Predictors and mediators of outcome in cognitive behavioral therapy for chronic pain: the contributions of psychological flexibility
| Autor: | Sean Perrin, Sophia Åkerblom, Marcelo Rivano Fischer, Lance M. McCracken |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
050103 clinical psychology medicine.medical_treatment Mediator Chronic pain Outcome (game theory) Article 03 medical and health sciences 0302 clinical medicine Multidisciplinary approach medicine Humans 0501 psychology and cognitive sciences Psychological flexibility Applied Psychology General Psychology Cognitive Behavioral Therapy business.industry 05 social sciences Flexibility (personality) Cognition Tillämpad psykologi medicine.disease Cognitive behavioral therapy Psychiatry and Mental health Health psychology Treatment Outcome Scale (social sciences) business 030217 neurology & neurosurgery Predictor Clinical psychology |
| Zdroj: | Journal of Behavioral Medicine |
| ISSN: | 1573-3521 0160-7715 |
| DOI: | 10.1007/s10865-020-00168-9 |
| Popis: | 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 first aim of this study was to assess whether pre-treatment scores on measures of psychological (in)flexibility, 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 flexibility measures, only pre-treatment scores on the psychological inflexibility scale predicted outcomes; higher scores on this measure were associated with worse outcomes. However, change scores on each of the psychological flexibility measures separately mediated outcomes. The efficacy of CBT for chronic pain may be improved with a greater focus on methods that increase psychological flexibility. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink