Guided internet-delivered acceptance and commitment therapy for chronic pain patients: A randomized controlled trial

被引：191

作者：

Buhrman, Monica ^{[1
]}

Skoglund, Astrid ^{[1
]}

Husell, Josefin ^{[1
]}

Bergstrom, Kristina ^{[1
]}

Gordh, Torsten ^{[2
]}

Hursti, Timo ^{[1
]}

Bendelin, Nina ^{[3
]}

Furmark, Tomas ^{[1
]}

Andersson, Gerhard ^{[4
,5
]}

机构：

[1] Uppsala Univ, Dept Psychol, Uppsala, Sweden

[2] Uppsala Univ, Dept Surg Sci, Uppsala, Sweden

[3] Linkoping Univ, Dept Med & Hlth Sci, SE-58183 Linkoping, Sweden

[4] Linkoping Univ, Swedish Inst Disabil Res, Dept Behav Sci & Learning, SE-58183 Linkoping, Sweden

[5] Karolinska Inst, Dept Clin Neurosci, Psychiat Sect, Stockholm, Sweden

来源：

BEHAVIOUR RESEARCH AND THERAPY | 2013年 / 51卷 / 06期

关键词：

Internet-delivered CBT; Chronic pain; Acceptance and commitment therapy; Mindfulness; Guided self-help; COGNITIVE-BEHAVIOR THERAPY; HOSPITAL ANXIETY; COPING STRATEGIES; DEPRESSION SCALE; SELF-HELP; METAANALYSIS; MANAGEMENT; IMPACT; SAMPLE; LIFE;

D O I：

10.1016/j.brat.2013.02.010

中图分类号：

B849 [应用心理学];

学科分类号：

040203 [应用心理学];

摘要：

Acceptance and commitment therapy (ACT) interventions for persons with chronic pain have recently received empirical support. ACT focuses on reducing the disabling influences of pain through targeting ineffective control strategies and teaches people to stay in contact with unpleasant emotions, sensations, and thoughts. The aim of the present study was to investigate the effect of a guided internet-delivered ACT intervention for persons with chronic pain. A total of 76 patients with chronic pain were included in the study and randomized to either treatment for 7 weeks or to a control group that participated in a moderated online discussion forum. Intent-to-treat analyses showed significant increases regarding activity engagement and pain willingness. Measurements were provided with the primary outcome variable Chronic Pain Acceptance Questionnaire which was in favour of the treatment group. Reductions were found on other measures of pain-related distress, anxiety and depressive symptoms. A six month follow-up showed maintenance of improvements. We conclude that an acceptance based internet-delivered treatment can be effective for persons with chronic pain. (c) 2013 Elsevier Ltd. All rights reserved.

引用

页码：307 / 315

页数：9

共 57 条

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