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Exposure and acceptance in the rehabilitation of adolescents with idiopathic chronic pain - a pilot study
Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Psychology.
Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Psychology.
Karolinska universitetssjukhuset.
2007 (English)In: European Journal of Pain, ISSN 1090-3801, E-ISSN 1532-2149, Vol. 11, no 3, 267-274 p.Article in journal (Refereed) Published
Abstract [en]

For chronic pain of unclear origin (idiopathic), pharmacological therapy is often insufficient. Psychological treatment strategies have been developed and evaluated for adults with chronic pain. However, few such studies are seen with youths, and to date there is limited empirical evidence regarding the effectiveness of psychological treatment for generalized musculoskeletal pain syndromes in adolescents. Acceptance and commitment therapy (ACT) is a development of cognitive behaviour therapy emphasizing exposure and acceptance. In this pilot study, 14 adolescents referred to the pain treatment service due to chronic debilitating pain were treated using an ACT-based approach. It was hypothesized that avoidance of pain and related stimuli was central to the disability seen among these patients, and that exposure and acceptance strategies could increase functioning and decrease pain. In contrast to emphasizing reductions in pain and distress, the treatment objective was to improve functioning by increasing the patient's ability to act in line with personal values in the presence of negative thoughts, emotions or bodily sensations. Following treatment, and retained at 3- and 6-month follow-up, improvements in functional ability, school attendance, catastrophizing and pain (i.e., intensity and interference) were seen. The outcome of this pilot study indicates that exposure and acceptance can been useful in the rehabilitation of adolescents with chronic debilitating pain. Randomized controlled studies are needed to empirically evaluate the effectiveness of this approach.

Place, publisher, year, edition, pages
2007. Vol. 11, no 3, 267-274 p.
Keyword [en]
Acceptance, Acceptance and commitment therapy, Children, Chronic pain, Cognitive behaviour therapy, Exposure
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:uu:diva-15178DOI: 10.1016/j.ejpain.2006.02.012ISI: 000244648300003PubMedID: 16603393OAI: oai:DiVA.org:uu-15178DiVA: diva2:42949
Available from: 2008-02-06 Created: 2008-02-06 Last updated: 2017-12-11Bibliographically approved

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