Acceptance and Commitment Therapy and Selective Optimization with Compensation for Institutionalized Older People with Chronic Pain

Alonso-Fernández, Miriam; López-López, Almudena; Losada, Andrés; González, José Luís; Wetherell, Julie Loebach

doi:10.1111/pme.12885

Cited by 40 publications

(29 citation statements)

References 91 publications

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“…Overall, findings from this study support other preliminary research with ACT in older adults (Lunde and Nordhus, ; Wetherell et al ., ; McCracken and Jones, ; Alonso‐Fernandez et al ., ; Karlin et al ., ; Petkus and Wetherell, ). Larger scale studies are recommended to confirm that ACT is an acceptable and efficacious treatment for a variety of common late‐life problems, including but not limited to chronic pain.…”

Section: Discussionmentioning

confidence: 99%

“…A recent meta‐analysis of ACT for chronic pain found significant effects on pain intensity, depression, anxiety, quality of life, and physical well‐being (Veehof et al ., ). ACT is effective in adults (Vowles et al ., , ; Vowles and McCracken, ; McCracken and Gutierrez‐Martinez, ) and children (Wicksell et al ., , ; Wicksell and Greco, ), with some preliminary evidence in older people (Lunde and Nordhus, ; Alonso‐Fernandez et al ., ) with chronic pain. Our group found evidence for equivalent improvement associated with ACT and CBT on measures of pain interference, severity, and psychological outcomes in a sample of pain patients with a large age range (Wetherell et al ., 2011b).…”

Section: Acceptance and Commitment Therapy For Older Adults With Chromentioning

confidence: 99%

See 1 more Smart Citation

Age moderates response to acceptance and commitment therapy vs. cognitive behavioral therapy for chronic pain

Wetherell

Petkus

Alonso-Fernández

et al. 2015

Int J Geriat Psychiatry

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Section: Discussionmentioning

confidence: 99%

Section: Acceptance and Commitment Therapy For Older Adults With Chromentioning

confidence: 99%

Age moderates response to acceptance and commitment therapy vs. cognitive behavioral therapy for chronic pain

Wetherell

Petkus

Alonso-Fernández

et al. 2015

Int J Geriat Psychiatry

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“…Parent psychological flexibility has also been shown to be positively correlated with child pain acceptance and functioning and negatively correlated with child depression and parent protective behavior 19, 49 . These parent psychological dimensions can be targeted in treatment, and there has been a track record for success in patients with chronic pain 1, 3, 20–22, 40, 51 . Additional research examining these parent dimensions is needed as well as the expansion and modification of parent interventions to address these additional and salient treatment targets.…”

Section: Discussionmentioning

confidence: 99%

The Longitudinal Impact of Parent Distress and Behavior on Functional Outcomes Among Youth With Chronic Pain

Chow

Otis

Simons

2016

The Journal of Pain

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Accumulating evidence supports the concurrent association between parent distress and behavior and child functioning in the context of chronic pain, with existing longitudinal studies limited to a pediatric surgical context that identify parent catastrophizing as influential. In this study, we examined how parent factors assessed at a multidisciplinary pediatric pain clinic evaluation impact child psychological and functional outcomes over time. A cohort of 195 patients with chronic pain (ages 8–17) and their parents who presented for a multidisciplinary evaluation completed measures at baseline and at four-month follow-up. Patients completed measures of pain catastrophizing, pain-related fear and avoidance, generalized anxiety, depressive symptoms, and functional disability. Parents completed measures of pain catastrophizing, pain-related fear and avoidance, and protective responses to child pain. Parent reported child school functioning was also collected. Parent distress and behavior was concurrently associated with child distress and functioning at evaluation. After controlling for baseline child functioning, baseline parent avoidance and protective behavior emerged as significant predictors of child functioning at four-month follow-up. Parent distress and behavior influence child distress and functioning over time and these findings identify key parent domains to target in the context of a child’s pain treatment.

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“…Most studies (n=7) were conducted in the United States (Cook, 1998; Haight et al , 1998; Hyer et al , 2008; McCurren et al , 1999; Reinhardt et al , 2014; Sood et al , 2003; Zerhusen et al , 1991), while the rest were conducted in Taiwan (Chiang et al , 2010; Tsai et al , 2008; Wang, 2005), Canada (Cook, 1998; Konnert et al , 2009), and Spain (Alonso-Fernandez et al , 2015). …”

Section: Resultsmentioning

confidence: 99%

Treatment of depression in nursing home residents without significant cognitive impairment: a systematic review

Simning

Simons

2016

Int. Psychogeriatr.

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Background Depression in nursing facilities is widespread and has been historically under-recognized and inadequately treated. Many interventions have targeted depression among residents with dementia in these settings. Less is known about depression treatment in residents without dementia who may be more likely to return to community living. Our study aimed to systematically evaluate randomized control trials (RCTs) in nursing facilities that targeted depression within samples largely comprised of residents without dementia. Methods The following databases were evaluated with searches covering January 1991 through December 2015 (PubMed, PsycINFO) and March 2016 (CINAHL). We also examined national and international clinical trial registries including ClinicalTrials.gov. RCTs were included if they were published in English, evaluated depression or depressive symptoms as primary or secondary outcomes, and included a sample with a mean age of 65 and older for which most had no or only mild cognitive impairment. Results A total of 32 RCTs met our criteria including those testing psychotherapeutic interventions (n=13), psychosocial and recreation interventions (n=9), and pharmacologic or other biologic interventions (n=10). Seven psychotherapeutic, six psychosocial and recreation, and four pharmacologic or other biologic interventions demonstrated a treatment benefit. Conclusions Many studies had small samples, were of poor methodological quality, and did not select for depressed residents. There is limited evidence suggesting that cognitive behavioral therapies, reminiscence, interventions to reduce social isolation, and exercise-based interventions have some promise for decreasing depression in cognitively intact nursing home residents; little can be concluded from the pharmacologic or other biologic RCTs.

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Acceptance and Commitment Therapy and Selective Optimization with Compensation for Institutionalized Older People with Chronic Pain

Abstract: These results suggest that an ACT intervention combined with training in SOC strategies could help older people with pain to improve their emotional well being and their functional capability.

Cited by 40 publications

References 91 publications

Age moderates response to acceptance and commitment therapy vs. cognitive behavioral therapy for chronic pain

Age moderates response to acceptance and commitment therapy vs. cognitive behavioral therapy for chronic pain

The Longitudinal Impact of Parent Distress and Behavior on Functional Outcomes Among Youth With Chronic Pain

Treatment of depression in nursing home residents without significant cognitive impairment: a systematic review

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