Comparing the Effectiveness of Cognitive-Behavioral Therapy and Acceptance and Commitment Therapy on Pain Complaint Behavior and Pain Self-efficacy in Patients with Chronic Back Pain in Tehran

Chronic back pain is among the most common types of chronic pains. This research was conducted to compare the effectiveness of Cognitive Behavioral Therapy (CBT) and Acceptance and Commitment Therapy (ACT) on pain complaint behavior and pain self-efficacy in patients with chronic back pain. The curr...

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Main Authors: Naser Amini Sadr, Behnam Makvandi, Parviz Askary, Naser Seraj khorrami
Format: Article
Language:English
Published: University of Hormozgan 2022-09-01
Series:Iranian Evolutionary Educational Psychology Journal
Subjects:
Online Access:http://ieepj.hormozgan.ac.ir/article-1-287-en.pdf
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author Naser Amini Sadr
Behnam Makvandi
Parviz Askary
Naser Seraj khorrami
author_facet Naser Amini Sadr
Behnam Makvandi
Parviz Askary
Naser Seraj khorrami
author_sort Naser Amini Sadr
collection DOAJ
description Chronic back pain is among the most common types of chronic pains. This research was conducted to compare the effectiveness of Cognitive Behavioral Therapy (CBT) and Acceptance and Commitment Therapy (ACT) on pain complaint behavior and pain self-efficacy in patients with chronic back pain. The current research is a pretest-posttest follow-up experimental design with a control group that lasted from February 2019 to March 2020. The statistical population consisted of patients with chronic back pain referring to the specialty department of Al-Zahra Hakimieh Clinic in Tehran (Iran). The participants included 45 people selected by purposive and accessible sampling method and randomly assigned to three groups (15 people in each group). The first experimental group received CBT, the second experimental group received ACT, and the control group did not receive any intervention. Required data were collected using demographic information, pain complaint behavior, and pain self-efficacy questionnaires. Research hypotheses were examined using univariate covariance analysis. According to the results, 45 patients (33 men and 12 women) with an average age of 41.18 participated in this research. The F statistic obtained from univariate covariance analysis was significant for all dependent variables (P < 0.001). The effectiveness of CBT and ACT interventions on pain complaint behavior and pain self-efficacy was compared using Bonferroni’s post hoc test. The results indicated no significant difference between the effectiveness of CBT and ACT on pain complaint behavior and pain self-efficacy in both post-test and follow-up phases (P > 0.05). Therefore, the effectiveness of both interventions on the pain complaint behavior and pain self-efficacy was the same. Overall, although the findings support the effectiveness of CBT and ACT in reducing the pain complaint behavior and increasing pain self-sufficiency in patients with chronic back pain, there was no significant difference between them in the post-test and the follow-up. Accordingly, this study recommends using CBT and ACT to reduce pain complaint behavior and increase pain self-sufficiency among chronic patients.
