Acceptance and values-based treatment of adolescents with chronic pain: outcomes and their relationship to acceptance.
OBJECTIVE
Psychological treatments for pediatric chronic pain are moderately effective. However, there have been few studies of the psychological processes associated with treatment response. This study examines the effects of Acceptance and Commitment Therapy (ACT) treatment on a severely disabled group of adolescents with chronic pain, examining relationships between outcome and acceptance.


METHODS
98 adolescents with pain, mean age 15.6 years, underwent an uncontrolled trial of 3-week residential ACT treatment.


RESULTS
Adolescents improved in self-reported functioning and objective physical performance at 3-month follow-up. They were less anxious and catastrophic, attended school more regularly, and used health care facilities less often. Most positive treatment outcomes were associated with improvements in acceptance.


CONCLUSIONS
An intensive ACT-based pain rehabilitation course was an effective treatment for disabled adolescents with chronic pain. Its results were theoretically consistent--improvements were associated with changes in acceptance and were achieved without pain control or cognitive restructuring techniques.
Bath Centre for Pain Services, Royal National Hospital for Rheumatic Diseases, Bath, BA1 1RL, UK. jeremy.gauntlett-gilbert@rnhrd.nhs.uk
Jeremy
J
Gauntlett-Gilbert
Hannah
H
Connell
Jacqui
J
Clinch
Lance M
LM
McCracken
D000203:Activities of Daily Living / Q000523:psychology; D000223:Adaptation, Psychological; D000293:Adolescent; D001007:Anxiety / Q000523:psychology; D001519:Behavior; D058443:Catastrophization / Q000523:psychology; D002648:Child; D059350:Chronic Pain / Q000523:psychology* / Q000628:therapy; D005260:Female; D006801:Humans; D008297:Male; D059408:Pain Management; D010147:Pain Measurement; D011613:Psychotherapy / Q000379:methods*; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D055815:Young Adult