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Efficacy of Videoco...
Efficacy of Videoconference Group Acceptance and Commitment Therapy (ACT) and Behavioral Activation Therapy for Depression (BATD) for Chronic Low Back Pain (CLBP) Plus Comorbid Depressive Symptoms : A Randomized Controlled Trial (IMPACT Study)
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- Sanabria-Mazo, Juan P. (author)
- Parc Sanit St Joan Deu, Teaching Res & Innovat Unit, St Boi De Llobregat, Spain.;Ctr Biomed Res Epidemiol & Publ Hlth CIBERESP, Madrid, Spain.;Autonomous Univ Barcelona, Dept Bas Dev & Educ Psychol, Cerdanyola Del Valles, Spain.
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- Colomer-Carbonell, Ariadna (author)
- Parc Sanit St Joan Deu, Teaching Res & Innovat Unit, St Boi De Llobregat, Spain.;Ctr Biomed Res Epidemiol & Publ Hlth CIBERESP, Madrid, Spain.;Autonomous Univ Barcelona, Dept Bas Dev & Educ Psychol, Cerdanyola Del Valles, Spain.
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- Borras, Xavier (author)
- Ctr Biomed Res Epidemiol & Publ Hlth CIBERESP, Madrid, Spain.;Autonomous Univ Barcelona, Dept Bas Dev & Educ Psychol, Cerdanyola Del Valles, Spain.
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- Castano-Asins, Juan R. (author)
- Parc Salut MAR, Barcelona, Spain.
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- McCracken, Lance, 1962- (author)
- Uppsala universitet,Institutionen för psykologi
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- Montero-Marin, Jesus (author)
- Parc Sanit St Joan Deu, Teaching Res & Innovat Unit, St Boi De Llobregat, Spain.;Ctr Biomed Res Epidemiol & Publ Hlth CIBERESP, Madrid, Spain.;Univ Oxford, Warneford Hosp, Dept Psychiat, Oxford, England.
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- Perez-Aranda, Adrian (author)
- Autonomous Univ Barcelona, Dept Bas Dev & Educ Psychol, Cerdanyola Del Valles, Spain.;Miguel Servet Univ Hosp, Inst Hlth Res Aragon IIS Aragon, Zaragoza, Spain.
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- Edo, Silvia (author)
- Autonomous Univ Barcelona, Dept Bas Dev & Educ Psychol, Cerdanyola Del Valles, Spain.
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- Sanz, Antoni (author)
- Autonomous Univ Barcelona, Dept Bas Dev & Educ Psychol, Cerdanyola Del Valles, Spain.
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- Feliu-Soler, Albert (author)
- Ctr Biomed Res Epidemiol & Publ Hlth CIBERESP, Madrid, Spain.;Autonomous Univ Barcelona, Dept Clin & Hlth Psychol, Cerdanyola Del Valles, Spain.
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- Luciano, Juan, V (author)
- Parc Sanit St Joan Deu, Teaching Res & Innovat Unit, St Boi De Llobregat, Spain.;Ctr Biomed Res Epidemiol & Publ Hlth CIBERESP, Madrid, Spain.;Autonomous Univ Barcelona, Dept Clin & Hlth Psychol, Cerdanyola Del Valles, Spain.
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Parc Sanit St Joan Deu, Teaching Res & Innovat Unit, St Boi De Llobregat, Spain;Ctr Biomed Res Epidemiol & Publ Hlth CIBERESP, Madrid, Spain.;Autonomous Univ Barcelona, Dept Bas Dev & Educ Psychol, Cerdanyola Del Valles, Spain. Ctr Biomed Res Epidemiol & Publ Hlth CIBERESP, Madrid, Spain.;Autonomous Univ Barcelona, Dept Bas Dev & Educ Psychol, Cerdanyola Del Valles, Spain. (creator_code:org_t)
- Elsevier, 2023
- 2023
- English.
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In: Journal of Pain. - : Elsevier. - 1526-5900 .- 1528-8447. ; 24:8, s. 1522-1540
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https://uu.diva-port... (primary) (Raw object)
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Abstract
Subject headings
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- This study examined the efficacy of adding a remote, synchronous, group, videoconferencebased form of acceptance and commitment therapy (ACT) or behavioral activation therapy for depression (BATD) to treatment-as-usual (TAU) in 234 patients with chronic low back pain (CLBP) plus comorbid depressive symptoms. Participants were randomly assigned to ACT, BATD, or TAU. Compared to TAU, ACT produced a significant reduction in pain interference at posttreatment (d = .64) and at follow-up (d = .73). BATD was only superior to TAU at follow-up (d = .66). A significant reduction in pain catastrophizing was reported by patients assigned to ACT and BATD at posttreatment (d = .45 and d = .59, respectively) and at follow-up (d = .59, in both) compared to TAU. Stress was significantly reduced at posttreatment by ACT in comparison to TAU (d = .69). No significant between-group differences were found in depressive or anxiety symptoms. Clinically relevant number needed to treat (NNT) values for reduction in pain interference were obtained at posttreatment (ACT vs TAU = 4) and at follow-up (ACT vs TAU = 3; BATD vs TAU = 5). In both active therapies, improvements in pain interference at follow-up were significantly related to improvements at posttreatment in psychological flexibility. These findings suggest that new forms of cognitive-behavioral therapy are clinically useful in improving pain interference and pain catastrophizing. Further research on evidence-based change processes is required to understand the therapeutic needs of patients with chronic pain and comorbid conditions.Trial number: NCT04140838.Perspective: Group videoconference-based ACT and BATD showed greater efficacy than TAU for reducing pain interference and pain catastrophizing in patients with CLBP plus clinically relevant depression. Psychological flexibility appeared to be the main contributor to treatment effects for both ACT and BATD
Subject headings
- SAMHÄLLSVETENSKAP -- Psykologi -- Tillämpad psykologi (hsv//swe)
- SOCIAL SCIENCES -- Psychology -- Applied Psychology (hsv//eng)
Keyword
- Chronic low back pain
- depression
- acceptance and commitment therapy
- behavioral ac-tivation
- eHealth
Publication and Content Type
- ref (subject category)
- art (subject category)
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Sanabria-Mazo, J ...
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Colomer-Carbonel ...
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Borras, Xavier
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Castano-Asins, J ...
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McCracken, Lance ...
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Montero-Marin, J ...
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Perez-Aranda, Ad ...
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Edo, Silvia
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Sanz, Antoni
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Feliu-Soler, Alb ...
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Luciano, Juan, V
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- About the subject
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- SOCIAL SCIENCES
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SOCIAL SCIENCES
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and Psychology
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and Applied Psycholo ...
- Articles in the publication
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Journal of Pain
- By the university
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Uppsala University