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:: Volume 30, Issue 2 (6-2022) ::
Journal of Ilam University of Medical Sciences 2022, 30(2): 51-62 Back to browse issues page
The Effect of Acceptance and Commitment Therapy on Muscle Pain in Patients with Rheumatoid Arthritis
Soheyla Malek-Mohammadi-Memar1 , Mohammad Reza Zoghi Paydar * 2
1- Department of Clinical Psychology, Faculty of Medical Science, Hamedan branch, Islamic Azad University, Hamedan, Iran
2- Department of Psychology, Faculty of Economic and Social Science, Bu-Ali Sina University, Hamedan, Iran , M.r.zoghipaidar@basu.ac.ir
Abstract:   (736 Views)
Introduction: Rheumatoid arthritis is an autoimmune and inflammatory disease that can cause chronic pain. The aim of this study was to investigate the effect of acceptance and commitment therapy on muscle pain in patients with rheumatoid arthritis.
Material & Methods: This research was a Quasi-experimental design with experimental and control groups. The study population consisted of 245 patients with rheumatoid arthritis under treatment in the physiotherapy ward of Shaheed Beheshti hospital during 2019 in Hamadan. A sample of 30 subject were selected and randomly assigned in two groups of 15 (experimental and control). The pre-test was then performed on both groups. The intervention was performed on the experimental group in 8 sessions (one hour) and the control group did not receive any intervention. After the intervention, post-test was performed in two groups. The research tools included Von Korff et al (1992) chronic pain rate questionnaire. Analysis of covariance used to analyze the data.
Findings: The results of analysis of covariance show that there is a significant difference between the mean score of the subscale of pain intensity in the experimental and control groups (P <0.05, F = 5.84). The effect of acceptance and commitment treatment on the severity of muscle pain in patients was 0.18. The results of analysis of covariance also show that there is a significant difference between the mean score of the subscale of disability caused by pain in patients in the experimental and control groups (P <0.05, F = 6.52). The effect of acceptance and commitment treatment on disability due to muscle pain in patients was 0.20.
Discussion & Conclusion: The results indicate that acceptance and commitment therapy can be used for reduce the severity of pain and disability caused by pain in patients with muscle pain.
 
Keywords: Acceptance and commitment therapy, Muscle pain, Rheumatoid arthritis, Pain intensity
Full-Text [PDF 765 kb]   (181 Downloads)    
Type of Study: Research | Subject: psychology
Received: 2021/10/13 | Accepted: 2022/02/7 | Published: 2022/06/5
References
1. Duan W. The benefits of personal strengths in mental health of stressed students. a longitudinal investigation. Qual Life Res 2016; 25: 2879-88. doi: 10.1007/s11136-016-1320-8.
2. England BR, Tiong BK, Bergman MJ, Curtis JR, Kazi S, Mikuls TR, et al. Update of the American college of rheumatology recommended rheumatoid arthritis disease activity measures. Arthritis Care Res 2019; 71: 1540-55. doi: 10.1002/acr.24042.
3. Aletaha D, Smolen JS. Diagnosis and management of rheumatoid rrthritis. a review. JAMA 2018; 320:1360-72. doi: 10.1001/jama.2018.13103.
4. Raja SN, Carr DB, Cohen M, Finnerup NB, Flor H, Gibson S, et al. The revised international association for the study of pain definition of pain concepts, challenges, and compromises. Pain 2020; 161:1976-82. doi: 10.1097/j.pain.0000000000001939.
5. Dahl J, Wilson K, Nilsson A. Acceptance and commitment therapy and the treatment of persons at risk for long term disability resulting from stress and pain symptoms. A preliminary randomized trial. Behavior Therapy 2004; 35: 785-801. doi: 10.1016/S0005-7894(04)80020-0.
6. Kingston J, Chadwick P, Meron D, Skinner TC. A pilot randomized control trial investigating the effect of mindfulness practice on pain tolerance, psychological well-being, and physiological activity. J Psychosom Res 2007; 62:297-300. doi: 10.1016/j.jpsychores.2006.10.007.
7. McCracken L M, Vowles KE. Acceptance and commitment therapy and mindfulness for chronic pain. Model, process, and progress. American Psychologist 2016; 69: 178–87. doi: 10.1037/ a0035623
8. Hayes SC, Strosahl K, Wilson KG. Acceptance and commitment therapy. An experiential approach to behavior change. New York. Guilford Press 1999.
9. Hayes SC, Strosahl KD, Wilson KG. Acceptance and commitment therapy. The process and practice of mindful change. 2nd ed. New York. The Guilford Press. 2012.
10. Zamani N, Haddadi A. The effect of dialectical behavior therapy skills on reducing the risky behaviors of patients with borderline semi clinical symptoms. hrjbaq 2019; 5:64-70. doi: 10.29252/ hrjbaq.5.1.64
11. Hayes SC, Luoma JB, Bond FW, Masuda A, Lillis J. Acceptance and commitment therapy. model, processes and outcomes. Behav Res Ther 2006; 44:1-25. doi: 10.1016/j.brat.2005.06.006.
12. Hooper N, Larsson A. The research journey of acceptance and commitment therapy (ACT). London. Palgrave Macmillan. 2015.
13. Craner JR, Lake ES, Bancroft KA, George LL. Treatment outcomes and mechanisms for an ACT-based 10-week interdisciplinary chronic pain rehabilitation program. Pain Pract 2020; 20:44-54. doi: 10.1111/papr.12824.
