Acceptance and Commitment Therapy for women living with Vulvodynia: A single-case experimental design study of a treatment delivered online

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Chisari, ClaudiaKings Coll London, Inst Psychiat Psychol & Neurosci, Hlth Psychol Sect, London, England. (författare)

Acceptance and Commitment Therapy for women living with Vulvodynia : A single-case experimental design study of a treatment delivered online

Artikel/kapitelEngelska2022

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Elsevier,2022
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LIBRIS-ID:oai:DiVA.org:uu-460224
https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-460224URI
https://doi.org/10.1016/j.jcbs.2021.11.003DOI

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Språk:engelska
Sammanfattning på:engelska

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Introduction: Vulvodynia is a condition characterised by persistent vulval pain and includes particular impacts on sexual and emotional functioning. Acceptance and Commitment Therapy (ACT) has been successfully applied in persistent pain but has not been tested in this population. This single-case experimental design (SCED) study aimed to evaluate whether an online ACT programme improves clinical outcomes in women with Vulvodynia. We also evaluated whether the intervention led to changes in hypothesised processes of therapeutic change.Methods: This study applied a nonconcurrent multiple baseline SCED method to assess ACT in women with Vulvodynia. During baseline and treatment phases, participants completed daily self-report outcomes of pain severity and interference, sexual functioning and satisfaction, depression, and hypothesised process-variables: pain-acceptance, present-moment-awareness, committed-action, perceived injustice, and body-exposure anxiety during sexual activities. Full-length assessments of these variables were also completed before and after treatment. The intervention comprised a six-week online ACT programme, combined with a Vulvodynia-specific manual. Visual and statistical analyses were conducted.Results: Seven participants, mostly with mixed Vulvodynia, provided baseline and treatment phase data, and completed the intervention and diaries. Based on the visual inspection, and Tau and Tau-U values as effect sizes from the daily data, all participants showed moderate size improvements in two or more outcomes. However, participants had highly individual treatment effects. Limited improvement was found in depression. Pain acceptance, committed-action, and perceived injustice also demonstrated change for some participants.Discussion: The results suggest online ACT may improve pain and sexual outcomes for some women with Vulvodynia. Pain-acceptance, committed-action, and perceived injustice are highlighted as potential processes of change for some participants. In general, responses to treatment appear highly individual. Further application of the SCED approach to ACT for Vulvodynia is recommended.

Ämnesord och genrebeteckningar

SAMHÄLLSVETENSKAP Psykologi Tillämpad psykologi hsv//swe
SOCIAL SCIENCES Psychology Applied Psychology hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Reproduktionsmedicin och gynekologi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Obstetrics, Gynaecology and Reproductive Medicine hsv//eng
Vulvodynia
Genital pain
Acceptance and commitment therapy
Single-case experimental design
Idiographic approach

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

McCracken, Lance,1962-Uppsala universitet,Institutionen för psykologi(Swepub:uu)lanmc300 (författare)
Cruciani, FedericoUlster Univ, Sch Comp, Belfast, Antrim, North Ireland. (författare)
Moss-Morris, RonaKings Coll London, Inst Psychiat Psychol & Neurosci, Hlth Psychol Sect, London, England. (författare)
Scott, WhitneyKings Coll London, Inst Psychiat Psychol & Neurosci, Hlth Psychol Sect, London, England.;Guys & St Thomas NHS Fdn Trust, INPUT Pain Management Unit, London, England. (författare)
Kings Coll London, Inst Psychiat Psychol & Neurosci, Hlth Psychol Sect, London, England.Institutionen för psykologi (creator_code:org_t)

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Ingår i:Journal of Contextual Behavioral Science: Elsevier23, s. 15-302212-1447

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Av författaren/redakt...: Chisari, Claudia; McCracken, Lance ...; Cruciani, Federi ...; Moss-Morris, Ron ...; Scott, Whitney

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SAMHÄLLSVETENSKAP: SAMHÄLLSVETENSKA ...; och Psykologi; och Tillämpad psykol ...

MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Reproduktionsmed ...

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Av lärosätet: Uppsala universitet

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