Effectiveness of Acceptance and Commitment-Based Therapy (ACT Rehab) on Quality of Life, Severity and Duration of Pain; in Women With Chronic Low Back Pain

Abstract

Objectives: Most of the women around the globe experience low back pain which often has a psychological overlay. Acceptance and Commitment Therapy (ACT) can enhance psychological condition and subsequently improve mental health. Thereby the quality of life of individuals with chronic low back pain gets improved. The study rationale aimed to assess the effectiveness of ACT on quality of life, severity and duration of pain in women with chronic low back pain. Methods:Twenty subjects (women aged between 23 to 34 years) with chronic low back pain from a rehabilitation clinic in Rasht city in the year 2016 were included in the study by convenience sampling method. They were then randomly divided into experimental and control groups (in each group, n=10). Data were collected by a three-part checklist containing demographic characters, World Health Organization Quality of Life questionnaire and McGill Pain Questionnaire. The rehabilitation interventions were based on ACT carried out for eight sessions of one hour each, twice a week. The collected data were analyzed by SPSS software via Paired t-test and independent t-test method.Results: There was a significant increase in all subscales of quality of life (P<0.001) except subscale of physical health (P<0.38) in experimental group. Independent t-test showed a significant decline in mean severity and duration of pain in the experimental group compared to control group. Discussion:The effects of ACT rehabilitation technique on women with chronic low back pain were impressive, which augmented the quality of life. Hence this method can be used as a rehabilitation tool for women with chronic low back pain. A B S T R A C T

Psychological Interventions in Chronic Low Back Pain: A Systematic Review

“…Stand-alone therapies such as Acceptance and Commitment Therapy (ACT) have also been welcomed by researchers in the field of chronic pain [31]. Our study has shown that these therapies are effective in [13,15,17], improving quality of life [16,23,26], physical function and pain reduction [14], and pain relief [25].…”

“…14 relevant and comprehensive articles were selected for review. studies conducted in Iran were based on the theoretical framework of Cognitive-Behavioral Therapy (CBT) alone [9][10][11], CBT combined with mindfulness [15][16][17], and Acceptance and Commitment Therapy (ACT) [23]. The sample size in Iranian studies for intervention groups varied from 10 [15, 23] to 39 [16].…”

A fájdalomkatasztrofizálás, a krónikus fájdalom elfogadása és a reménytelenség hatása az életminőségre, degeneratív gerincbetegségből fakadó krónikus fájdalommal élő nőbetegek körében

“…Számos kutatás eredménye igazolja, hogy az elfogadás és elköteleződés terápiának köszönhetően csökkenhet a depresszió, valamint a szorongás mértéke, illetve a fájdalom katasztrofizálása krónikus deréktáji fájdalommal élők körében (Craner, Lake, Bancroft, & George, 2020;Johnston-Foster, Shennan, Starkey, & Johnson, 2010;Mason, Mathias, & Skevington, 2008). Hasonlóképp, krónikus derékfájdalommal élő nők körében az elfogadás és elköteleződés terápia pozitívan befolyásolhatja az életminőséget (Mousavi, Kraskian, Hassani, & Pashang, 2018).…”

Model terapi kognitif sebagai upaya peningkatan kualitas hidup pada pasien dengan penyakit kronis: Literature review

“…Alat ukur yang digunakan dalam yang diulas dalam studi ini antara lain: 1) WHOQOL (World Health Organization Quality of Life),MPQ (McGill Pain Questionnaire Modified) dalam artikel yang berjudul Effectiveness of Acceptance and Commitment-Based Therapy (ACT Rehab) on Quality of Life, Saverity and Duration of Pain: in Women With Chronic Low Back Pain didapatkan peningkatan setiap komponen kualitas hidup pada kelompok intervensi dibandingkan dengan kelompok kontrol pada dengan nilai (p <0.001) meskipun pada durasi dan kualitas nyeri tidak begitu signifikan (p<0.23)(Seyedeh Maryam, 2018). 2) DQOL (the Diabetes Quality of Life) dalam artikel yang berjudul Effect of Peer Group Education on the Quality of Life of Elderly Individuals with Diabetes: a Randomized Clinical Trial didapatkan peningkatan kualitas hidup pada lansia dengan diabetes setelah dilakukan edukasi peer group dengan nilai signifikansi (p = 0.001)(Maryam Ghasemi, 2018).…”