TY - JOUR
T1 - Effectiveness of Acceptance and Commitment Therapy for Chronic Pain Patients
T2 - A Systematic Review and Meta-Analysis
AU - Kang, Hee Sook
AU - Hwang, Sung Dong
AU - Jun, Sang Eun
N1 - Publisher Copyright:
© 2019 The Korean Academy of Psychiatric and Mental Health Nursing.
PY - 2019/9/1
Y1 - 2019/9/1
N2 - Purpose: The aims of this study was to evaluate the effects of acceptance and commitment therapy (ACT) for chronic pain patients. Methods: Based on the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-analyses, we searched the Cochrane Library, CINAHL, EMBASE, OVID, PubMed and Korean databases to identify randomized controlled trials published through May 2019. To estimate the effect size, a meta-analysis of the studies was performed using the R program, and the risk of bias was assessed using the Cochrane’s Risk of Bias tool for randomized studies. Results: A total of 11 studies were included in this study. Studies were heteroge-neous, and random effects models were used in the analyses. ACT was effective for improving pain (g=-0.40, 95%CI:-0.69~-1.12, p<.001, I2=80%), pain acceptance (g=1.24, 95% CI:0.41~2.05, p<.001, I2=95%), anxiety (g=-0.47, 95% CI:-0.81~-0.13, p<.001, I2=84%), depression (g=-0.52, 95% CI:-0.85~-0.19, p<.001, I2=85%), and quality of life (g=1.14, 95% CI:0.11~2.17, p<.001, I2=95%). Conclusion: Our study findings of the ACT seems to be effective for improving pain, pain acceptance, anxiety, depression, and quality of life in patients with chronic pain. Additionally, ACT may be useful for reducing barriers to therapy, and various studies should be attempted.
AB - Purpose: The aims of this study was to evaluate the effects of acceptance and commitment therapy (ACT) for chronic pain patients. Methods: Based on the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-analyses, we searched the Cochrane Library, CINAHL, EMBASE, OVID, PubMed and Korean databases to identify randomized controlled trials published through May 2019. To estimate the effect size, a meta-analysis of the studies was performed using the R program, and the risk of bias was assessed using the Cochrane’s Risk of Bias tool for randomized studies. Results: A total of 11 studies were included in this study. Studies were heteroge-neous, and random effects models were used in the analyses. ACT was effective for improving pain (g=-0.40, 95%CI:-0.69~-1.12, p<.001, I2=80%), pain acceptance (g=1.24, 95% CI:0.41~2.05, p<.001, I2=95%), anxiety (g=-0.47, 95% CI:-0.81~-0.13, p<.001, I2=84%), depression (g=-0.52, 95% CI:-0.85~-0.19, p<.001, I2=85%), and quality of life (g=1.14, 95% CI:0.11~2.17, p<.001, I2=95%). Conclusion: Our study findings of the ACT seems to be effective for improving pain, pain acceptance, anxiety, depression, and quality of life in patients with chronic pain. Additionally, ACT may be useful for reducing barriers to therapy, and various studies should be attempted.
KW - Acceptance and commitment therapy
KW - Chronic pain
KW - Effectiveness
KW - Meta-analysis
KW - Systematic review
UR - http://www.scopus.com/inward/record.url?scp=85152005106&partnerID=8YFLogxK
U2 - 10.12934/jkpmhn.2019.28.3.271
DO - 10.12934/jkpmhn.2019.28.3.271
M3 - Article
AN - SCOPUS:85152005106
SN - 1225-8482
VL - 28
SP - 271
EP - 285
JO - Journal of Korean Academy of Psychiatric and Mental Health Nursing
JF - Journal of Korean Academy of Psychiatric and Mental Health Nursing
IS - 3
ER -
