探索心理灵活性作为儿科慢性疼痛互联网接受和承诺疗法的治疗行为:发生率及其与结果的关系

IF 3.4 3区 心理学 Q1 PSYCHOLOGY, CLINICAL Journal of Contextual Behavioral Science Pub Date : 2024-01-01 DOI:10.1016/j.jcbs.2024.100725
Charlotte Gentili , Jenny Rickardsson , Linda Holmström , Rikard K. Wicksell , Hugo Hesser , Vendela Zetterqvist
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引用次数: 0

摘要

接受与承诺疗法在治疗儿童慢性疼痛方面已获得初步证据。多项研究表明,心理灵活性/不灵活性是推动接纳与承诺疗法治疗慢性疼痛的一个过程。支持心理灵活性作为接纳与承诺疗法改变过程的文献通常基于自我报告。本研究旨在通过两名独立观察者对患者的书面陈述进行评分,调查心理灵活性(即接受、化解、价值观形成和承诺行动)作为互联网提供的接受与承诺疗法治疗儿科慢性疼痛期间的治疗行为。样本是自行招募的,由 28 名 13 至 17 岁的女孩组成。结果表明,心理灵活性可操作化为治疗中的行为,并通过观察者的评分进行可靠评估。此外,数据还显示,接受和化解的评分在受试者内部存在差异,不同的体验练习所唤起的接受或化解程度也有很大不同。此外,分析表明,在治疗早期阶段,患者陈述中较高的平均接受程度与较大的治疗效果有关。化解、价值观形成和承诺行动对治疗效果没有显著影响。由于样本量较小,在解释结果时应谨慎。
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Exploring psychological flexibility as in-treatment behaviour during internet-delivered acceptance and commitment therapy for paediatric chronic pain: Occurrence and relation to outcome

Acceptance and Commitment Therapy has gained preliminary evidence for paediatric chronic pain. Several studies show that psychological flexibility/inflexibility is a process driving treatment change in ACT for chronic pain. The literature supporting psychological flexibility as a change process in ACT is typically based on self-report. The aim of the present study was to investigate psychological flexibility (i.e. acceptance, defusion, values formulation and committed action) as in-treatment behaviour during internet-delivered Acceptance and Commitment Therapy for paediatric chronic pain, by having two independent observers rating patient written statements. The sample was self-recruited and consisted of 28 girls between ages 13 and 17 years. Results showed that psychological flexibility could be operationalised as in-treatment behaviours and reliably assessed using observer ratings. Also, data illustrated a within subject variability in ratings of acceptance and defusion, with a considerable difference in degree of acceptance or defusion evoked by different experiential exercises. Furthermore, analyses showed that a higher average degree of acceptance in patient statements during the early phase of treatment was related to larger treatment effects. Defusion, values formulation and committed action showed no significant influence on outcome. Results should be interpreted with caution due to the small sample size.

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来源期刊
CiteScore
8.50
自引率
18.00%
发文量
82
审稿时长
61 days
期刊介绍: The Journal of Contextual Behavioral Science is the official journal of the Association for Contextual Behavioral Science (ACBS). Contextual Behavioral Science is a systematic and pragmatic approach to the understanding of behavior, the solution of human problems, and the promotion of human growth and development. Contextual Behavioral Science uses functional principles and theories to analyze and modify action embedded in its historical and situational context. The goal is to predict and influence behavior, with precision, scope, and depth, across all behavioral domains and all levels of analysis, so as to help create a behavioral science that is more adequate to the challenge of the human condition.
期刊最新文献
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