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Internet-Based Acceptance and Commitment Therapy for Transdiagnostic Treatment of Comorbid Posttraumatic Stress Disorder and Chronic Pain : A Development Pilot Study

Åkerblom, Sophia LU ; Nilsson, Tina ; Stacke, Sanna ; Jönsson, Ingrid Peppler and Nordin, Linda LU (2024) In Psychological Trauma: Theory, Research, Practice, and Policy
Abstract

Objective: Acceptance and commitment therapy (ACT) is a transdiagnostic, behavioral treatment focusing on common processes behind different diagnoses. Internet-based treatment programs can improve access to treatment and easily be integrated into the individual’s life. Method: This single-arm, pre-post-follow-up pilot study examined the acceptability, safety, and effectiveness of internet-based ACT (iACT) for participants with comorbid posttraumatic stress disorder (PTSD) and chronic pain treated at a tertiary pain clinic. All participants (N = 10) received the iACT program over a period of 10 weeks and were assessed pre- and postintervention and at a 3-month follow-up. Results: This study provides preliminary evidence for the... (More)

Objective: Acceptance and commitment therapy (ACT) is a transdiagnostic, behavioral treatment focusing on common processes behind different diagnoses. Internet-based treatment programs can improve access to treatment and easily be integrated into the individual’s life. Method: This single-arm, pre-post-follow-up pilot study examined the acceptability, safety, and effectiveness of internet-based ACT (iACT) for participants with comorbid posttraumatic stress disorder (PTSD) and chronic pain treated at a tertiary pain clinic. All participants (N = 10) received the iACT program over a period of 10 weeks and were assessed pre- and postintervention and at a 3-month follow-up. Results: This study provides preliminary evidence for the acceptability, safety, and effectiveness of iACT for comorbid PTSD and chronic pain. The program showed clinically significant improvement in relation to the primary outcomes PTSD symptom severity and pain interference for this patient group with complex, comorbid symptoms, with sustained effects at the 3-month follow-up. Conclusions: These results add to previous research where face-to-face ACT has been shown to be of benefit to individuals with either chronic pain or PTSD. The findings also suggest that iACT can be delivered to individuals with comorbid PTSD and chronic pain with an effectiveness that is comparable to other cognitive behavioral therapy-based treatments for somatic and psychiatric disorders.

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author
; ; ; and
organization
publishing date
type
Contribution to journal
publication status
epub
subject
keywords
acceptance and commitment therapy, chronic pain, internet-based, internet-based acceptance and commitment therapy, posttraumatic stress disorder
in
Psychological Trauma: Theory, Research, Practice, and Policy
publisher
American Psychological Association (APA)
external identifiers
  • pmid:38421757
  • scopus:85189159648
ISSN
1942-9681
DOI
10.1037/tra0001663
language
English
LU publication?
yes
id
0ee7d7db-00b2-4973-8fc1-e904e759d24a
date added to LUP
2024-04-11 10:55:13
date last changed
2024-04-25 13:51:08
@article{0ee7d7db-00b2-4973-8fc1-e904e759d24a,
  abstract     = {{<p>Objective: Acceptance and commitment therapy (ACT) is a transdiagnostic, behavioral treatment focusing on common processes behind different diagnoses. Internet-based treatment programs can improve access to treatment and easily be integrated into the individual’s life. Method: This single-arm, pre-post-follow-up pilot study examined the acceptability, safety, and effectiveness of internet-based ACT (iACT) for participants with comorbid posttraumatic stress disorder (PTSD) and chronic pain treated at a tertiary pain clinic. All participants (N = 10) received the iACT program over a period of 10 weeks and were assessed pre- and postintervention and at a 3-month follow-up. Results: This study provides preliminary evidence for the acceptability, safety, and effectiveness of iACT for comorbid PTSD and chronic pain. The program showed clinically significant improvement in relation to the primary outcomes PTSD symptom severity and pain interference for this patient group with complex, comorbid symptoms, with sustained effects at the 3-month follow-up. Conclusions: These results add to previous research where face-to-face ACT has been shown to be of benefit to individuals with either chronic pain or PTSD. The findings also suggest that iACT can be delivered to individuals with comorbid PTSD and chronic pain with an effectiveness that is comparable to other cognitive behavioral therapy-based treatments for somatic and psychiatric disorders.</p>}},
  author       = {{Åkerblom, Sophia and Nilsson, Tina and Stacke, Sanna and Jönsson, Ingrid Peppler and Nordin, Linda}},
  issn         = {{1942-9681}},
  keywords     = {{acceptance and commitment therapy; chronic pain; internet-based; internet-based acceptance and commitment therapy; posttraumatic stress disorder}},
  language     = {{eng}},
  publisher    = {{American Psychological Association (APA)}},
  series       = {{Psychological Trauma: Theory, Research, Practice, and Policy}},
  title        = {{Internet-Based Acceptance and Commitment Therapy for Transdiagnostic Treatment of Comorbid Posttraumatic Stress Disorder and Chronic Pain : A Development Pilot Study}},
  url          = {{http://dx.doi.org/10.1037/tra0001663}},
  doi          = {{10.1037/tra0001663}},
  year         = {{2024}},
}