Physical Activity of Patients With Chronic Pain Receiving Acceptance and Commitment Therapy or Cognitive Behavioural Therapy
Abstract
Physical activity is positively related to various indices of quality of life and is found to reduce symptoms in individuals with chronic pain. This manuscript presents findings from a post hoc analysis investigating whether treatment-related improvements from psychological treatment for chronic pain are mediated by changes in physical activity (PA). Secondary analyses sought to determine predictor variables of PA in patients with chronic pain and to determine the relationship between objective and self-report measurements of PA. The effect of psychological treatment on physical activity was assessed using accelerometers in a sample of participants with chronic pain in a randomised controlled trial comparing 8 weeks of acceptance and commitment therapy (ACT) to cognitive behavioural therapy (CBT). Participants wore actigraph accelerometers for 7 consecutive days at baseline, post-treatment, and at 6-month follow-up. Hierarchical linear modelling analyses found that the variance in physical activity was not significantly predicted by time (b = 104.67, p = .92) or treatment modality (b = −1659.34, p = .57). Women had greater increases in physical activity than did men (b = 6804.08, p = .02). Current ‘gold standard’ psychological treatments for chronic pain were not found to significantly increase physical activity, an important outcome to target in the treatment of physical and mental health. These results suggest that tailored interventions with greater emphasis on exercise may complement psychological treatment for chronic pain. In particular, gender-tailored interventions may capitalise on physical activity differences found between men and women.
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When cognitive behavioural therapy and Acceptance and Commitment Therapy were compared for chronic pain, no significant improvement in physical activity was observed for either psychological approach.
“When CBT and ACT were compared for chronic pain, no significant improvement in physical activity was observed for either psychological approach [27]”
Acceptance and Commitment Therapy as a standalone therapy has not been shown to be effective in enhancing physical activity in randomised controlled trials published to date.
“Furthermore, in the RCTs published to date, ACT as a standalone therapy has not been shown to be effective in enhancing physical activity [26, 27].”
Cites
Hierarchical Linear Models: Applications and Data Analysis Methods.
Longford, N. T., Bryk, A. S., & Raudenbush, S. W. (1993) · Contemporary Sociology A Journal of Reviews · doi:10.2307/2075823 · Cited by 18,768 · see citing works
WARE, J. E., KOSINSKI, M., & KELLER, S. D. (1996) · Medical Care · doi:10.1097/00005650-199603000-00003 · Cited by 17,392 · see citing works
Hierarchical Linear Models: Applications and Data Analysis Methods
Davidian, M. (2003) · Journal of the American Statistical Association · doi:10.1198/jasa.2003.s288 · Cited by 13,820 · see citing works
Health benefits of physical activity: the evidence
Warburton, D. E. R. (2006) · Canadian Medical Association Journal · doi:10.1503/cmaj.051351 · Cited by 8,007 · see citing works
Comparison of Beck Depression Inventories -IA and -II in psychiatric outpatients
Beck, A. T., Steer, R. A., Ball, R., & Ranieri, W. F. (1996) · Journal of Personality Assessment · doi:10.1207/s15327752jpa6703_13 · Cited by 5,965 · see citing works
Pain assessment: global use of the Brief Pain Inventory.
Cs, C., & Km, R. (1994) · PubMed · Cited by 5,178 · see citing works
Prince, S. A., Adamo, K. B., Hamel, M., Hardt, J., Connor Gorber, S., & Tremblay, M. (2008) · International Journal of Behavioral Nutrition and Physical Activity · doi:10.1186/1479-5868-5-56 · Cited by 3,162 · see citing works
The West Haven-Yale Multidimensional Pain Inventory (WHYMPI)
Kerns, R. D., Turk, D. C., & Rudy, T. E. (1985) · Pain · doi:10.1016/0304-3959(85)90004-1 · Cited by 2,128 · see citing works
Morley, S., Eccleston, C., & Williams, A. (1999) · Pain · doi:10.1016/s0304-3959(98)00255-3 · Cited by 1,597 · see citing works
Validation of the Brief Pain Inventory for chronic nonmalignant pain
Tan, G., Jensen, M. P., Thornby, J. I., & Shanti, B. F. (2004) · The Journal of Pain · doi:10.1016/j.jpain.2003.12.005 · Cited by 1,416 · see citing works
Psychological factors in chronic pain: Evolution and revolution.
