The Effectiveness of Acceptance and Commitment Group Therapy on Pain in Patients with Chronic Low Back Pain

Background: Most people who suffer from chronic pain are exposed to major physical and mental problems and general health disorders throughout their lives. The aim of this study was to determine the effectiveness of acceptance and commitment group therapy (ACT) based on pain in patients with chronic...

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Main Authors: Robabeh Soleimani, Zinat Sadat Mirpour, Farzaneh Sheikholeslami, Arezoo Khiali, Elaheh Rafiee, Arezoo Gholami, Kosar Shafiei Rezvani Nejad
Format: Article
Language:fas
Published: Vesnu Publications 2022-03-01
Series:تحقیقات نظام سلامت
Subjects:
Online Access:http://hsr.mui.ac.ir/article-1-1247-en.html
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author Robabeh Soleimani
Zinat Sadat Mirpour
Farzaneh Sheikholeslami
Arezoo Khiali
Elaheh Rafiee
Arezoo Gholami
Kosar Shafiei Rezvani Nejad
author_facet Robabeh Soleimani
Zinat Sadat Mirpour
Farzaneh Sheikholeslami
Arezoo Khiali
Elaheh Rafiee
Arezoo Gholami
Kosar Shafiei Rezvani Nejad
author_sort Robabeh Soleimani
collection DOAJ
description Background: Most people who suffer from chronic pain are exposed to major physical and mental problems and general health disorders throughout their lives. The aim of this study was to determine the effectiveness of acceptance and commitment group therapy (ACT) based on pain in patients with chronic low back pain. Methods: This study was a clinical trial and statistical population included 116 patients with chronic low back pain who referred to pain clinic. The McGill Pain Questionnaire (MPQ) was used for data collection with the aim of assessing people's perception of different dimensions (sensory perception of pain, emotional perception of pain, perception of pain assessment, and various pains). 28 out of 116 patients who had the inclusion citeria were selected and randomly divided into a test group and a control group, each with 14 members. Intervention based on ACT was done on test group for eight 1.5-hour sessions. Finally, data were analyzed using quantitative and qualitative tests for descriptive variables and Mann-Whitney test, chi-squared test, Fisher’s exact test, and Wilcoxon test with significant level of P < 0.05. Findings: A high percentage of both groups were women with average age of 40.80 ± 25.10. There was not any significant statistical difference between two groups in terms of pain score and its various dimensions before the intervention. The results of pain score in terms of sensory perception, pain assessment perception, and in general, before and after the intervention in the test group (P = 0.039) and the overall score between the two groups (P = 0.035) were statistically significant. However, there were not any significant statistical changes in pain score and its different dimensions before, after, and three months after intervention in experimental group. Conclusion: It seems that ACT has been able to affect sensory perception, pain assessment, and total score, and it may represent new horizons in clinical treatment and can be used as an effective intervention method.
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spelling doaj.art-ac729c09d9084e85bc7cfe8622dd5ff42022-12-28T18:41:55ZfasVesnu Publicationsتحقیقات نظام سلامت1735-23632322-55642022-03-011813945The Effectiveness of Acceptance and Commitment Group Therapy on Pain in Patients with Chronic Low Back PainRobabeh Soleimani0Zinat Sadat Mirpour1Farzaneh Sheikholeslami2Arezoo Khiali3Elaheh Rafiee4Arezoo Gholami5Kosar Shafiei Rezvani Nejad6 Assistant Professor, Kavosh Cognitive Behavior Sciences and Addiction Research Center AND Department of Psychiatry, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran PhD Student, Department of Counselling, School of Psychology, Tonekabon Branch, Islamic Azad University, Tonekabon, Iran Instructor, Department of Nursing, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran Razi Clinic Research Development Unit, Guilan University of Medical Sciences, Rasht, Iran Razi Clinic Research Development Unit, Guilan University of Medical Sciences, Rasht, Iran PhD Student, Department of Counseling, School of Psychology, Ardabil University, Ardabil, Iran MSc Student, Department of Psychology, Shiraz Branch, Islamic Azad University, Shiraz, Iran Background: Most people who suffer from chronic pain are exposed to major physical and mental problems and general health disorders throughout their lives. The aim of this study was to determine the effectiveness of acceptance and commitment group therapy (ACT) based on pain in patients with chronic low back pain. Methods: This study was a clinical trial and statistical population included 116 patients with chronic low back pain who referred to pain clinic. The McGill Pain Questionnaire (MPQ) was used for data collection with the aim of assessing people's perception of different dimensions (sensory perception of pain, emotional perception of pain, perception of pain assessment, and various pains). 28 out of 116 patients who had the inclusion citeria were selected and randomly divided into a test group and a control group, each with 14 members. Intervention based on ACT was done on test group for eight 1.5-hour sessions. Finally, data were analyzed using quantitative and qualitative tests for descriptive variables and Mann-Whitney test, chi-squared test, Fisher’s exact test, and Wilcoxon test with significant level of P < 0.05. Findings: A high percentage of both groups were women with average age of 40.80 ± 25.10. There was not any significant statistical difference between two groups in terms of pain score and its various dimensions before the intervention. The results of pain score in terms of sensory perception, pain assessment perception, and in general, before and after the intervention in the test group (P = 0.039) and the overall score between the two groups (P = 0.035) were statistically significant. However, there were not any significant statistical changes in pain score and its different dimensions before, after, and three months after intervention in experimental group. Conclusion: It seems that ACT has been able to affect sensory perception, pain assessment, and total score, and it may represent new horizons in clinical treatment and can be used as an effective intervention method.http://hsr.mui.ac.ir/article-1-1247-en.htmlgroup psychotherapyacceptance and commitment therapychronic painlow back pain
spellingShingle Robabeh Soleimani
Zinat Sadat Mirpour
Farzaneh Sheikholeslami
Arezoo Khiali
Elaheh Rafiee
Arezoo Gholami
Kosar Shafiei Rezvani Nejad
The Effectiveness of Acceptance and Commitment Group Therapy on Pain in Patients with Chronic Low Back Pain
تحقیقات نظام سلامت
group psychotherapy
acceptance and commitment therapy
chronic pain
low back pain
title The Effectiveness of Acceptance and Commitment Group Therapy on Pain in Patients with Chronic Low Back Pain
title_full The Effectiveness of Acceptance and Commitment Group Therapy on Pain in Patients with Chronic Low Back Pain
title_fullStr The Effectiveness of Acceptance and Commitment Group Therapy on Pain in Patients with Chronic Low Back Pain
title_full_unstemmed The Effectiveness of Acceptance and Commitment Group Therapy on Pain in Patients with Chronic Low Back Pain
title_short The Effectiveness of Acceptance and Commitment Group Therapy on Pain in Patients with Chronic Low Back Pain
title_sort effectiveness of acceptance and commitment group therapy on pain in patients with chronic low back pain
topic group psychotherapy
acceptance and commitment therapy
chronic pain
low back pain
url http://hsr.mui.ac.ir/article-1-1247-en.html
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