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Acceptance and Commitment Therapy for chronic pain on functioning: A systematic review of randomized controlled
Shizheng Du1, Jianshu Dong2, Shengji Jin1
1School of Nursing, Nanjing University of Chinese Medicine, 138 Xianlin Avenue, Qixia District, Nanjing, Jiangsu Province, 210023, China.
Neuroscience and Biobehavioral Reviews
|September 18, 2021
Summary
Acceptance and Commitment Therapy (ACT) shows promise for improving functioning in chronic pain patients. While immediate benefits are evident, long-term effectiveness requires further investigation in specific pain conditions.
Area of Science:
- Psychology
- Rehabilitation Medicine
- Clinical Trials
Background:
- Chronic pain presents a significant global health challenge.
- Acceptance and Commitment Therapy (ACT) is an emerging intervention for managing chronic pain.
- ACT focuses on enabling patients to engage in valued life activities despite pain.
Purpose of the Study:
- To systematically review randomized controlled trials (RCTs) evaluating the efficacy of ACT on functioning in chronic pain patients.
- To assess the quality and synthesize the findings of relevant RCTs.
Main Methods:
- A comprehensive literature search was conducted across seven databases.
- Twelve RCTs meeting the inclusion criteria were identified and analyzed.
- The Cochrane risk of bias tool (RoB 2.0) and the GRADE system were used for quality assessment and evidence grading.
Main Results:
- Ten RCTs were assessed as having low risk of bias, while two had some concerns.
- Low to moderate evidence indicates that ACT has a positive immediate impact on functioning for individuals with chronic pain.
- The sustained effect of ACT on functioning remains inconsistent across studies.
Conclusions:
- ACT demonstrates potential for improving functioning in the short term for chronic pain sufferers.
- Further high-quality RCTs are needed to clarify the long-term efficacy of ACT across diverse chronic pain conditions.
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