Acceptance and commitment therapy for fibromyalgia: A randomized controlled trial

Abstract

The results correspond with previous studies on ACT for chronic pain and suggest the utility of ACT for FM as well as the role of psychological inflexibility as a mediator of improvement.

The Psychological Flexibility Model: A Basis for Integration and Progress in Psychological Approaches to Chronic Pain Management

“…There are now six published RCTs of ACT related to chronic pain in adults, 7,14,75,88,90,91, and one in young people. 92 There are other trials that are pseudo-randomized, partly controlled, or pilot studies, 36,58,87 a partial reanalysis of treatment outcome focused on older adults, 54 and several larger scale effectiveness studies, 52,84 including a large treatment cohort that showed good outcomes at three years post treatment.…”

“…ACT is truly a "transdiagnostic" approach as is sometimes advocated, 61 meaning that it is meant to be applicable to different type of psychological problems, and, in a specifically pain-related context, that it ought to be applicable across a full range of different pain diagnosis. e.g.,60,70 ACT has generated a wide array of applications including the following treatment formats for chronic pain: three or four week residential group treatment delivered by an interdisciplinary team, 58 individual treatment, 90 self-administered workbooks with therapist support, 75 via the internet, 7 outpatient group treatment, 91 and one-day workshop-based treatment. 16 ACT also appears to be a sustainable approach, and not a passing fad, so far as it has been in process of continued growth for more than 25 years.…”

Efficacy, acceptability and safety of cognitive behavioural therapies in fibromyalgia syndrome – A systematic review and meta‐analysis of randomized controlled trials

“…One of these studies was included in the first version of the review (Williams et al, 2010). We included seven new studies (Williams et al, 2002;Parra-Delgado and Latorre-Postigo, 2013;Wicksell et al, 2013;Luciano et al, 2014;Martınez et al, 2014;Garcia-Palacios et al, 2015;Karlsson et al, 2015).One study (Williams et al, 2002) was not included in the first version of this review. These studies added 546 new participants.…”

“…Eighteen studies were conducted in Europe (Burckhardt et al, 1994;Vlaeyen et al, 1996;Wigers et al, 1996;Soares and Grossi, 2002;Thieme et al, 2003Thieme et al, , 2006Redondo et al, 2004;Castel et al, 2009Castel et al, , 2012Alda et al, 2011;Luciano et al, 2011Luciano et al, , 2014Miro et al, 2011;Parra-Delgado and Latorre-Postigo, 2013;Wicksell et al, 2013;Martınez et al, 2014;Garcia-Palacios et al, 2015;Karlsson et al, 2015), of which 10 were conducted in Spain (Redondo et al, 2004;Castel et al, 2009Castel et al, , 2012Alda et al, 2011;Luciano et al, 2011Luciano et al, , 2014Miro et al, 2011;ParraDelgado and Latorre-Postigo, 2013;Martınez et al, 2014;Garcia-Palacios et al, 2015), five in Scandinavian countries (Burckhardt et al, 1994;Wigers et al, 1996;Soares and Grossi, 2002;Wicksell et al, 2013;Karlsson et al, 2015), two studies in Germany (Thieme et al, 2003(Thieme et al, , 2006 and one study in the Netherlands (Vlaeyen et al, 1996). Ten studies were conducted in North America (USA) (Nicassio et al, 1997;Oliver et al, 2001;King et al, 2002...…”

“…Twenty-three studies provided traditional CBT (Burckhardt et al, 1994;Vlaeyen et al, 1996;Wigers et al, 1996;Nicassio et al, 1997;King et al, 2002;Soares and Grossi, 2002;Williams et al, 2002;Redondo et al, 2004;Edinger et al, 2005;Kashikar-Zuck et al, 2005;Thieme et al, 2006;Falcao et al, 2008;Castel et al, 2009Castel et al, , 2012Ang et al, 2010;Alda et al, 2011;Luciano et al, 2011;Miro et al, 2011;Kashikar-Zuck et al, 2012;Woolfolk et al, 2012;Martınez et al, 2014;Garcia-Palacios et al, 2015;Karlsson et al, 2015), three studies offered acceptance/mindfulness-based therapy (Parra-Delgado and Latorre-Postigo, 2013; Wicksell et al, 2013;Luciano et al, 2014) and two studies each provided self management education (Oliver et al, 2001;Rooks et al, 2007) and operant therapy (Thieme et al, 2003(Thieme et al, , 2006. All studies were conducted by live face-toface contact except one study which was delivered by telephone (voice-to-voice) (Ang et al, 2010).…”