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spelling doaj.art-edae22622006436c9caba31a2de7400c2024-02-27T17:19:22ZengUniversity of HormozganIranian Evolutionary Educational Psychology Journal2588-43952022-09-0143464477Comparing the Effectiveness of Cognitive-Behavioral Therapy and Acceptance and Commitment Therapy on Pain Complaint Behavior and Pain Self-efficacy in Patients with Chronic Back Pain in TehranNaser Amini Sadr0Behnam Makvandi1Parviz Askary2Naser Seraj khorrami3 Phd Student, Department of Health Psychology, Khorramshahr-Persian Gulf International Branch, Islamic Azad University, Khorramshahr, Iran Associate Professor, Department of Psychology, Ahvaz Branch, Islamic Azad University, Ahvaz, Iran Associate Professor, Department of Psychology, Ahvaz Branch, Islamic Azad University, Ahvaz, Iran Assistant Professor, Department of Psychology, Dezful Branch, Islamic Azad University, Dezful, Iran Chronic back pain is among the most common types of chronic pains. This research was conducted to compare the effectiveness of Cognitive Behavioral Therapy (CBT) and Acceptance and Commitment Therapy (ACT) on pain complaint behavior and pain self-efficacy in patients with chronic back pain. The current research is a pretest-posttest follow-up experimental design with a control group that lasted from February 2019 to March 2020. The statistical population consisted of patients with chronic back pain referring to the specialty department of Al-Zahra Hakimieh Clinic in Tehran (Iran). The participants included 45 people selected by purposive and accessible sampling method and randomly assigned to three groups (15 people in each group). The first experimental group received CBT, the second experimental group received ACT, and the control group did not receive any intervention. Required data were collected using demographic information, pain complaint behavior, and pain self-efficacy questionnaires. Research hypotheses were examined using univariate covariance analysis. According to the results, 45 patients (33 men and 12 women) with an average age of 41.18 participated in this research. The F statistic obtained from univariate covariance analysis was significant for all dependent variables (P < 0.001). The effectiveness of CBT and ACT interventions on pain complaint behavior and pain self-efficacy was compared using Bonferroni’s post hoc test. The results indicated no significant difference between the effectiveness of CBT and ACT on pain complaint behavior and pain self-efficacy in both post-test and follow-up phases (P > 0.05). Therefore, the effectiveness of both interventions on the pain complaint behavior and pain self-efficacy was the same. Overall, although the findings support the effectiveness of CBT and ACT in reducing the pain complaint behavior and increasing pain self-sufficiency in patients with chronic back pain, there was no significant difference between them in the post-test and the follow-up. Accordingly, this study recommends using CBT and ACT to reduce pain complaint behavior and increase pain self-sufficiency among chronic patients.http://ieepj.hormozgan.ac.ir/article-1-287-en.pdfcognitive behavioral therapyacceptance and commitment therapypain complaint behaviorpain self-efficacychronic back pain
spellingShingle Naser Amini Sadr
Behnam Makvandi
Parviz Askary
Naser Seraj khorrami
Comparing the Effectiveness of Cognitive-Behavioral Therapy and Acceptance and Commitment Therapy on Pain Complaint Behavior and Pain Self-efficacy in Patients with Chronic Back Pain in Tehran
Iranian Evolutionary Educational Psychology Journal
cognitive behavioral therapy
acceptance and commitment therapy
pain complaint behavior
pain self-efficacy
chronic back pain
title Comparing the Effectiveness of Cognitive-Behavioral Therapy and Acceptance and Commitment Therapy on Pain Complaint Behavior and Pain Self-efficacy in Patients with Chronic Back Pain in Tehran
title_full Comparing the Effectiveness of Cognitive-Behavioral Therapy and Acceptance and Commitment Therapy on Pain Complaint Behavior and Pain Self-efficacy in Patients with Chronic Back Pain in Tehran
title_fullStr Comparing the Effectiveness of Cognitive-Behavioral Therapy and Acceptance and Commitment Therapy on Pain Complaint Behavior and Pain Self-efficacy in Patients with Chronic Back Pain in Tehran
title_full_unstemmed Comparing the Effectiveness of Cognitive-Behavioral Therapy and Acceptance and Commitment Therapy on Pain Complaint Behavior and Pain Self-efficacy in Patients with Chronic Back Pain in Tehran
title_short Comparing the Effectiveness of Cognitive-Behavioral Therapy and Acceptance and Commitment Therapy on Pain Complaint Behavior and Pain Self-efficacy in Patients with Chronic Back Pain in Tehran
title_sort comparing the effectiveness of cognitive behavioral therapy and acceptance and commitment therapy on pain complaint behavior and pain self efficacy in patients with chronic back pain in tehran
topic cognitive behavioral therapy
acceptance and commitment therapy
pain complaint behavior
pain self-efficacy
chronic back pain
url http://ieepj.hormozgan.ac.ir/article-1-287-en.pdf
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