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Predictors and mediators of outcome in cognitive behavioral therapy for chronic pain: The contributions of psychological flexibility

Åkerblom, Sophia LU ; Perrin, Sean LU orcid ; Rivano Fischer, Marcelo LU and McCracken, Lance (2020) In Journal of Behavioral Medicine
Abstract
There is now a consensus in the literature that future improvements in outcomes obtained from cognitive behavioral therapy (CBT) for chronic pain will require
research to identify patient and treatment variables that help explain outcomes. The frst aim of this study was to assess whether pre-treatment scores on measures of psychological (in)fexibility, acceptance, committed action, cognitive
(de)fusion, and values-based action predict outcomes in a multidisciplinary, multicomponent, group-based CBT program for adults with chronic pain. The second aim was to assess whether change scores on these same measures mediate outcomes in the treatment program. Participants were 232 people attending treatment for chronic pain. Of the... (More)
There is now a consensus in the literature that future improvements in outcomes obtained from cognitive behavioral therapy (CBT) for chronic pain will require
research to identify patient and treatment variables that help explain outcomes. The frst aim of this study was to assess whether pre-treatment scores on measures of psychological (in)fexibility, acceptance, committed action, cognitive
(de)fusion, and values-based action predict outcomes in a multidisciplinary, multicomponent, group-based CBT program for adults with chronic pain. The second aim was to assess whether change scores on these same measures mediate outcomes in the treatment program. Participants were 232 people attending treatment for chronic pain. Of the psychological fexibility measures, only pre-treatment scores on the psychological infexibility scale predicted outcomes; higher scores on this measure were associated with worse
outcomes. However, change scores on each of the psychological fexibility measures separately mediated outcomes. The efcacy of CBT for chronic pain may be improved with a greater focus on methods that increase psychological
fexibility. (Less)
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author
; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
chronic pain, CBT, Psychological Flexibility, Predictors of outcome, Mediators
in
Journal of Behavioral Medicine
publisher
Springer
external identifiers
  • pmid:32642875
  • scopus:85087738200
ISSN
0160-7715
DOI
10.1007/s10865-020-00168-9
language
English
LU publication?
yes
id
73d913a1-c534-42b8-bfdd-f4b391e5d803
date added to LUP
2020-07-10 13:01:41
date last changed
2022-04-18 23:25:52
@article{73d913a1-c534-42b8-bfdd-f4b391e5d803,
  abstract     = {{There is now a consensus in the literature that future improvements in outcomes obtained from cognitive behavioral therapy (CBT) for chronic pain will require<br/>research to identify patient and treatment variables that help explain outcomes. The frst aim of this study was to assess whether pre-treatment scores on measures of psychological (in)fexibility, acceptance, committed action, cognitive<br/>(de)fusion, and values-based action predict outcomes in a multidisciplinary, multicomponent, group-based CBT program for adults with chronic pain. The second aim was to assess whether change scores on these same measures mediate outcomes in the treatment program. Participants were 232 people attending treatment for chronic pain. Of the psychological fexibility measures, only pre-treatment scores on the psychological infexibility scale predicted outcomes; higher scores on this measure were associated with worse<br/>outcomes. However, change scores on each of the psychological fexibility measures separately mediated outcomes. The efcacy of CBT for chronic pain may be improved with a greater focus on methods that increase psychological<br/>fexibility.}},
  author       = {{Åkerblom, Sophia and Perrin, Sean and Rivano Fischer, Marcelo and McCracken, Lance}},
  issn         = {{0160-7715}},
  keywords     = {{chronic pain; CBT; Psychological Flexibility; Predictors of outcome; Mediators}},
  language     = {{eng}},
  month        = {{07}},
  publisher    = {{Springer}},
  series       = {{Journal of Behavioral Medicine}},
  title        = {{Predictors and mediators of outcome in cognitive behavioral therapy for chronic pain: The contributions of psychological flexibility}},
  url          = {{http://dx.doi.org/10.1007/s10865-020-00168-9}},
  doi          = {{10.1007/s10865-020-00168-9}},
  year         = {{2020}},
}