Review
Medicine, General & Internal
Lance M. McCracken, Lin Yu, Kevin E. Vowles
Summary: Chronic pain conditions are common and have a significant impact on health and wellbeing. Cognitive behavioral therapy (CBT) is commonly used to reduce this impact and has now developed into third wave CBT. Acceptance and commitment therapy (ACT) is an example of this new wave and has shown positive effects in treating chronic pain, including reducing pain interference, disability, depression, and improving quality of life. However, more research is needed to understand the factors that moderate and predict treatment outcomes.
BMJ-BRITISH MEDICAL JOURNAL
(2022)
Article
Anesthesiology
Ludwig Ohse, Ronald Burian, Eric Hahn, Hanna Burian, Thi Minh Tam Ta, Albert Diefenbacher, Kerem Boege
Summary: The study found that changes in pain acceptance, mindfulness, and psychological flexibility were significantly associated with changes in clinical outcomes for chronic pain patients. Through correlation and regression analysis, it was shown that there were moderate to large associations between these three processes. This research addresses the lack of investigations into chronic pain patients with comorbid mental disorders.
Article
Behavioral Sciences
Nils Gasslander, Gerhard Andersson, Frida Bostrom, Lisa Brandelius, Lotta Pelling, Lovisa Hamrin, Torsten Gordh, Monica Buhrman
Summary: This study investigates the effectiveness of a guided, individually tailored, and internet-delivered cognitive behavioral therapy (ICBT) for improving mood and reducing disability in individuals suffering from chronic pain and comorbid psychological distress. The results show that the ICBT group had significantly larger improvements in depression, disability, pain acceptance, catastrophizing, and quality of life compared to the control group. These improvements were stable at the 12-month follow-up.
COGNITIVE BEHAVIOUR THERAPY
(2022)
Review
Psychology, Clinical
Estela M. Pardos-Gascon, Lucas Narambuena, Cesar Leal-Costa, Carlos J. Van-der Hofstadt-Roman
Summary: The study found that mindfulness interventions were superior to usual cares in fibromyalgia and showed some efficacy in low back pain. Further research is needed to compare the efficacy of mindfulness interventions with cognitive-behavioral therapy for headache and non-specific chronic pain.
INTERNATIONAL JOURNAL OF CLINICAL AND HEALTH PSYCHOLOGY
(2021)
Article
Psychology, Multidisciplinary
Nils Gasslander, Sven Alfonsson, Amanda Jackalin, Cecilia Tengberg, Johanna Hakansson, Linda Huotari, Monica Buhrman
Summary: This study investigated predictor variables for participants' adherence to internet-based CBT treatment for chronic pain and found that higher treatment credibility, current depressive symptoms, and falling behind the treatment schedule were important predictors for low treatment adherence. Pain acceptance was the only predictor for completing more treatment modules among pain-related variables. Additionally, treatment credibility and depressive symptoms at baseline predicted treatment completion. Findings may help clinicians identify patients less likely to complete pain treatment.
Review
Psychology, Multidisciplinary
Shuanghu Fang, Dongyan Ding
Summary: This study used a meta-analysis approach to examine the relationship between psychological (in)flexibility and common outcomes in chronic pain patients. The results showed a significant negative association between psychological flexibility and pain intensity or functional impairment. There was also a significant positive association between psychological inflexibility and pain intensity, functional impairment, quality of life, as well as anxiety/depression. These findings have important implications for understanding the potential impact of psychological inflexibility or flexibility on chronic pain outcomes.
FRONTIERS IN PSYCHOLOGY
(2022)
Article
Psychology, Clinical
Sophia Akerblom, Sean Perrin, Marcelo Rivano Fischer, Lance M. McCracken
Summary: This study suggests that in cognitive behavioral therapy for chronic pain, patient's psychological flexibility plays a significant role in treatment outcomes, highlighting the importance of focusing on methods to increase psychological flexibility for improving the efficacy of CBT.
JOURNAL OF BEHAVIORAL MEDICINE
(2021)
Review
Psychiatry
Dongyan Ding, Mengna Zheng
Summary: This meta-analysis examines the associations between psychological flexibility processes and functioning among chronic pain patients. The findings indicate significant relationships between the six core processes of psychological flexibility and functioning, with some moderating factors identified. These findings have important implications for both patients and clinical workers.
FRONTIERS IN PSYCHIATRY
(2022)
Article
Psychiatry
Zulkiflu Argungu Musa, Kim Lam Soh, Firdaus Mukhtar, Kwong Yan Soh, Tajudeen Olalekan Oladele, Kim Geok Soh
Summary: The study aimed to examine the efficacy of mindfulness-based cognitive therapy (MBCT) in reducing depressive symptoms and intellectual disabilities among individuals with depression in Nigeria. Results showed that MBCT had a significant effect on decreasing depressive symptoms and disabilities, with participants reporting improvements in their experience of depression and ID.
PSYCHIATRY RESEARCH
(2021)
Review
Integrative & Complementary Medicine
Bomi Hong, Sora Yang, Sojeong Hyeon, Sojeong Kim, Jiyeon Lee
Summary: This study conducted a scoping review to explore available third-wave cognitive behavioral therapy (CBT) intervention studies for cancer caregivers and their targeted outcomes. Most of the interventions were dyadic interventions and involved the use of mindfulness. Delivery methods have been continuously updated with digital technologies.
BMC COMPLEMENTARY MEDICINE AND THERAPIES
(2023)
Article
Medicine, General & Internal
Monica Magarinos Lopez, Maria Jose Lobato Rodriguez, Angela Menendez Garcia, Sophie Garcia-Cid, Ana Royuela, Augusto Pereira
Summary: The study found that women with CPP have high levels of neuroticism, low extraversion, and low conscientiousness, along with moderate to severe levels of depression, high levels of trait and state anxiety, catastrophizing, and low pain acceptance. These psychological factors are important to consider in developing interventions to improve the clinical course of CPP.
JOURNAL OF CLINICAL MEDICINE
(2022)
Article
Environmental Sciences
Giorgia Petrucci, Giuseppe Francesco Papalia, Fabrizio Russo, Gianluca Vadala, Michela Piredda, Maria Grazia De Marinis, Rocco Papalia, Vincenzo Denaro
Summary: Psychological factors play a significant role in chronic low back pain, and cognitive behavioral therapy and mindfulness-based stress reduction have shown improvements in pain intensity, quality of life, and disability.
INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
(2022)
Article
Nursing
Shizheng Du, Jianshu Dong, Shengji Jin, Heng Zhang, Yuqun Zhang
Summary: This study aims to explore the efficacy of acceptance and commitment therapy (ACT) for chronic pain in terms of functioning, and identify the most promising modes and patterns for implementation. It will include systematic review and meta-analysis, assess study quality, extract data, and conduct meta-analysis to reach a convincing conclusion. The anticipated evidence of high level may contribute to a more convincing and targeted conclusion in managing chronic pain.
JOURNAL OF ADVANCED NURSING
(2021)
Article
Psychology, Multidisciplinary
Anna Guerrini Usubini, Giorgia Varallo, Valentina Granese, Roberto Cattivelli, Simone Consoli, Ilaria Bastoni, Clarissa Volpi, Gianluca Castelnuovo, Enrico Molinari
Summary: Psychological flexibility significantly impacts the psychological well-being of individuals with obesity, stressing the importance of integrating psychological flexibility in psychological interventions.
FRONTIERS IN PSYCHOLOGY
(2021)
Review
Clinical Neurology
Janannii Selvanathan, Chi Pham, Mahesh Nagappa, Philip W. H. Peng, Marina Englesakis, Colin A. Espie, Charles M. Morin, Frances Chung
Summary: Cognitive behavioral therapy for insomnia (CBTI) has been found to have significant positive effects on sleep quality, pain, and depressive symptoms in patients with comorbid insomnia and chronic non-cancer pain, but not on anxiety symptoms and fatigue.
SLEEP MEDICINE REVIEWS
(2021)
Article
Geriatrics & Gerontology
Angeliki Bogosian, Catherine S. Hurt, John Hindle, Lance M. McCracken, Debora A. Vasconcelos e Sa, Sandra Axell, Katy Tapper, Jemima Stevens, P. Shashi Hirani, Marya Salhab, Wenrong Ye, Patricia Cubi-Molla
Summary: The study aimed to reduce anxiety and depression for people with Parkinson's through online mindfulness intervention, but the results did not show significant effects in primary or secondary outcome measures. However, participants did experience an increase in quality of life, and qualitative study indicated that mindfulness is an appropriate and acceptable intervention.
JOURNAL OF GERIATRIC PSYCHIATRY AND NEUROLOGY
(2022)
Article
Anesthesiology
Claudia Chisari, Mahira Budhraja, Mani B. Monajemi, Fiona Lewis, Rona Moss-Morris, Whitney Scott, Lance M. McCracken
Summary: This study explored the role of psychological flexibility, perceived injustice, and body image during sexual activities in predicting pain severity, pain interference, sexual functioning, sexual satisfaction, and depression in women with Vulvodynia. The findings reveal that two facets of psychological flexibility (committed action and pain acceptance) predicted pain interference and depression over time. Incorporating these processes in treatments for Vulvodynia may be important.
EUROPEAN JOURNAL OF PAIN
(2022)
Article
Geriatrics & Gerontology
Naoko Kishita, Rebecca L. Gould, Morag Farquhar, Milena Contreras, Elien Van Hout, Andres Losada, Isabel Cabrera, Michael Hornberger, Erica Richmond, Lance M. McCracken
Summary: This study indicates the feasibility of internet-delivered guided self-help ACT for family carers of people with dementia, including recruitment and treatment completion.
AGING & MENTAL HEALTH
(2022)
Article
Anesthesiology
Maire-Brid Casey, Keith M. Smart, Ricardo Segurado, Conor Hearty, Hari Gopal, Damien Lowry, Dearbhail Flanagan, Lance McCracken, Catherine Doody
Summary: This study compared the effectiveness of Acceptance and Commitment Therapy (ACT) combined with a supervised exercise programme versus a standalone supervised exercise programme for adults with chronic pain. The findings showed that combining exercise with ACT was not superior in reducing pain interference compared to supervised exercise alone.
Editorial Material
Psychology, Clinical
Christopher D. Graham, Lance M. McCracken, Anthony Harrison, Jess Walburn, John Weinman
BRITISH JOURNAL OF HEALTH PSYCHOLOGY
(2022)
Article
Psychiatry
Aysenur Kilic, Joanna Hudson, Whitney Scott, Lance M. McCracken, Lyndsay D. Hughes
Summary: Self-compassion and psychological flexibility have an impact on distress and quality of life in individuals with Type 2 Diabetes. Psychological inflexibility has a unique predictive role in depression, anxiety symptoms, and quality of life. Future research with larger samples is needed to replicate these findings.
JOURNAL OF PSYCHOSOMATIC RESEARCH
(2022)
Article
Psychology, Clinical
Michael Rose, Christopher D. Graham, Nicola O'Connell, Chiara Vari, Victoria Edwards, Emma Taylor, Lance M. McCracken, Aleksander Radunovic, Wojtek Rakowicz, Sam Norton, Trudie Chalder
Summary: This study aimed to investigate whether Acceptance and Commitment Therapy (ACT) could improve the quality of life in patients with chronic muscle diseases. The results showed that ACT, as an adjunct to usual care, significantly improved the quality of life and other psychological and social outcomes in these patients.
PSYCHOLOGICAL MEDICINE
(2023)
Article
Clinical Neurology
Lance M. McCracken, Whitney Scott
Summary: The study aims to develop a measurement tool called the Sense Making Questionnaire (SMQ) to assess helpful and unhelpful forms of sense-making behavior in individuals with chronic pain. The results show a negative association between sense-making behavior and emotional, physical, and social functioning.
