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:: Volume 24, Issue 3 (10-2022) ::
J Gorgan Univ Med Sci 2022, 24(3): 17-25 Back to browse issues page
Effectiveness of Acceptance and Commitment Therapy on Psychological Well-Being and Pain Perception among Patients with Chronic Neuropathic Pain: A Clinical Trial
Farzaneh Dehestani1 , Bahram Mirzaian * 2, Ramazan Hassanzadeh3 , Payam Saadat4
1- Ph.D Candidate in Psychology, Department of Psychology, Sari Branch, Islamic Azad University, Sari, Iran.
2- Assistant Professor, Department of Psychology, Sari Branch, Islamic Azad University, Sari, Iran. , bahrammirzaian@gmail.com
3- Professor, Department of Psychology, Sari Branch, Islamic Azad University, Sari, Iran.
4- Visiting Associate Professor, Mobility Impairment Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran.
Abstract:   (1946 Views)
Background and Objective: Neuropathic pain is a large and difficult group of peripheral nerve diseases, which are complicated to treat. This study was designed to determine the effectiveness of acceptance and commitment therapy (ACT) on psychological well-being and pain perception among patients with chronic neuropathic pain.
Methods: This clinical trial was performed on 30 patients with chronic neuropathic pain who were referred to the Rohani Hospital and private clinic of a neurologist in Babol (Iran) in 2022. The patients were randomly divided into an interventional and a control group. The patients completed the psychological well-being scale (Ryff) and pain belief and perception inventory (Williams and Thorn) in the pretest. Then, ACT (120 minutes) was performed for the interventional group, 8 sessions a week. The patients completed the scales after the treatment course and 2 months after the posttest.
Results: In the first follow-up, there were significant differences between the two groups in terms of total score of psychological well-being (P<0.05), the subscales of self-acceptance (P<0.05), positive relationships with others (P<0.05), autonomy (P<0.05), environmental mastery (P<0.05), purpose in life (P<0.05), personal growth (P<0.05), the total score of pain perception (P<0.05), the subscales of belief in the stability of pain in the present (P<0.05) and belief in the mysteriousness of pain (P<0.05). The treatment results were maintained in the second follow-up phase. In the first follow-up, the subscales of belief in the continuation of pain in the future and belief in self-blame did not differ significantly between the two groups, but in the second follow-up, the subscales of belief in the continuation of pain in the future (P<0.05) and belief in self–blame (P<0.05) differed significantly between the two groups. In addition, the average psychological well-being in the intervention group was higher than that in the control group, and the average pain perception in the intervention group was lower than that in the control group.
Conclusion: This study shows the ACT could be an effective intervention for improving psychological well-being and pain perception among patients with chronic neuropathic pain.
 
Keywords: Acceptance and Commitment Therapy [MeSH], Psychological Well-Being [MeSH], Pain Perception [MeSH], Chronic Pain [MeSH]
Article ID: Vol24-31
Full-Text [PDF 903 kb]   (9383 Downloads)    
Type of Study: Original Articles | Subject: Internal Medicine
References
1. Otis JD. [Managing Chronic Pain: A Cognitive-Behavioral Therapy Approach]. Traslation by: Nasiri F. 1st ed. Tehran: Arna Publication. 2014; pp: 11-12. [Persian]
2. Hamid N, Ramezan Sa’atchi L, Mehrabizadeh Honarmand M. Effect of Cognitive-Behavioral Therapy on Pain Severity and Mental Health of Women with Chronic Low back Pain. Clinical Psychology Studies. 2013; 3(10): 96-113. [View at Publisher]
3. Mindruta I, Cobzaru AM, Bajenaru OA. Overview of Neuropathic Pain Diagnosis and Assessment – An Approach Based on Mechanisms. In: Udeagha CC. Neuropathic Pain. London: IntechOpen. 2012; pp: 1-4. DOI: 10.5772/37126 [DOI] [PubMed]
4. Banafshe H, Mesdaghinia A, Honarkar-Ramezani M, Noorani-Arani M, Banitaba-Bidgoli SM, Hamidi GA. [Effect of lithium on neuropathic pain induced by partial ligation of rat sciatic nerve]. Feyz. 2011; 15(4): 294-301. [Article in Persian] [View at Publisher]
