Efficacy of videoconference group acceptance and commitment therapy (ACT) and behavioral activation therapy for depression (BATD) for chronic low back pain (CLBP) plus comorbid depressive symptoms

This study examined the efficacy of adding a remote, synchronous, group, videoconference-based form of acceptance and commitment therapy (ACT) or behavioral activation therapy for depression (BATD) to treatment-as-usual (TAU) in 234 patients with chronic low back pain (CLBP) plus comorbid depressive...

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Detalhes bibliográficos
Autores: Sanabria-Mazo, Juan P.|||0000-0003-1688-435X, Colomer-Carbonell, Ariadna|||0000-0001-8923-6316, Borràs, Xavier|||0000-0003-3972-1385, Castaño Asins, Juan Ramon|||0000-0001-6571-503X, McCracken, Lance M.|||0000-0002-9734-0153, Montero-Marín, Jesús|||0000-0001-5677-1662, Pérez-Aranda, Adrián|||0000-0002-1602-3413, Edo Izquierdo, Sílvia|||0000-0002-6564-3475, Sanz Ruiz, Antoni|||0000-0002-7952-4477, Feliu-Soler, Albert|||0000-0003-2810-7670, Luciano, Juan Vicente|||0000-0003-0750-1599
Tipo de documento: artigo
Data de publicação:2023
País:España
Recursos:Universitat Autònoma de Barcelona
Repositório:Dipòsit Digital de Documents de la UAB
Idioma:inglês
OAI Identifier:oai:ddd.uab.cat:288910
Acesso em linha:https://ddd.uab.cat/record/288910
Access Level:Acceso aberto
Palavra-chave:Chronic low back
Pain depression acceptance and commitment
Therapy behavioral activation
Ehealth
Descrição
Resumo:This study examined the efficacy of adding a remote, synchronous, group, videoconference-based form of acceptance and commitment therapy (ACT) or behavioral activation therapy for depression (BATD) to treatment-as-usual (TAU) in 234 patients with chronic low back pain (CLBP) plus comorbid depressive symptoms. Participants were randomly assigned to ACT, BATD, or TAU. Compared to TAU, ACT produced a significant reduction in pain interference at posttreatment (d = .64) and at follow-up (d = .73). BATD was only superior to TAU at follow-up (d = .66). A significant reduction in pain catastrophizing was reported by patients assigned to ACT and BATD at posttreatment (d = .45 and d = .59, respectively) and at follow-up (d = .59, in both) compared to TAU. Stress was significantly reduced at posttreatment by ACT in comparison to TAU (d = .69). No significant between-group differences were found in depressive or anxiety symptoms. Clinically relevant number needed to treat (NNT) values for reduction in pain interference were obtained at posttreatment (ACT vs TAU = 4) and at follow-up (ACT vs TAU = 3; BATD vs TAU = 5). In both active therapies, improvements in pain interference at follow-up were significantly related to improvements at posttreatment in psychological flexibility. These findings suggest that new forms of cognitive-behavioral therapy are clinically useful in improving pain interference and pain catastrophizing. Further research on evidence-based change processes is required to understand the therapeutic needs of patients with chronic pain and comorbid conditions.

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