Acceptance and values-based action in chronic pain: A study of treatment effectiveness and process.

摘要: Developing approaches within cognitive behavioral therapy are increasingly process-oriented and based on a functional contextual framework that differs from the focus of earlier work. The present study investigated effectiveness acceptance commitment (S. C. Hayes, K. Strosahl, & G. Wilson, 1999) in treatment chronic pain also examined 2 processes this model, values-based action. Participants included 171 completers an interdisciplinary program, 66.7% whom completed 3-month follow-up assessment as well. Results indicated significant improvements for pain, depression, pain-related anxiety, disability, medical visits, work status, physical performance. Effect size statistics were uniformly medium or larger. According to reliable change analyses, 75.4% patients demonstrated improvement at least one key domain. Both action improved, increases these associated with primary outcome domains.