A Comprehensive Examination of the Model Underlying Acceptance and Commitment Therapy for Chronic Pain

被引:0
作者
Vowles, Kevin E. [1 ,2 ]
Sowden, Gail [2 ,3 ]
Ashworth, Julie [2 ,3 ]
机构
[1] Univ New Mexico, Albuquerque, NM 87131 USA
[2] Haywood Hosp, Stoke On Trent, Staffs, England
[3] Keele Univ, Keele, Staffs, England
关键词
acceptance and commitment therapy; chronic pain; structural equation modelling; functioning; multivariate analysis; CONFIRMATORY FACTOR-ANALYSIS; VALUES-BASED ACTION; PSYCHOLOGICAL FLEXIBILITY; IDENTIFICATION; QUESTIONNAIRE; MINDFULNESS; STRATEGIES; PEOPLE;
D O I
暂无
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
The therapeutic model underlying Acceptance and Commitment Therapy (ACT) is reasonably well-established as it applies to chronic pain. Several studies have examined measures of single ACT processes, or subsets of processes, and have almost uniformly indicated reliable relations with patient functioning. To date, however, no study has performed a comprehensive examination of the entire ACT model, including all of its component processes, as it relates to functioning. The present study performed this examination in 274 individuals with chronic pain presenting for an assessment appointment. Participants completed a battery of self-report questionnaires, assessing multiple aspects of the ACT model, as well as pain intensity, disability, and emotional distress. Initial exploratory factor analyses examined measures of the ACT model and measures of patient functioning separately with each analysis identifying three factors. Next, the fit of a model including ACT processes on the one hand and patient functioning on the other was examined using Structural Equation Modeling. Overall model fit was acceptable and indicated moderate correlations among the ACT processes themselves, as well as significant relations with pain intensity, emotional distress, and disability. These analyses build on the existing literature by providing, to our knowledge, the most comprehensive evaluation of the ACT theoretical model in chronic pain to date.
引用
收藏
页码:390 / 401
页数:12
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[41]   ACTsmart - development and feasibility of digital Acceptance and Commitment Therapy for adults with chronic pain [J].
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