5. Yong RJ, Nguyen M, Nelson E, Urman RD. Pain Medicine: An Essential Review. 1st ed. Springer. 2017.
6. Hamzehpour Haghighi T, Dousty Y, Fakhri M K. [Effectiveness of group cognitive behavioral therapy on illness and pain perception in patients with rheumatoid arthritis]. SJKU. 2015; 20(3): 45-57. DOI: 10.22102/20.3.45 [Article in Persian] [View at Publisher] [DOI]
7. Tarkhan, M. [The Effectiveness of Acceptance and Commitment Therapy (ACT) on Emotion Regulation and Life Meaning of Depressed Women]. Journal of Psychological Studies. 2017; 13(3): 147-64. DOI: 10.22051/psy.2017.13345.1312 [Article] [DOI]
8. Harris R, Hayes SC. [ACT Made Simple: An Easy-To-Read Primer on Acceptance and Commitment Therapy]. Translation by: Aminzadeh A. 1st ed. Tehran: Arjmand Publication. 2021; pp: 12-22. [Persian]
9. Flaxman PE, Blackledge JT, Bond FW. [Acceptance and commitment therapy: distinctive features]. Translation by: Khodayari M, Hosseininezhad SN. 2nd ed. Tehran: University of Tehran Press. 2019; p: 44. [Persian]
10. Bach PA, Moran DJ. [ACT in practice: Case conceptualization in acceptance & commitment therapy]. Translation by: Kamali S, Kianrad N. 3rd ed. Tehran: Arjmand Publication. 2020; p:16. [Persian]
11. Hayes SC. Acceptance and Commitment Therapy, Relational Frame Theory, and the Third Wave of Behavioral and Cognitive Therapies - Republished Article. Behav Ther. 2016 Nov; 47(6): 869-85. DOI: 10.1016/j.beth.2016.11.006 [DOI] [PubMed]
12. Mahmudfakhe H, Khademi A, Tasbihsazan Mashhad R. [The effectiveness of acceptance and commitment therapy (ACT) on psychological well-being and happiness of mothers of children with cancer]. JPEN. 2019; 5(4): 71-78. [Article in Persian] [View at Publisher]
13. Fava GA. Well-Being Therapy: Treatment Manual and Clinical Applications. 1st ed. Basel: S.Karger. 2016; pp: 9-18.
14. Goodwin CL, Forman EM, Herbert JD, Butryn ML, Ledley GS. A pilot study examining the initial effectiveness of a brief acceptance-based behavior therapy for modifying diet and physical activity among cardiac patients. Behav Modif. 2012 Mar; 36(2): 199-217. DOI: 10.1177/0145445511427770 [DOI] [PubMed]
15. Davoodi M, Shameli L, Hadianfard H. [The Effectiveness of Acceptance and Commitment Therapy on Chronic Fatigue Syndrome and Pain Perception in People with Multiple Sclerosis]. IJPCP 2019; 25(3): 250-65. DOI: 10.32598/ijpcp.25.3.250 [Article in Persian] [View at Publisher] [DOI]
16. Farokhi H, Ansarishahidi M, Rezayi H, Abrahemi A, Arbkheradmand J. [Comparing the Effectiveness of Schema Therapy, Acceptance and Commitment Therapy on Pain Acceptance, Pain Self-Efficacy in Spinal Column Surgery Patients]. JAP. 2020; 10(4): 89-96. [Article in Persian] [View at Publisher]
17. Robinson P, Wicksell RK, Olsson GL. Pain Patients ACT with Chronic. In: Hayes SC, Strosahl KD. A practical guide to acceptance and commitment therapy. 1st ed. New York: Springer. 2004; pp: 315-45. DOI: 10.1007/978-0-387-23369-7 [DOI]
18. Sefidi F, Farzad V. Validated measure of Ryff psychological well-being among students of Qazvin University of Medical Sciences (2009). Journal of Inflammatory Diseases. 2012; 16(1): 65-71. [View at Publisher]
19. Williams DA, Thorn BE. An empirical assessment of pain beliefs. Pain. 1989 Mar; 36(3): 351-58. DOI: 10.1016/0304-3959(89)90095-X [DOI] [PubMed]
20. Ryffe CD, Singer BH. Best news yet on the six-factor model of well-being. Social Science Research. 2006 Dec; 35(4): 1103-19. DOI: 10.1016/j.ssresearch.2006.01.002 [Article] [DOI]
21. Khanjani M, Shahidi S, Fathabadi J, Mazaheri M, Shokri O. [Factor structure and psychometric properties of the Ryff’s scale of Psychological well-being, short form (18-item) among male and female students]. Thoughts and Behavior in Clinical Psychology. 2014; 9(32): 27-36. [Article in Persian] [View at Publisher]
22. Ryff CD, Keyes CL. The structure of psychological well-being revisited. J Pers Soc Psychol. 1995 Oct; 69(4): 719-27. DOI: 10.1037//0022-3514.69.4.719 [DOI] [PubMed]
23. Bayani AA, Mohammad Koochekya A, Bayani A. [Reliability and Validity of Ryff’s Psychological Well-being Scales]. IJPCP. 2008; 14(2): 146-51. [Article in Persian] [View at Publisher]
24. Asghari Moghaddam MA. [Pain and it’s measurement: Study of new approach to pain psychology]. 1st ed. Tehran: Roshd Publicaiton. 2011; pp: 21-210. [Persian]
