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  • Kemani, Mike K.Karolinska Institutet,Karolinska University Hospital, Sweden; Karolinska Institute, Sweden (författare)

Efficacy and Cost-effectiveness of Acceptance and Commitment Therapy and Applied Relaxation for Longstanding Pain : a Randomized Controlled Trial

  • Artikel/kapitelEngelska2015

Förlag, utgivningsår, omfång ...

  • Lippincott Williams & Wilkins,2015
  • printrdacarrier

Nummerbeteckningar

  • LIBRIS-ID:oai:DiVA.org:su-111678
  • https://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-111678URI
  • https://doi.org/10.1097/AJP.0000000000000203DOI
  • https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-78088URI
  • http://kipublications.ki.se/Default.aspx?queryparsed=id:132330786URI
  • https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-123065URI

Kompletterande språkuppgifter

  • Språk:engelska
  • Sammanfattning på:engelska

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Klassifikation

  • Ämneskategori:ref swepub-contenttype
  • Ämneskategori:art swepub-publicationtype

Anmärkningar

  • Funding Agencies|Department of Psychology at the Karolinska University Hospital, Stockholm, Sweden
  • Background and Objectives: To date, few studies have compared Acceptance and Commitment Therapy (ACT) for longstanding pain with established treatments. Only 1 study has evaluated the cost-effectiveness of ACT. The aim of the current study was to evaluate the efficacy and cost-effectiveness of ACT and applied relaxation (AR) for adults with unspecific, longstanding pain.Materials and Methods: On the basis of the inclusion criteria 60 consecutive patients received 12 weekly group sessions of ACT or AR. Data were collected pretreatment, midtreatment, and posttreatment, as well as at 3- and 6-month follow-up. Growth curve modeling was used to analyze treatment effects on pain disability, pain intensity, health-related quality of life (physical domain), anxiety, depression, and acceptance.Results: Significant improvements were seen across conditions (pretreatment to follow-up assessment) on all outcome measures. Pain disability decreased significantly in ACT relative to AR from preassessment to postassessment. A corresponding decrease in pain disability was seen in AR between postassessment and 6-month follow-up. Pain acceptance increased only in ACT, and this effect was maintained at 6-month follow-up. Approximately 20% of the participants achieved clinically significant change after treatment. Health economic analyses showed that ACT was more cost-effective than AR at post and 3-month follow-up assessment, but not at 6-month follow-up.Discussion: More studies investigating moderators and mediators of change are needed. The present study is one of few that have evaluated the cost-effectiveness of ACT and AR and compared ACT with an established behavioral intervention, and the results provide additional support for behavioral interventions for longstanding pain.

Ämnesord och genrebeteckningar

Biuppslag (personer, institutioner, konferenser, titlar ...)

  • Olsson, Gunnar L.Behavioral Medicine Pain Treatment Services, Karolinska University Hospital, Stockholm, Sweden; Department of Physiology and Pharmacology, Karolinska Institutet, Stockholm, Sweden (författare)
  • Lekander, MatsKarolinska Institutet,Stockholms universitet,Stressforskningsinstitutet,Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden; Department of Stress Research Institute, Stockholm University, Stockholm, Sweden(Swepub:su)mleka (författare)
  • Hesser, Hugo,1982-Linköpings universitet,Psykologi,Filosofiska fakulteten(Swepub:liu)hughe47 (författare)
  • Andersson, ErikKarolinska Institutet,Karolinska Institute, Sweden (författare)
  • Wicksell, Rikard K.Karolinska Institutet,Karolinska University Hospital, Sweden; Karolinska Institute, Sweden (författare)
  • Karolinska InstitutetKarolinska University Hospital, Sweden; Karolinska Institute, Sweden (creator_code:org_t)

Sammanhörande titlar

  • Ingår i:The Clinical Journal of Pain: Lippincott Williams & Wilkins31:11, s. 1004-10160749-80471536-5409

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