Volume 16, Issue 1 (March 2018)                   IRJ 2018, 16(1): 103-110 | Back to browse issues page

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1- Department of Psychology, Karaj Branch, Islamic Azad University, Karaj, Iran.
2- PhD Department of Cognitive Rehabilitation, Institute for Cognitive Science Studies, Tehran, Iran.
Abstract:   (875 Views)
Objectives: Most of the women around the globe experience low back pain which often has a psychological overlay. Acceptance and Commitment Therapy (ACT) can enhance psychological condition and subsequently improve mental health. Thereby the quality of life of individuals with chronic low back pain gets improved. The study rationale aimed to assess the effectiveness of ACT on quality of life, severity and duration of pain in women with chronic low back pain.
Methods: Twenty subjects (women aged between 23 to 34 years) with chronic low back pain from a rehabilitation clinic in Rasht city in the year 2016 were included in the study by convenience sampling method. They were then randomly divided into experimental and control groups (in each group, n=10). Data were collected by a three-part checklist containing demographic characters, World Health Organization Quality of Life questionnaire and McGill Pain Questionnaire. The rehabilitation interventions were based on ACT carried out for eight sessions of one hour each, twice a week. The collected data were analyzed by SPSS software via Paired t-test and independent t-test method.
Results: There was a significant increase in all subscales of quality of life (P<0.001) except subscale of physical health (P<0.38) in experimental group. Independent t-test showed a significant decline in mean severity and duration of pain in the experimental group compared to control group.
Discussion: The effects of ACT rehabilitation technique on women with chronic low back pain were impressive, which augmented the quality of life. Hence this method can be used as a rehabilitation tool for women with chronic low back pain.
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Type of Study: Original Research Articles | Subject: Psychology
Received: 2017/04/17 | Accepted: 2018/08/5 | Published: 2018/03/1

1. Taub CJ, Sturgeon JA, Johnson KA, Mackey SC, Darnall BD. Effects of a pain catastrophizing induction on sensory testing in women with chronic low back pain: A pilot study. Pain Research and Management. 2017; 2017:1–10. doi: 10.1155/2017/7892494 [DOI:10.1155/2017/7892494]
2. Paige NM, Miake-Lye IM, Booth MS, Beroes JM, Mardian AS, Dougherty P, et al. Association of spinal manipulative therapy with clinical benefit and harm for acute low back pain. JAMA. 2017; 317(14):1451. doi: 10.1001/jama.2017.3086 [DOI:10.1001/jama.2017.3086]
3. Ayorinde AA, Bhattacharya S, Druce KL, Jones GT, Macfarlane GJ. Chronic pelvic pain in women of reproductive and post-reproductive age: A population-based study. European Journal of Pain. 2016; 21(3):445–55. doi: 10.1002/ejp.938 [DOI:10.1002/ejp.938]
4. Kofotolis N, Kellis E, Vlachopoulos SP, Gouitas I, Theodorakis Y. Effects of pilates and trunk strengthening exercises on health-related quality of life in women with chronic low back pain. Journal of Back and Musculoskeletal Rehabilitation. 2016; 29(4):649–59. doi: 10.3233/bmr-160665 [DOI:10.3233/BMR-160665]