25. Nunnally JC, Bernstein IH. Psychometric Theory. Chap 7. 3rd ed. New York: McGraw-Hill. 1994; pp: 248-292.
26. Bayrami M, Hashemi T, Taher Aghdam A, Mahmoud Alilou M, Nikzad B. Comparison of perception and beliefs about pain in patients with multiple sclerosis and healthy controls. Journal of Inflammatory Diseases. 2015; 19(4): 47-53. [View at Publisher]
27. Marino F, Failla C, Chilà P, Minutoli R, Puglisi A, Arnao AA, et al. The Effect of Acceptance and Commitment Therapy for Improving Psychological Well-Being in Parents of Individuals with Autism Spectrum Disorders: A Randomized Controlled Trial. Brain Sci. 2021 Jun; 11(7): 880. DOI: 10.3390/brainsci11070880 [DOI] [PubMed]
28. Tracey D, Gray T, Truong S, Ward K. Combining Acceptance and Commitment Therapy With Adventure Therapy to Promote Psychological Wellbeing for Children At-Risk. Front Psychol. 2018 Aug; 9: 1565. DOI: 10.3389/fpsyg.2018.01565 [DOI] [PubMed]
29. Dahl J, Wilson KG, Nilsson A. Acceptance and commitment therapy and the treatment of persons at risk for long-term disability resulting from stress and pain symptoms: A preliminary randomized trial. Behavior Therapy. 2004; 35(4):785-801. DOI: 10.1016/S0005-7894(04)80020-0 [Article] [DOI]
30. Clark S, Kingston J, James K, Bolderston H, Remington B. Acceptance and Commitment Therapy group for treatment-resistant participants: A randomized controlled trial. Journal of Contextual Behavioral Science. 2014 Jul; 3(3): 179-88. DOI: 10.1016/j.jcbs.2014.04.005 [Article] [DOI]
31. Lee V, Robin Cohen S, Edgar L, Laizner AM, Gagnon AJ. Meaning-making intervention during breast or colorectal cancer treatment improves self-esteem, optimism, and self-efficacy. Soc Sci Med. 2006 Jun; 62(12): 3133-45. DOI: 10.1016/j.socscimed.2005.11.041 [DOI] [PubMed]
32. Rezaei S, Khalatbari J, Kalhorniagolkar M, Tajeri B. [Comparison of the Effectiveness of Two Models of Acceptance and Commitment Therapy and Compassion Focused Therapy on Psychological Well-being and Quality of Life of Individuals with Human Immunodeficiency Viruses]. Journal of Health and Care. 2020; 22(3): 245-56. DOI: 10.52547/jhc.22.3.245 [View at Publisher] [DOI]
33. Dortaj A, Aliakbar Dehkordi M, Naser moghadasi A, Alipour A. The Effectiveness of Acceptance and Commitment Therapy on Distress Tolerance, Pain Perception and Interleukin-12 in patients with Multiple Sclerosis. Journal of Applied Psychology. 2021; 15(1): 72-49. DOI: 10.52547/apsy.2021.216250.0 [View at Publisher] [DOI]
34. Gheibee A, Tajeri B, Kooshki S, Sobhi Gharamaleki N. [Comparison of the Effectiveness of Acceptance and Commitment and Compassion Therapy on Psychological Well-being in Patient with Multiple Sclerosis]. IJRN. 2021; 7(2): 63-73. [Article in Persian] [View at Publisher]
35. Sadeghi M, Moradi Z. Effectiveness of Acceptance- and Commitment-Based Therapy on Pain Perception and Functional Disability in Women with Rheumatoid Arthritis. Journal of School of Public Health and Institute of Public Health Research. 2020; 18(2): 199-214. [Article in Persian] [View at Publisher]
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Dehestani F, Mirzaian B, Hassanzadeh R, Saadat P. Effectiveness of Acceptance and Commitment Therapy on Psychological Well-Being and Pain Perception among Patients with Chronic Neuropathic Pain: A Clinical Trial. J Gorgan Univ Med Sci 2022; 24 (3) :17-25
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Volume 24, Issue 3 (10-2022) Back to browse issues page
مجله دانشگاه علوم پزشکی گرگان Journal of Gorgan University of Medical Sciences
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