Turk, D. C., & Okifuji, A. (2002) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.70.3.678 · Cited by 1,017 · see citing works
Psychological factors in chronic pain: Evolution and revolution
Turk, D. C., & Okifuji, A. (2002) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.70.3.678 · Cited by 1,017 · see citing works
Shephard, R. J. (2011) · Yearbook of Sports Medicine · doi:10.1016/j.yspm.2011.03.006 · Cited by 872 · see citing works
Accelerometer Use in Physical Activity: Best Practices and Research Recommendations
WARD, D. S., EVENSON, K. R., VAUGHN, A., RODGERS, A. B., & TROIANO, R. P. (2005) · Medicine & Science in Sports & Exercise · doi:10.1249/01.mss.0000185292.71933.91 · Cited by 779 · see citing works
Prevalence of chronic benign pain disorder among adults: a review of the literature
Verhaak, P. F. M., Kerssens, J. J., Dekker, J., Sorbi, M. J., & Bensing, J. M. (1998) · Pain · doi:10.1016/s0304-3959(98)00117-1 · Cited by 743 · see citing works
Structured Clinical Interview for DSM-IV
(2007) · Sage eBooks · doi:10.4135/9781412952644.n443 · Cited by 725 · see citing works
Littner, M. R., Kushida, C. A., Anderson, W. M., Bailey, D. R., Berry, R. B., Davila, D., Hirshkowitz, M., Kapen, S., KRAMER, M. L., Loube, D. I., et al. (2003) · SLEEP · doi:10.1093/sleep/26.3.337 · Cited by 688 · see citing works
Forman, E. M., Herbert, J. D., Moitra, E., Yeomans, P. D., & Geller, P. A. (2007) · Behavior Modification · doi:10.1177/0145445507302202 · Cited by 687 · see citing works
A short version of the Pain Anxiety Symptoms Scale (PASS-20): Preliminary development and validity
McCracken, L. M., & Dhingra, L. (2002) · Pain Research and Management · doi:10.1155/2002/517163 · Cited by 644 · see citing works
Turner, J. A., Holtzman, S., & Mancl, L. (2007) · Pain · doi:10.1016/j.pain.2006.09.005 · Cited by 530 · see citing works
Wetherell, J. L., Afari, N., Rutledge, T., Sorrell, J. T., Stoddard, J. A., Petkus, A. J., Solomon, B. C., Lehman, D. H., Liu, L., Lang, A. J., et al. (2011) · PAIN · doi:10.1016/j.pain.2011.05.016 · Cited by 508 · see citing works
Self-citationThe effect of exercise on depression, anxiety and other mood states: A review
Byrne, A., & Byrne, D. G. (1993) · Journal of Psychosomatic Research · doi:10.1016/0022-3999(93)90050-p · Cited by 497 · see citing works
McCracken, L. M., & Turk, D. C. (2002) · Spine · doi:10.1097/00007632-200211150-00033 · Cited by 439 · see citing works
Imputation of Missing Data When Measuring Physical Activity by Accelerometry
Catellier, D., Hannan, P. J., Murray, D. M., Addy, C. L., Conway, T. L., Yang, S., & Rice, J. C. (2005) · Medicine & Science in Sports & Exercise · doi:10.1249/01.mss.0000185651.59486.4e · Cited by 387 · see citing works
Murphy, S. L. (2008) · Preventive Medicine · doi:10.1016/j.ypmed.2008.12.001 · Cited by 326 · see citing works
Stewart, A. L., Hays, R. D., Wells, K. B., Rogers, W. H., Spritzer, K. L., & Greenfield, S. (1994) · Journal of Clinical Epidemiology · doi:10.1016/0895-4356(94)90169-4 · Cited by 295 · see citing works
Bouten, C. V. C., de Venne, W. P. H. G. V., Westerterp, K. R., Verduin, M., & Janssen, J. J. (1996) · Journal of Applied Physiology · doi:10.1152/jappl.1996.81.2.1019 · Cited by 223 · see citing works
Mannion, A. F., Müntener, M., TAIMELA, S. P., & Dvořák, J. (2001) · Lara D. Veeken · doi:10.1093/rheumatology/40.7.772 · Cited by 194 · see citing works
Morley, S. (2011) · Pain · doi:10.1016/j.pain.2010.10.042 · Cited by 172 · see citing works
Wiborg, J. F., Knoop, H., Stulemeijer, M., Prins, J. B., & Bleijenberg, G. (2010) · Psychological Medicine · doi:10.1017/s0033291709992212 · Cited by 147 · see citing works
Korszun, A., Young, E. A., Engleberg, N. C., Brucksch, C. B., Greden, J. F., & Crofford, L. J. (2002) · Journal of Psychosomatic Research · doi:10.1016/s0022-3999(01)00237-9 · Cited by 147 · see citing works
Physical Activity and Function in Adolescents With Chronic Pain: A Controlled Study Using Actigraphy
Wilson, A. C., & Palermo, T. M. (2011) · Journal of Pain · doi:10.1016/j.jpain.2011.08.008 · Cited by 117 · see citing works
Physical activity as determinant of daily energy expenditure
Westerterp, K. R. (2008) · Physiology & Behavior · doi:10.1016/j.physbeh.2008.01.021 · Cited by 103 · see citing works
Current empirical status of acceptance and commitment therapy.
