, the meta-analysis synthesizes effect sizes from RCTs assessing the effectiveness of ACT compared to control conditions (e.g., treatment as usual, waitlist) in targeting pain-related outcomes, including pain intensity, pain interference, physical functioning, and psychological distress. Additionally, it examines potential moderators of treatment outcomes, such as intervention duration, format (individual vs. group), therapist involvement, and participant characteristics (e.g., pain duration, pain location), to better understand the factors influencing the effectiveness of ACT for chronic pain management.
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References
- Veehof, M. M., et al. (2016). Acceptance and mindfulness-based interventions for the treatment of chronic pain: A meta-analytic review. Cognitive Behaviour Therapy, 45(1), 5-31.
- Hayes, S. C., et al. (2004). The impact of acceptance and commitment training and multicultural training on the stigmatizing attitudes and professional burnout of substance abuse counselors. Behavior Therapy, 35(4), 821-835.
- Wetherell, J. L., Afari, N., Rutledge, T., Sorrell, J. T., Stoddard, J. A., Petkus, A. J., ... & Patterson, T. L. (2011). A randomized, controlled trial of acceptance and commitment therapy and cognitive-behavioral therapy for chronic pain. Pain, 152(9), 2098-2107.
- McCracken, L. M., & Vowles, K. E. (2014). Acceptance and commitment therapy and mindfulness for chronic pain: Model, process, and progress. American Psychologist, 69(2), 178-187.
- Trompetter, H. R., Bohlmeijer, E. T., Veehof, M. M., & Schreurs, K. M. (2015). Internet-based guided self-help intervention for chronic pain based on Acceptance and Commitment Therapy: A randomized controlled trial. Journal of Behavioral Medicine, 38(1), 66-80.
- McCracken, L. M., Vowles, K. E., & Eccleston, C. (2005). Acceptance of chronic pain: Component analysis and a revised assessment method. Pain, 107(1-2), 159-166.