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Acceptance and commitment therapy for fibromyalgia: a randomized controlled trial.

R K Wicksell1, M Kemani, K Jensen

  • 1Behavior Medicine Pain Treatment Service, Karolinska University Hospital, Stockholm, Sweden. rikard.wicksell@karolinska.se

European Journal of Pain (London, England)
|October 24, 2012
PubMed
Summary
This summary is machine-generated.

Acceptance and Commitment Therapy (ACT) significantly improved fibromyalgia symptoms and psychological flexibility in women. ACT offers a promising treatment for fibromyalgia by enhancing patients' ability to live according to their values despite pain.

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Area of Science:

  • Psychology
  • Clinical Psychology
  • Rehabilitation Medicine

Background:

  • Fibromyalgia (FM) presents widespread pain, fatigue, and depression, often inadequately addressed by medical treatments alone.
  • Cognitive Behaviour Therapy (CBT) shows moderate effects, prompting exploration of newer therapeutic approaches.
  • Acceptance and Commitment Therapy (ACT) rapidly gains empirical support for enhancing psychological flexibility.

Purpose of the Study:

  • To assess the efficacy of ACT in treating fibromyalgia (FM).
  • To investigate the mediating role of psychological inflexibility in treatment outcomes.

Main Methods:

  • A randomized controlled trial comparing ACT to a waitlist control.
  • Forty women diagnosed with FM participated.
  • Assessments were conducted pre-treatment, post-treatment, and at 3-month follow-up.

Main Results:

  • ACT demonstrated significant improvements in pain-related functioning, FM impact, quality of life, self-efficacy, depression, and anxiety.
  • Reductions in psychological inflexibility mediated improvements in outcomes.
  • ACT was superior to the waitlist control group.

Conclusions:

  • ACT is a viable therapeutic option for fibromyalgia, aligning with findings for other chronic pain conditions.
  • Psychological inflexibility serves as a key mediator for treatment improvements in FM.
  • ACT enhances patients' capacity to function by aligning actions with values amidst pain and distress.