14. Wicksell RK, Olsson GL, Melin L. The chronic pain acceptance questionnaire (CPAQ)-further validation including a confirmatory factor analysis and a comparison with the Tampa scale of kinesiophobia. Eur J Pain 2009; 13:760-8. doi: 10.1016/j.ejpain.2008.09.003.
15. Bahrami rad M, Rafezi Z. Predicting pain acceptance based on perceived stress and coping strategies in individuals with rheumatoid arthritis. J Health Psychol 2019; 7: 151-66. doi: 10.30473/hpj.2019.38617.3887
16. Boer AC, Tenbrinck RM, Evers AWM, van der Helm-van Mil AHM. Does psychological stress in patients with clinically suspect arthralgia associate with subclinical inflammation and progression to inflammatory arthritis? Arthritis Res Ther 2018; 20:93. doi: 10.1186/s13075-018-1587-y.
17. Rosenzweig S, Greeson JM, Reibel DK, Green JS, Jasser SA, Beasley D. Mindfulness-based stress reduction for chronic pain conditions. variation in treatment outcomes and role of home meditation practice. J Psychosom Res 2010; 68:29-36. doi: 10.1016/j.jpsychores.2009.03.010.
18. Hughes LS, Clark J, Colclough JA, Dale E, McMillan D. Acceptance and commitment therapy (ACT) for chronic pain. a systematic review and meta-analyses. Clin J Pain 2017; 33:552-68. doi: 10.1097/AJP.0000000000000425.
19. Azari S, Haddadi A, Ebrahimi MI. The effect of cognitive behavioural stress management training on reducing repressive symptoms in women with premenstrual syndrome. hrjbaq 2021; 7:32-42. doi: 10.52547/hrjbaq.7.1.32
20. Twohig MP, Hayes SC, Masuda A. Increasing willingness to experience obsessions: acceptance and commitment therapy as a treatment for obsessive compulsive disorder. Behav Ther 2006; 37:3-13. doi: 10.1016/j.beth.2005.02.001.
21. Vonkorff M, Dworkin SF, Leresche L. Graded chronic pain status. an epidemiologic evaluation. Pain 1990; 40:279-91. doi: 10.1016/0304-3959(90)91125-3.
22. moradikelardeh P, Sadeghifiroozabadi V, dehghani M, heidari M. Comparison of parenting skills in mothers with and without chronic pain. Know Res in Applied Psychol 2020; 21: 115-23. doi: 10.30486/jsrp.2019.1863437.1726
23. Carvalho SA, Trindade IA, Duarte J, Menezes P, Patrão B, Nogueira MR, et al. Efficacy of an ACT and compassion based eHealth program for self-management of chronic pain. study protocol for a randomized controlled trial. Front Psychol 2021; 12:630766. doi: 10.3389/fpsyg.2021.630766.
24. Morone NE, Greco CM, Weiner DK. Mindfulness meditation for the treatment of chronic low back pain in older adults a randomized controlled pilot study. Pain 2008; 134 :310-19. doi: 10.1016/j.pain.2007.04.038.
25. Cunha M, Ribeiro A, Andre S. Anxiety, depression and stress in patients with rheumatoid arthritis. Procedia Social Behav Sci 2016; 217. 337-43. doi: 10.1016/j.sbspro.2016.02.098.
26. Thompson T, Terhune DB, Oram C, Sharangparni J, Rouf R, Solmi M, et al. The effectiveness of hypnosis for pain relief. A systematic review and meta-analysis of 85 controlled experimental trials. Neurosci Biobehav Rev 2019; 99:298-310. doi: 10.1016/j.neubiorev.2019.02.013.
27. Wicksell RK, Olsson GL, Hayes SC. Mediators of change in acceptance and commitment therapy for pediatric chronic pain. Pain 2011; 152:2792-801. doi: 10.1016/j.pain.2011.09.003.
28. Haddadi A, Ebrahimi ME. The effect of yalom group therapy on resiliency and communication skills in students. hrjbaq 2020; 5:188-98. doi: 10.29252/hrjbaq.5.3.188
29. Haddadi A, Ebrahimi ME, Zamani N, Zarabian N. Effects of yalom group therapy on the resilience and meaning in life of the nurses in covid-19 centers. Avicenna J Neuro Psycho Physiol 2021; 8:209-14. doi: 10.32592/ ajnpp.2021.8.4.107
30. Mccracken LM, Gutierrezmartinez O. Processes of change in psychological flexibility in an interdisciplinary group based treatment for chronic pain based on Acceptance and Commitment Therapy. Behav Res Ther 2011; 49:267-74. doi: 10.1016/j.brat.2011.02.004.
31. Vowles KE, Mccracken LM. Acceptance and values based action in chronic pain. a study of treatment effectiveness and process. J Consult Clin Psychol 2008; 76:397-407. doi: 10.1037/0022-006X.76.3.397.
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Malek-Mohammadi-Memar S, Zoghi Paydar M R. The Effect of Acceptance and Commitment Therapy on Muscle Pain in Patients with Rheumatoid Arthritis. sjimu 2022; 30 (2) :51-62
URL: http://sjimu.medilam.ac.ir/article-1-7314-en.html


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Volume 30, Issue 2 (6-2022) Back to browse issues page
مجله دانشگاه علوم پزشکی ایلام Journal of Ilam University of Medical Sciences
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