Pull, C. B. (2009) · Current Opinion in Psychiatry · doi:10.1097/yco.0b013e32831a6e9d · Cited by 94 · see citing works
Goedendorp, M. M., Peters, M. E. W. J., Gielissen, M. F. M., Witjes, J. A., Leer, J. W. H., Verhagen, C. A. H. H. V. M., & Bleijenberg, G. (2010) · The Oncologist · doi:10.1634/theoncologist.2010-0092 · Cited by 92 · see citing works
Weering, M. D.-V., Vollenbroek-Hutten, M. M. R., Kotte, E. M. W., & Hermens, H. J. (2007) · Clinical Rehabilitation · doi:10.1177/0269215507078331 · Cited by 77 · see citing works
Acceptance and Commitment Therapy and Traditional Cognitive Behavior Therapy Approaches to Pain
Hayes, S. C., & Duckworth, M. P. (2006) · Cognitive and Behavioral Practice · doi:10.1016/j.cbpra.2006.04.002 · Cited by 68 · see citing works
Nielens, H., & Plaghki, L. (2001) · Clinical Journal of Pain · doi:10.1097/00002508-200106000-00005 · Cited by 50 · see citing works
Ambulatory Monitoring as a Measure of Disability in Chronic Low Back Pain Populations
Alschuler, K. N., Hoodin, F., Murphy, S. L., & Geisser, M. E. (2011) · Clinical Journal of Pain · doi:10.1097/ajp.0b013e318217b7d0 · Cited by 22 · see citing works
Racial, Ethnic and Gender Differences in Physical Activity
Saffer, H., Dave, D., & Grossman, M. B. (2011) · National Bureau of Economic Research · doi:10.3386/w17413 · Cited by 17 · see citing works
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Acceptance and Commitment Therapy for Health Behavior Change: A Contextually-Driven Approach
Zhang, C.-Q., Leeming, E., Smith, P., Chung, P.-K., Hagger, M. S., & Hayes, S. C. (2018) · Frontiers in Psychology · doi:10.3389/fpsyg.2017.02350 · Cited by 199 · see citing works
“In particular, the health behavior change of individuals with clinical conditions such as chronic pain in order to increase beneficial physical activity (e.g., VanBuskirk et al., 2014).”
BackgroundGilpin, H. R., Keyes, A., Stahl, D. R., Greig, R., & McCracken, L. M. (2017) · The Journal of Pain · doi:10.1016/j.jpain.2017.04.003 · Cited by 81 · see citing works
Psychological interventions for the management of chronic pain: A review of current evidence
Kaiser, R. S., Mooreville, M., & Kannan, K. (2015) · Current Pain and Headache Reports · doi:10.1007/s11916-015-0517-9 · Cited by 40 · see citing works
Casey, M.-B., Smart, K., Segurado, R., Hearty, C., Gopal, H., Lowry, D., Flanagan, D., McCracken, L., & Doody, C. (2018) · Trials · doi:10.1186/s13063-018-2543-5 · Cited by 25 · see citing works
Hegarty, R. S. M., Fletcher, B. D., Conner, T. S., Stebbings, S., & Treharne, G. J. (2020) · Musculoskeletal Care · doi:10.1002/msc.1464 · Cited by 18 · see citing works
- Authors
- VanBuskirk, K., Roesch, S., Afari, N., & Wetherell, J. L.
- Affiliations
- San Diego State University (US)
- University of California San Diego (US)
- Corresponding author
- VanBuskirk, Katherine
- Venue
- Behaviour Change
- Publisher
- Cambridge University Press (CUP)
- Published
- 2014-05-21
- Volume
- 31
- Issue
- 2
- Pages
- 131-143
- ISSN
- 0813-4839 (ISSN-L)
- 2049-7768
- OpenAlex
- W2328920108
- Cited by
- 11
- References
- 40
- Citations by year
- 2024: 1 · 2022: 3 · 2020: 2 · 2018: 3 · 2017: 1 · 2015: 1
- FWCI
- 0.49
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Behaviour Change (publishedVersion)
- Topics
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Keywords
- chronic pain, physical activity, acceptance and commitment therapy, cognitive behavioral therapy, psychological intervention, mediation, accelerometer, actigraphy, gender differences, quality of life
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