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Related Experiment Video

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Dynamic Quantitative Sensory Testing to Characterize Central Pain Processing
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Self-compassion in Acceptance and Commitment Therapy for chronic pain: a pilot study.

Sérgio A Carvalho1,2, David Gillanders3, Teresa Forte4

  • 1Center for Research in Neuropsychology and Cognitive Behavioral Intervention (CINEICC), Faculty of Psychology and Education Sciences, University of Coimbra, Coimbra, Portugal.

Scandinavian Journal of Pain
|December 26, 2021
PubMed
Summary

This pilot study compared Compassionate Acceptance and Commitment Therapy (COMP.ACT) with standard ACT for chronic pain. COMP.ACT showed greater improvements in depression and anxiety, while ACT improved stress and self-criticism.

Keywords:
Acceptance and Commitment Therapychronic paincompassionpilot study

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Area of Science:

  • Psychology
  • Clinical Psychology
  • Pain Management

Background:

  • Acceptance and Commitment Therapy (ACT) is an evidence-based approach for chronic pain (CP).
  • Self-compassion may be a mechanism of change in ACT for CP, but research on explicit self-compassion integration is limited.

Purpose of the Study:

  • To pilot test a Compassionate ACT (COMP.ACT) group program against an ACT-only program for women with CP.
  • To explore the potential benefits of integrating explicit self-compassionate exercises into ACT for CP.

Main Methods:

  • A quasi-experimental design was employed.
  • Two 8-session group programs were compared: COMP.ACT (n=9) and ACT (n=7).
  • Reliable and Significant Change analyses were conducted on pre- to post-intervention self-report measures.

Main Results:

  • No baseline differences were found between conditions or between completers and drop-outs.
  • COMP.ACT demonstrated greater improvements in depression and anxiety compared to ACT.
  • ACT showed greater improvements in stress and uncompassionate self-responding than COMP.ACT.

Conclusions:

  • Preliminary results suggest potential benefits of integrating self-compassion into ACT for CP, with differential effects on specific outcomes.
  • Further research is necessary to confirm the utility of explicit self-compassion exercises within ACT for chronic pain management.