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  • Trindade, Inês A.,1990-University of Coimbra, Center for Research in Neuropsychology and Cognitive Behavioral Intervention, Faculty of Psychology and Educational Sciences, Coimbra, Portugal (författare)

Efficacy of Online-Based Acceptance and Commitment Therapy for Chronic Pain : A Systematic Review and Meta-Analysis

  • Artikel/kapitelEngelska2021

Förlag, utgivningsår, omfång ...

  • Elsevier,2021
  • printrdacarrier

Nummerbeteckningar

  • LIBRIS-ID:oai:DiVA.org:oru-109199
  • https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-109199URI
  • https://doi.org/10.1016/j.jpain.2021.04.003DOI
  • https://lup.lub.lu.se/record/0e5a3316-e3fa-48a2-975d-c316c0b1b16aURI

Kompletterande språkuppgifter

  • Språk:engelska
  • Sammanfattning på:engelska

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Klassifikation

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

Anmärkningar

  • This research was supported by the Portuguese Foundation for Science and Technology (FCT; R&D project grant number: PTDC/PSI-GER/28829/2017).
  • Acceptance and Commitment Therapy (ACT) has been widely tested for chronic pain, with demonstrated efficacy. Nevertheless, although there is meta-analytical evidence on the efficacy of face-to-face ACT, no reviews have been performed on online ACT in this population. The aim of this meta-analysis is to determine the efficacy of online ACT for adults with chronic pain, when compared with controls. PubMed, PsycINFO, CENTRAL, and Web of Knowledge were searched for randomized controlled trials (RCTs) of online-delivered ACT for chronic pain. Effects were analyzed at post-treatment and follow-up, by calculating standardized mean differences. Online-delivered ACT was generally favored over controls (5 RCTs, N = 746). At post-treatment, medium effects for pain interference and pain acceptance, and small effects for depression, mindfulness, and psychological flexibility were found. A medium effect for pain interference and acceptance, and small effects for pain intensity, depression, anxiety, mindfulness, and psychological flexibility were found at followup. ACT-related effects for pain interference, pain intensity, mindfulness, and anxiety increased from post-treatment to follow-up. Nevertheless, the current findings also highlight the need for more methodologically robust RCTs. Future trials should compare online ACT with active treatments, and use measurement methods with low bias.Perspective: This is the first meta-analytical review on the efficacy of online ACT for people with chronic pain. It comprises 5 RCTs that compared online ACT with active and/or inactive controls. Online ACT was more efficacious than controls regarding pain interference, pain intensity, depression, anxiety, mindfulness, and psychological flexibility.

Ämnesord och genrebeteckningar

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

  • Guiomar, RaquelUniversity of Coimbra, Center for Research in Neuropsychology and Cognitive Behavioral Intervention, Faculty of Psychology and Educational Sciences, Coimbra, Portugal (författare)
  • Carvalho, Sérgio A.University of Coimbra, Center for Research in Neuropsychology and Cognitive Behavioral Intervention, Faculty of Psychology and Educational Sciences, Coimbra, Portugal (författare)
  • Duarte, JoanaLund University,Lunds universitet,Institutionen för psykologi,Samhällsvetenskapliga institutioner och centrumbildningar,Samhällsvetenskapliga fakulteten,Department of Psychology,Departments of Administrative, Economic and Social Sciences,Faculty of Social Sciences(Swepub:lu)jo3507du (författare)
  • Lapa, TeresaPain Unit, Coimbra Hospital and University Centre, Coimbra, Portugal; Faculty of Health Sciences, University of Beira Interior, Covilhã, Portugal (författare)
  • Menezes, PauloUniversity of Coimbra, Institute of Systems and Robotics, Coimbra, Portugal; University of Coimbra, Department Electrical and Computer Engineering, Coimbra, Portugal (författare)
  • Nogueira, Maria RitaUniversity of Coimbra, Institute of Systems and Robotics, Coimbra, Portugal (författare)
  • Patrão, BrunoUniversity of Coimbra, Institute of Systems and Robotics, Coimbra, Portugal (författare)
  • Pinto-Gouveia, JoséUniversity of Coimbra, Center for Research in Neuropsychology and Cognitive Behavioral Intervention, Faculty of Psychology and Educational Sciences, Coimbra, Portugal (författare)
  • Castilho, PaulaUniversity of Coimbra, Center for Research in Neuropsychology and Cognitive Behavioral Intervention, Faculty of Psychology and Educational Sciences, Coimbra, Portugal (författare)
  • University of Coimbra, Center for Research in Neuropsychology and Cognitive Behavioral Intervention, Faculty of Psychology and Educational Sciences, Coimbra, PortugalInstitutionen för psykologi (creator_code:org_t)

Sammanhörande titlar

  • Ingår i:Journal of Pain: Elsevier22:11, s. 1328-13421526-59001528-8447

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