Acceptance and Commitment Therapy for chronic pain: A diary study of treatment process in relation to reliable change in disability.

ABSTRACT: In chronic pain treatment, a primary goal is reduced disability. It is often assumed that a central process by which disability reduction occurs is pain reduction. Conversely, approaches such as Acceptance and Commitment Therapy (ACT) posit that pain reduction is not necessary for reduced disability. Instead, disability reduction occurs when responses to pain are changed, such that as unsuccessful struggles for pain control decreases and engagement in personally-valued activities increases. Treatment outcome studies have supported ACT's effectiveness; however, less work has examined how within-treatment patterns of change relate to treatment success or failure (i.e., decreased or sustained disability). The present study, therefore, sought to examine this issue. Specifically, struggles for

SUBMITTER: Vowles KE 

PROVIDER: S-EPMC5096642 | biostudies-literature | 2014 Apr

REPOSITORIES: biostudies-literature