Article
Clinical Neurology
Rebecca L. Gould, Benjamin J. Thompson, Charlotte Rawlinson, Pavithra Kumar, David White, Marc A. Serfaty, Christopher D. Graham, Lance M. McCracken, Matt Bursnall, Mike Bradburn, Tracey Young, Robert J. Howard, Ammar Al-Chalabi, Laura H. Goldstein, Vanessa Lawrence, Cindy Cooper, Pamela J. Shaw, Christopher J. McDermott
Summary: This study aims to evaluate the clinical and cost-effectiveness of Acceptance and Commitment Therapy (ACT) modified for Motor Neuron Disease (MND) in improving the psychological health of individuals living with MND. The study will collect and analyze data on quality of life, depression, anxiety, and other indicators.
Article
Clinical Neurology
Felicia T. A. Sundstrom, Amani Lavefjord, Monica Buhrman, Lance M. McCracken
Summary: Psychological flexibility (PF) is a model used in chronic pain and Acceptance and Commitment Therapy (ACT). The Multidimensional Psychological Flexibility Inventory (MPFI) measures all facets of PF and psychological inflexibility (PI). The study found the MPFI to be valid and reliable in a chronic pain population, highlighting the potential importance of previously overlooked aspects of PF and PI.
Review
Anesthesiology
Lance M. McCracken
Summary: Psychological treatments for chronic pain have shown to be effective, but their effectiveness has reached a plateau. The lack of generalizability from group data to individuals, limited utility of current pain categorization schemes, and the focus on treatment packages rather than individual methods are identified as possible reasons. Therefore, the development of personalized treatments that address individual needs and incorporate evidence-based mechanisms of change is proposed as the way forward.
EUROPEAN JOURNAL OF PAIN
(2023)
Review
Psychology, Clinical
Jakob Clason van de Leur, Filip Jovicic, Andreas ahslund, Lance M. McCracken, Monica Buhrman
Summary: Exhaustion due to persistent non-traumatic stress (ENTS) is a significant health problem without a standardized diagnosis and treatment. This scoping review aims to map the definitions, diagnoses, treatments, outcome measures, and outcomes in psychological treatment studies of ENTS, and evaluate the quality of treatments and identify change processes.
INTERNATIONAL JOURNAL OF BEHAVIORAL MEDICINE
(2023)
Article
Behavioral Sciences
Jakob Clason van de Leur, Fred Johansson, Lance M. M. McCracken, Fredrik Ahs, Gunilla Brodda Jansen, Monica Buhrman
Summary: Little is known about psychological interventions for stress-induced Exhaustion disorder (ED), and further research is needed. This study investigated predictors of improvement in ED symptoms in a large sample receiving Multimodal intervention based on Cognitive Behavior Therapy. The findings suggest that younger age, no previous sick leave due to ED, and high scores on anxiety, depression, insomnia, perfectionism, and treatment credibility were separate predictors of improvement. Moreover, participants who were single and had a lower income showed less improvement. The study highlights perfectionism as a predictor of improvement and the importance of assessing treatment credibility during treatment.
COGNITIVE BEHAVIOUR THERAPY
(2023)
Article
Psychology, Clinical
Lin Yu, Lance M. McCracken
Summary: This study investigated the associations between general mental health, persistent physical symptoms, and additional risk factors in the context of COVID-19. The results revealed unique correlations between persistent physical symptoms and mental health, with mental health history and worries being the most prominent risk factors.
BRITISH JOURNAL OF CLINICAL PSYCHOLOGY
(2023)
Article
Public, Environmental & Occupational Health
Milena Contreras, Elien Van Hout, Morag Farquhar, Lance M. McCracken, Rebecca L. Gould, Michael Hornberger, Erica Richmond, Naoko Kishita
Summary: This study explores the views and acceptability of internet-delivered, therapist-guided, self-help Acceptance and Commitment Therapy (ACT) for family carers of people with dementia. The findings suggest that carers had positive experiences and found the intervention acceptable, with some recommendations for improvement.
INTERNATIONAL JOURNAL OF QUALITATIVE STUDIES ON HEALTH AND WELL-BEING
(2022)