Implementing an acceptance and commitment therapy group protocol with veterans using VA's stepped care model of pain management

J Behav Med. 2015 Dec;38(6):984-97. doi: 10.1007/s10865-015-9647-0. Epub 2015 Jul 15.

Abstract

The purpose of the current study was to replicate and extend previous findings; further demonstrating the effectiveness of an ACT outpatient, group-based treatment for Veterans who suffer from mixed idiopathic, chronic, non-cancer pain. This course of treatment utilized the VA's Stepped Care Model of Pain Management as a framework. A sample of 50 Veterans who participated in an ACT for chronic pain group intervention was evaluated after completing a pain health education program at a Midwestern VA Medical Center between February 16, 2010 and November 9, 2010. All participants completed a standard set of pre- and post-intervention measures. Paired-samples t tests were conducted to evaluate the impact of the manualized intervention on Veterans' scores. The current study found a significant difference in measures of pain interference, illness-focused coping, and global distress upon completion of the intervention. Findings suggest that ACT is an effective treatment for Veterans with chronic pain as a secondary consultative service.

Keywords: Acceptance and Commitment Therapy; Chronic pain; Distress; Effectiveness; Group psychotherapy; Veterans.

Publication types

  • Clinical Trial

MeSH terms

  • Acceptance and Commitment Therapy*
  • Adolescent
  • Adult
  • Aged
  • Chronic Pain / therapy*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Models, Psychological*
  • Pain Management / methods*
  • Pain Measurement / methods
  • Psychotherapy, Group*
  • Treatment Outcome
  • United States
  • United States Department of Veterans Affairs*
  • Veterans / psychology*
  • Young Adult