Acceptance and Commitment Therapy for Pediatric Chronic Pain: Theory and Application
Open accessAbstract
Acceptance and Commitment Therapy (ACT) is a third wave behavior therapy approach which aims to increase engagement in activities that bring meaning, vitality, and value to the lives of individuals experiencing persistent pain, discomfort, or distress. This goal is particularly relevant when these aversive experiences cannot be effectively avoided or when avoidance efforts risk their exacerbation, all of which may be common experiences in children and adolescents with chronic pain conditions. The primary aim of the present paper is to review and summarize the extant literature on the application, utility, and evidence for using ACT with pediatric chronic pain populations by: (1) defining the theoretical assumptions of the ACT model; (2) summarizing research study findings and relevant measures from the published literature; and (3) critically discussing the strengths, limitations and areas in need of further development.
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Pediatric individual and group ACT for pain both have strong empiric backing.
“Pediatric individual and group ACT for pain both have strong empiric backing [17].”
From Multi-family pediatric pain group therapy: Capturing acceptance and cultivating change (2017) · cites this paper as [17]
The evidence-base section (§2.1; page unavailable) calls the pediatric ACT evidence base modest. The Strengths, Limitations, and Future Directions section (§4; page unavailable) describes it as preliminary, contrasts it with the strong evidence for adult chronic pain, and calls for further evaluation of individual versus group treatment. That contradicts the claim that both pediatric formats already have strong empirical backing. (LLM, conf=0.91)
Checked by a reasoning model — may be wrong.
Experimental — accuracy not yet measuredACT may be particularly suitable for interventions aimed at large groups of young people.
“It may be particularly suitable for interventions aimed at large groups of young people, as it is not only restricted to symptom reduction but also focused on facilitating constructive behavioral patterns of adolescents, such as values-based actions or present-moment awareness (Pielech et al., 2017).”
From Brief online ACT intervention to improve adolescents' well-being: Effectiveness among adolescents with depressive symptoms during COVID-19. (2024) · cites this paper as Pielech et al., 2017
The ACT Model (§1.1; page not provided) describes valued action and present-moment awareness, supporting the stated rationale. But the group intervention reported in Prospective Cohort Studies (§2.4; page not provided) involved only 10 adolescents with chronic pain and NF1. The paper does not establish that ACT is particularly suitable for interventions aimed at large groups of young people. (LLM, conf=0.88)
Experimental — accuracy not yet measuredThe findings provide indirect support for the theoretical importance of dispositional mindfulness in adolescent contextualized cognitive-behavioural models such as ACT.
“This provides some indirect support to the theoretical importance of dispositional mindfulness in adolescent contextualized cognitive-behavioural models such as ACT (Pielech, Vowles & Wicksell, 2017)”
From Dispositional Mindfulness and Its Relationship With Distress and Functioning in Adolescents With Chronic Pain and Low-Level Pain. (2018) · cites this paper as Pielech, Vowles & Wicksell, 2017
The ACT Model section (page unavailable) identifies mindfulness-related, moment-to-moment awareness as part of psychological flexibility and gives an adolescent example of that process. It does not identify dispositional mindfulness specifically as the theoretically important trait; the cited paper concerns ACT for youth with chronic pain. (LLM, conf=0.84)
Experimental — accuracy not yet measured
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- Authors
- Pielech, M., Vowles, K., & Wicksell, R.
- Affiliations
- University of New Mexico (US)
- Karolinska Institutet (SE)
- Corresponding author
- Pielech, Melissa
- Vowles, Kevin
- Venue
- Children
- Publisher
- MDPI AG
- Published
- 2017-01-30
- Volume
- 4
- Issue
- 2
- Pages
- 10
- ISSN
- 2227-9067 (ISSN-L)
- PMC
- PMC5332912
- OpenAlex
- W2580712877
- Cited by
- 99
- References
- 70
- Citations by year
- 2026: 3 · 2025: 8 · 2024: 5 · 2023: 5 · 2022: 17 · 2021: 20 · 2020: 16 · 2019: 9 · 2018: 10 · 2017: 6
- FWCI
- 1.71
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Children (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Funders
- National Institutes of Health (R34AT008398)
- National School of Research in Health Care Science
- Topics
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Keywords
- acceptance and commitment therapy, pediatric chronic pain, third-wave behavior therapy, pain acceptance, avoidance, adolescents, treatment efficacy, psychological distress
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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