Acceptance and Commitment Therapy (Act) in the Treatment of Chronic Pain

Dahl, JoAnne; Lundgren, Tobias

doi:10.1016/b978-012088519-0/50014-9

Cited by 81 publications

(96 citation statements)

References 11 publications

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“…Values work is seen as both directing and dignifying the hard work of treatment and has been linked theoretically and practically to improved therapeutic alliance (Wilson & Sandoz, 2008). Details of values interventions are described in books (e.g., Dahl, Wilson, Luciano, & Hayes, 2005;Eifert & Forsyth, 2005;Hayes et al, 1999), chapters (Wilson & Byrd, 2004;Wilson & Sandoz, 2008), and treatment manuals (Dahl, Wilson, & Nilsson, 2004;Hayes et al, 2004).…”

Section: Values Work In Actmentioning

confidence: 99%

The Valued Living Questionnaire: Defining and Measuring Valued Action within a Behavioral Framework

et al. 2010

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A number of cognitive-behavior therapies now strongly emphasize particular behavioral processes as mediators of clinical change specific to that therapy. This shift in emphasis calls for the development of measures sensitive to changes in the therapies' processes. Among these is acceptance and commitment therapy (ACT), which posits valued living as one of its primary core processes. This article offers a definition of values from a behavioral perspective and describes the Valued Living Questionnaire (VLQ ) as a first attempt at assessment of valued living. The VLQ is a relatively brief and easily administered instrument derived directly from the primary text on ACT. Initial psychometric support for the VLQ suggests that valued living can be measured, even with the most simple of instruments, in such a way as to consider it a possible mechanism of change in ACT and related approaches.Key words: behavior therapy, cognitive behavior therapy, Values, Assessment, Valued Living Questionnaire, Acceptance-based psychotherapy, Values-based psychotherapy, Behavioral activation Emerging "third-wave" behavior therapies concentrate on the "construction of broad, flexible, and effective repertoires over an eliminative approach to narrowly defined problems" (Hayes, 2004. p. 658). Functional analytic psychotherapy (FAP; Kohlenberg & Tsai, 1991), dialectical behavior therapy (DBT; Linehan, 1993), integrative behavioral couple therapy (IBCT; Christensen, Jacobson, & Babcock, 1995; Jacobson & Ch ristensen, 1996; Jacobson, Ch ristensen, Prince, Cordova, & Eldridge, 2000), m indfulness-based cognitive therapy (MBCT;Segal, Williams, & Teasdale, 2002), behavioral activation (Dimidjian et al., 2006;, and Borkovec's presentmoment-focused approach to the treatment of GA D (e.g., Borkevec & Sharpless, 2004), among others, share this shift in focus.The authors would like to thank Kate Kellum and Frank Bond for their comments on an earlier version of this article.Correspondence concerning this article should be addressed to Kelly G. Wilson, Ph.D., University of Mississippi, 205 Peabody Building, University, MS 38677. E-mail: kwilson@onelifellc.com. 250 WILSON ET AL.In addition to changes in the focus of treatment outcome, many of these newer therapies propose differences in putative mechanisms of action. Changes in acceptance, m indfulness, distress tolerance, and metacognition, among others, have been proposed as mediators of clinical change. Because of these differences, third-wave behavioral treatments pose significant empirical challenges. Not only do we need to carry the burden of examining their efficacy, but we have the additional challenge of generating and refining measures sensitive to differences in process and outcome.Acceptance and commitment therapy (ACT, said as a word, not as individual letters; Hayes, Strosahl, & Wilson, 1999) is one among these emergent cognitive behavioral therapies in which change processes and outcome are being examined. ACT is based on a functional contextualist philosophical framework and a contempor...

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Section: Values Work In Actmentioning

confidence: 99%

The Valued Living Questionnaire: Defining and Measuring Valued Action within a Behavioral Framework

et al. 2010

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“…Cette position aide notamment à contrer l'habitude de se définir en fonction de la douleur (« Je suis une fibromyalgique »). Faire l'expérience des sensations douloureuses à partir du Soi observateur développe un espace sécuritaire pour s'exposer à la douleur (Dahl et al, 2005). Certains exercices de PC invitent la personne à se centrer sur ses sensations douloureuses avec un point de vue d'observateur.…”

Section: Les Valeurs Personnelles Comme Moteur Pour L'action Engagéeunclassified

“…Certains exercices de PC invitent la personne à se centrer sur ses sensations douloureuses avec un point de vue d'observateur. La douleur peut alors être déconstruite, c'est-à-dire vécue dans ses composantes primaires comme des sensations physiques dans leurs formes les plus pures, sans la souffrance qui l'accompagne (Dahl et al, 2005 ;Kozak, 2008). Cet exercice peut aussi favoriser la prise de conscience des réactions spontanées relativement à la douleur (juger négativement, se crisper, etc.).…”