5. Macfarlane GJ. The epidemiology of chronic pain. PAIN. 2016; 157(10):2158–9. doi: 10.1097/j.pain.0000000000000676 [DOI:10.1097/j.pain.0000000000000676]
6. Cooper NA, Scavo KM, Strickland KJ, Tipayamongkol N, Nicholson JD, Bewyer DC, et al. Prevalence of gluteus medius weakness in people with chronic low back pain compared to healthy controls. European Spine Journal. 2015; 25(4):1258–65. doi: 10.1007/s00586-015-4027-6 [DOI:10.1007/s00586-015-4027-6]
7. Manchikanti L, Singh V, Falco FJE, Benyamin RM, Hirsch JA. Epidemiology of low back pain in adults. Neuromodulation: Technology at the Neural Interface. 2014; 17:3–10. doi: 10.1111/ner.12018 [DOI:10.1111/ner.12018]
8. Roditi D, Roditi. The role of psychological interventions in the management of patients with chronic pain. Psychology Research and Behavior Management. 2011; 4:41. doi: 10.2147/prbm.s15375 [DOI:10.2147/PRBM.S15375]
9. Vartiainen P, Heiskanen T, Sintonen H, Roine RP, Kalso E. Health-related quality of life and burden of disease in chronic pain measured with the 15D instrument. PAIN. 2016; 157(10):2269–76. doi: 10.1097/j.pain.0000000000000641 [DOI:10.1097/j.pain.0000000000000641]
10. Gaudiano BA, Davis CH, Epstein-Lubow G, Johnson JE, Mueser KT, Miller IW. Acceptance and commitment therapy for inpatients with psychosis (the REACH Study): Protocol for treatment development and pilot testing. Healthcare. 2017; 5(2):23-28. [DOI:10.3390/healthcare5020023] [PMID] [PMCID]
11. Hayes SC, Strosahl KD, Wilson KG. Acceptance and commitment therapy: The process and practice of mindful change. New York: Guilford Press; 2011.
12. Vowles KE, McCracken LM, Sowden G, Ashworth J. Psychological flexibility in coping with chronic pain. The Clinical Journal of Pain. 2014; 30(4):324–30. doi: 10.1097/ajp.0b013e31829ea187 [DOI:10.1097/AJP.0b013e31829ea187]
13. McCracken LM, Eccleston C. A prospective study of acceptance of pain and patient functioning with chronic pain. Pain. 2005; 118(1):164–9. doi: 10.1016/j.pain.2005.08.015 [DOI:10.1016/j.pain.2005.08.015]
14. McCracken LM, Velleman SC. Psychological flexibility in adults with chronic pain: A study of acceptance, mindfulness, and values-based action in primary care. Pain. 2010; 148(1):141–7. doi: 10.1016/j.pain.2009.10.034 [DOI:10.1016/j.pain.2009.10.034]
15. Mason VL, Mathias B, Skevington SM. Accepting low back pain: Is it related to a good quality of life. The Clinical Journal of Pain. 2008; 24(1):22–9. doi: 10.1097/ajp.0b013e318156d94f [DOI:10.1097/AJP.0b013e318156d94f]
16. Johnston M, Foster M, Shennan J, Starkey NJ, Johnson A. The Effectiveness of an acceptance and commitment therapy self-help intervention for chronic pain. The Clinical Journal of Pain. 2010; 26(5):393–402. doi: 10.1097/ajp.0b013e3181cf59ce [DOI:10.1097/AJP.0b013e3181cf59ce]
17. Oyama MA, Citron L, Shults J, Cimino Brown D, Serpell JA, Farrar JT. Measuring quality of life in owners of companion dogs: Development and validation of a dog owner-specific quality of life questionnaire. Anthrozoös. 2017; 30(1):61–75. doi: 10.1080/08927936.2016.1228774 [DOI:10.1080/08927936.2016.1228774]
18. Timareh M, Rhimi M, Abbasi P, Rezaei M, Hyaidarpoor S. Quality of life in diabetic patients referred to the Diabete research Center in Kermanshah. Journal of Kermanshah University of Medical Sciences. 2012; 16(1):63-9.
19. Main CJ. The modified somatic perception questionnaire (MSPQ). Journal of Psychosomatic Research. 1983; 27(6):503–14. doi: 10.1016/0022-3999(83)90040-5 [DOI:10.1016/0022-3999(83)90040-5]
20. Sandhu SS. Validating the factor structure and testing measurement invariance of modified Short-Form McGill Pain Questionnaire (Ortho-SF-MPQ) for orthodontic pain assessment. Journal of Orthodontics. 2017; 44(1):34–43. doi: 10.1080/14653125.2016.1275442 [DOI:10.1080/14653125.2016.1275442]
21. McCracken LM, Vowles KE. Acceptance and commitment therapy and mindfulness for chronic pain: Model, process, and progress. American Psychologist. 2014; 69(2):178–87. doi: 10.1037/a0035623 [DOI:10.1037/a0035623]
22. Turk D, Meichenbaum D, Genest M, Berntzen D. Pain and behavioral medicine: A cognitive-behavioral perspective. Scandinavian Journal of Behaviour Therapy. 1984; 13(4):243–4. doi: 10.1080/16506078409455719 [DOI:10.1080/16506078409455719]
23. Gatchel RJ, Peng YB, Peters ML, Fuchs PN, Turk DC. The biopsychosocial approach to chronic pain: Scientific advances and future directions. Psychological Bulletin. 2007; 133(4):581–624. doi: 10.1037/0033-2909.133.4.581 [DOI:10.1037/0033-2909.133.4.581]
24. Ardebil M, Banth S. Effectiveness of mindfulness meditation on pain and quality of life of patients with chronic low back pain. International Journal of Yoga. 2015; 8(2):128. doi: 10.4103/0973-6131.158476 [DOI:10.4103/0973-6131.158476]
25. Andersson HI. The course of non-malignant chronic pain: A 12-year follow-up of a cohort from the general population. European Journal of Pain. 2004; 8(1):47–53. doi: 10.1016/s1090-3801(03)00064-8 [DOI:10.1016/S1090-3801(03)00064-8]
26. Heidari J, Hasenbring M, Kleinert J, Kellmann M. Stress-related psychological factors for back pain among athletes: Important topic with scarce evidence. European Journal of Sport Science. 2016; 17(3):351–9. doi: 10.1080/17461391.2016.1252429 [DOI:10.1080/17461391.2016.1252429]
27. Carlesso LC, Rampersaud YR, Davis AM. Clinical classes of injured workers with chronic low back pain: A latent class analysis with relationship to working status. European Spine Journal. 2017; 1-8. PMID:28138782
28. Breivik H, Collett B, Ventafridda V, Cohen R, Gallacher D. Survey of chronic pain in Europe: Prevalence, impact on daily life, and treatment. European Journal of Pain. 2006; 10(4):287–287. doi: 10.1016/j.ejpain.2005.06.009 [DOI:10.1016/j.ejpain.2005.06.009]
29. Veehof MM, Oskam M-J, Schreurs KMG, Bohlmeijer ET. Acceptance-based interventions for the treatment of chronic pain: A systematic review and meta-analysis. Pain. 2011; 152(3):533–42. doi: 10.1016/j.pain.2010.11.002 [DOI:10.1016/j.pain.2010.11.002]
30. Veehof MM, Trompetter HR, Bohlmeijer ET, Schreurs KMG. Acceptance- and mindfulness-based interventions for the treatment of chronic pain: A meta-analytic review. Cognitive Behaviour Therapy. 2016; 45(1):5–31. doi: 10.1080/16506073.2015.1098724 [DOI:10.1080/16506073.2015.1098724]
31. Wicksell RK, Melin L, Lekander M, Olsson GL. Evaluating the effectiveness of exposure and acceptance strategies to improve functioning and quality of life in longstanding pediatric pain: A randomized controlled trial. Pain. 2009; 141(3):248–57. doi: 10.1016/j.pain.2008.11.006 [DOI:10.1016/j.pain.2008.11.006]
32. Tamannaeifar S, Gharraee B, Birashk B, Habibi M. A comparative effectiveness of acceptance and commitment therapy and group cognitive therapy for major depressive disorder. Zahedan Journal of Research in Medical Sciences. 2014; 16(10):60-3.
33. Mohabbat-Bahar S, Maleki-Rizi F, Akbari ME, Moradi-Joo M. Effectiveness of group training based on acceptance and commitment therapy on anxiety and depression of women with breast cancer. Iranian Journal of Cancer Prevention. 2015; 8(2):71-6. PMCID: PMC4411466 [PMID] [PMCID]