Acceptance and Commitment Therapy for Chronic Pain: An Overview of Systematic Reviews with Meta-Analysis of Randomized Clinical Trials - 07/02/24
Abstract |
This overview of reviews aimed to summarize the evidence from systematic reviews and meta-analyses of randomized clinical trials of the efficacy of acceptance and commitment therapy (ACT) for adults with chronic pain in relation to pain intensity, pain-related functioning, quality of life, and psychological factors. The Cumulative Index of Nursing and Allied Health Literature (CINAHL), Embase, PsycINFO, PubMed, and the Cochrane Library databases were searched from inception to July 2, 2023. AMSTAR 2 was used to assess the methodological quality of systematic reviews. The overlap among reviews was calculated. Nine reviews comprising 84 meta-analyses of interest were included. At post-treatment, some meta-analyses mainly showed that ACT can reduce depression symptoms, anxiety symptoms, psychological inflexibility, and pain catastrophizing; and can improve mindfulness, pain acceptance, and psychological flexibility. At three-month follow-up, ACT can reduce depression symptoms and psychological inflexibility, as well as improve pain-related functioning and psychological flexibility. At six-month follow-up, ACT can improve mindfulness, pain-related functioning, pain acceptance, psychological flexibility, and quality of life. At six-twelve-month follow-up, ACT can reduce pain catastrophizing and can improve pain-related functioning. Some methodological and clinical issues are identified in the reviews, such as a very high overlap between systematic reviews, the fact that the certainty of the evidence is often not rated and specific details needed to replicate the interventions reviewed are often not reported. Overall, however, randomized clinical trials and systematic reviews show that ACT can improve outcomes related to chronic pain (eg, pain-related functioning). Future systematic reviews should address the methodological and clinical concerns identified here to produce higher-quality findings.
Perspective |
Despite certain methodological and clinical issues, randomized clinical trials and systematic reviews of ACT appear to show that it can improve outcomes related to chronic pain (eg, psychological factors).
Le texte complet de cet article est disponible en PDF.Highlights |
• | Post-treatment: ACT can reduce depression, anxiety, inflexibility, catastrophizing. |
• | Post-treatment: ACT can improve mindfulness, pain acceptance, flexibility. |
• | Three months: ACT can improve depression, inflexibility, functioning, flexibility. |
• | Six months: ACT can improve mindfulness, functioning, acceptance, flexibility. |
• | Six-twelve-month: ACT can improve catastrophizing and functioning. |
Key Words : Acceptance and commitment therapy, Chronic pain, Meta-analysis, Fibromyalgia, Overview, Systematic review
Plan
| Open science framework registration: 948qr. |
|
| Supplementary data accompanying this article are available online at www.jpain.org and www.sciencedirect.com. |
|
| Address reprint requests to Javier Matias-Soto, MSc, Universidad de Malaga, Faculty of Health Sciences, Department of Physical Therapy, Malaga, Spain. E-mail: msjavi93@gmail.com |
Vol 25 - N° 3
P. 595-617 - mars 2024 Retour au numéro
Article précédent
- Knowing What We Are Talking About: The Case of Pain Catastrophizing
- Geert Crombez, Whitney Scott, Annick L. De Paepe
- Serotonin Transporter (5-Hydroxytryptamine Transporter, SERT, SLC6A4) and Sodium-dependent Reuptake Inhibitors as Modulators of Pain Behaviors and Analgesic Responses
- Cary Huang, Andre J. van Wijnen, Hee-Jeong Im
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?