Section: Les Valeurs Personnelles Comme Moteur Pour L'action Engagéeunclassified

Mieux vivre avec la douleur chronique grâce à la thérapie d’acceptation et d’engagement

Dionne

Blais

Monestès³

2014

smq

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Cet article vise à présenter les particularités de la thérapie d’acceptation et d’engagement (Acceptance and Commitment Therapy ou « ACT ») dans l’intervention auprès de patients souffrant de douleur chronique. Il décrit le contexte historique du développement des thérapies comportementales et cognitives dans ce domaine et présente les fondements théoriques de l’ACT. Il introduit les composantes d’une intervention basée sur l’acceptation et la pleine conscience en visitant plusieurs concepts du modèle de la flexibilité psychologique. Enfin, il synthétise un certain nombre de données probantes provenant des études expérimentales, corrélationnelles et cliniques qui appuient l’utilisation de l’ACT dans le domaine de la douleur chronique.Objectives: The purpose of this article is to present the characteristics of the Acceptance and Commitment Therapy (ACT) for the treatment of chronic pain. The historical context of the development of cognitive and behavioural therapy (CBT) for chronic pain will be described and the theoretical aspects of ACT will be introduced. The components of an acceptance and mindfulness based treatment will also be presented by exploring various processes of the psychological flexibility model. Finally, the article will summarize the scientific evidence supporting ACT based on experimental, correlational and clinical studies in the field of chronic pain.Method: The theoretical aspects underlying ACT, as well as its clinical components in the specific domain of chronic pain were described based on major books in this area, such as McCracken (2005) and Dahl et al. (2005). A descriptive literature review was undertaken to explore the data on the efficacy of ACT for the treatment of chronic pain. Psycinfo and Medline, as well as the Association for Contextual Science website were analyzed for relevant articles. The key search terms were: “Acceptance and Commitment Therapy” or “ACT” or “acceptance” or “mindfulness” or “defusion” and “chronic pain” or “pain.” The reference lists of the articles retrieved were also analyzed. The articles that were not in English or French were excluded as well as those that were not specific to ACT and chronic pain. Results: Results show that ACT is a relevant and empirically supported approach that may be used as a complement to CBT strategies in the treatment of chronic pain. There is growing evidence stemming from experimental and correlational studies that support the majority of the ACT processes. Clinical studies undertaken in the field of chronic pain from different backgrounds support the efficacy of ACT for the management of this condition. Conclusion: ACT is a promising and evidence-based approach for the treatment of chronic pain. More research is needed to further validate its theoretical model and further refine our understanding of how ACT could be effective for the management of chronic pain and enhance quality of life for people who suffer from this health condition. For now, ACT is considered to be as effective as traditional cognitive and behavioral ...

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“…La meta es ayudar a que la persona sea consciente y clarifique sus valores o propósitos vitales y se comprometa con un cambio conductual que le permita conseguirlos (Dahl, Wilson, Luciano y Hayes, 2005).…”

Section: Introductionunclassified

Intervención psicológica grupal, basada en la aceptación y el entrenamiento en comunicación, con familiares de personas con trastorno mental grave

et al. 2015

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The effectiveness of a group intervention program to reduce psychological problems in relatives living with patients with severe mental disorders was evaluated. Attended eight mothers and one father whose adult children were receiving treatment in a Mental Health Day Hospital. They followed the Beck Anxiety Inventory, the Beck Depression Inventory-II, the Perceived Stress Scale, the SF-36 Health Survey, the Coping Strategies Inventory, and the Assertiveness Inventory. They attended 20 sessions of group psychological acceptance and development of skills-based treatment. Following the completion of the program, the level of depression in the parents decreased significantly, assertive conduct increased, as did the use of coping strategies aimed at the solution of problems. The relatives rated the program as useful, applied what they have learned to their daily lives, decreased the levels of psychological discomfort, and the majority applied what they have learned to what they value most. Concluding the program was successful in decreasing depression among patients’ relatives and in increasing their adaptive coping skills. Nevertheless, more studies are needed in order to overcome some limitations such as the size of the cohort and the lack of a control group.

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Acceptance and Commitment Therapy (Act) in the Treatment of Chronic Pain

Cited by 81 publications

References 11 publications

The Valued Living Questionnaire: Defining and Measuring Valued Action within a Behavioral Framework

The Valued Living Questionnaire: Defining and Measuring Valued Action within a Behavioral Framework

Mieux vivre avec la douleur chronique grâce à la thérapie d’acceptation et d’engagement

Intervención psicológica grupal, basada en la aceptación y el entrenamiento en comunicación, con familiares de personas con trastorno mental grave

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