uu.seUppsala University Publications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
A theoretically guided approach to identifying predictors of treatment outcome in contextual CBT for chronic pain
Guy's and St Thomas' NHSFT.
King's College London.
Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Psychology. (Clinical Psychology)ORCID iD: 0000-0002-9734-0153
2019 (English)In: European Journal of Pain, ISSN 1090-3801, E-ISSN 1532-2149, Vol. 23, no 2, p. 354-366Article in journal (Refereed) Published
Abstract [en]

BACKGROUND:

Psychological treatments are known to be effective for chronic pain, but little is understood about which patients are most likely to benefit from which ones.

METHODS:

The study reported here included 609 people who attended a residential, interdisciplinary, pain management programme based on Acceptance and Commitment Therapy between January 2012 and August 2014. A flexible and theoretically guided approach to model building based on fractional polynomials was used to identify potential predictors of outcome in domains of emotional, physical and social functioning and pain intensity. Variables considered for inclusion were baseline demographic variables along with measures reflecting processes of psychological flexibility, including acceptance, cognitive defusion and committed action.

RESULTS:

Employment status, level of distress, decentring (a process like cognitive defusion) and acceptance significantly contributed to the model above and beyond the effects of other baseline variables. The unique effects of these were small but may be clinically relevant.

CONCLUSIONS:

Future research should continue to investigate moderators of treatment outcome and to explicitly link these to treatment mechanisms. Taking a flexible, theoretically driven approach to modelling continuous outcomes may be valuable in furthering our understanding of which patients might respond best to which treatments.

SIGNIFICANCE:

Further research is needed to better understand who benefits most from psychological treatments for chronic pain. This study suggests that a flexible, multivariate and theoretical approach to identifying predictors of outcome may be valuable in furthering research in this area.

Place, publisher, year, edition, pages
2019. Vol. 23, no 2, p. 354-366
National Category
Applied Psychology Psychology (excluding Applied Psychology)
Identifiers
URN: urn:nbn:se:uu:diva-372249DOI: 10.1002/ejp.1310OAI: oai:DiVA.org:uu-372249DiVA, id: diva2:1275569
Available from: 2019-01-07 Created: 2019-01-07 Last updated: 2019-05-15Bibliographically approved

Open Access in DiVA

No full text in DiVA

Other links

Publisher's full text

Authority records BETA

McCracken, Lance

Search in DiVA

By author/editor
McCracken, Lance
By organisation
Department of Psychology
In the same journal
European Journal of Pain
Applied PsychologyPsychology (excluding Applied Psychology)

Search outside of DiVA

GoogleGoogle Scholar

doi
urn-nbn

Altmetric score

doi
urn-nbn
Total: 410 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf