The effectiveness of acceptance and commitment therapy (ACT) on quality of life of women with chronic low back pain
نویسندگان
1 Assistant Professor, Department of Cognitive Rehabilitation, Institute for Cognitive Science Studies Tehran, Iran
2 Department of Psychology, Karaj Branch, Islamic Azad University, Karaj Iran
3 Assistant Professor, Department of Psychology, Karaj Branch, Islamic Azad University, Karaj Iran
4 Assistant Professor, Department of Psychology, Karaj Branch, Islamic Azad University, Karaj Iran
doi
32164چکیده
Introduction: Acceptance and commitment therapy [ACT] can enhance psychological flexibility andsubsequently improve mental health and quality of life of individuals. Also, recovery of patients withchronic low back pain (LBP) depends on several physical and psychological factors. Therefore, theauthors aimed to examine the effectiveness of acceptance and commitment therapy (ACT) on qualityof life of women with chronic low back pain.Materials and Methods: It was a semi-experimental research in pre-test and post-test design togetherwith control group. Participants were 14 women with chronic low back pain attending clinical centersand hospitals of Rasht who were selected by convenience sampling. Next, they were randomlyassigned to experimental (ACT+ usual medical care) and the control group (usual medical care only).Then, experimental group received ACT for 8 one-hour sessions. To analyze the data, covarianceanalysis was used. The instrument was self-reported by the World Health Organization's quality oflife. Data analysis was performed using analysis of independent t-test.Results: Results indicated reduction effect in pain severity in the patients who practiced 8 sessionsACT reported significantly lower pain than patients who only received usual medical care. Also, theresults shows that except of subscale of physical health (p < 0.38) there was significant increase in allother subscales of quality of life in experimental group (p < 0.001).Conclusion: The results show that acceptance and commitment therapy reduces pain severity andimproves the quality of life and recommends use of coping strategic with pain in patients with chroniclow back pain (CLBP). Counselling of treatment counsellors and family therapists recommended acounselling centers and family education classes in order to improve quality of life of female patientswith CLBP.