Evaluation of the effect of acceptance and commitment therapy and cognitive therapy, depression and quality of life in patients with chronic low back pain

Document Type : Original Article

Author

Islamic Azad University of Khorramshahr Branch

Abstract

Objectives. Among chronic pain, chronic back pain is one of the most pervasive types of pain. In this study, effectiveness of cognitive-behavioral therapy and Acceptance and Commitment Therapy was examined in reducing depression as well as increasing quality of life was investigated . Materials and Methods: The present study was experimental of the pre-test and post-test type with a control group. The statistical population consisted of patients Military with chronic backache in Tehran Hakimiyeh Clinic. The study Sample population included of 45 people in a purposive random metod (15 people in each group) .Therapeutic intervention was cognitive-behavioral therapy for the first group, and Acceptance and Commitment Therapy for the second group, and no training was provided for the control group. Demographic informatio , Beck depression and quality of life questionnaires were used. Data were analyzed based on descriptive and inferential statistics. Findings: The results showed that cognitive-behavioral therapy and acceptance and commitment therapy were Reduce depression and increasing quality of life but significant difference was not observed between the two methods.Conclusion: The results showed that cognitive-behavioral therapy and therapy based on commitment and acceptance were effective in Reduce depression and increasing quality of life, but no significant difference was observed between the two methods (P> 0.05) and the study was persistent in the follow-up phase. But there was a significant difference between the two experimental methods and the control group in depression and quality of life of patients with chronic low back pain (P <0.001).

Keywords


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Ajimsha MS, Majeed NA, Chinnavan E, Thulasyammal RP. Effectiveness of autogenic training improving motor performances in Parkinson’s disease. CTM. 2014;22(3):419-425.
Angst F, Benz T, Lehmann S, Wagner S, Simmen BR, Sandòr PS, et al. Extended overview of the longitudinal pain-depression association: A comparison of six cohorts treated for specific chronic pain conditions. J Affect Disord. 2020;273,508-516.
Anvari MH, Ebrahimi A, Neshatdoost HT, Afshar H, Abedi A. The effectiveness of group-based Acceptance and Commitment Therapy on pain-related anxiety, acceptance of pain and pain intensity in patients with chronic pain. JIMS. 2014;32(295):1156-1165.
Arabian A, Khodapanahi MK, Heidari M, Saleh Sedghpour B. Investigating the relationship between self-efficacy beliefs on mental health and students’ academic success. JES. 2008;2(1):15-27.
Asghari Moghaddam MA. Change in the concept of pain over time. JCPAP. 2015;13(2):165-172.
Asghari Moqaddam MA, Rahmati N, Shoeyri MR. The mediational role of pain self-efficacy and fear of movement in explaining the relationship between chronic pain and disability. JCPS. 2012;2(6):141-168.
Asghari Moghaddam M. A,Golak, N. (2008) Reliability and Validity of the West-Haven Multidimensional Pain
Inventory-Farsi Language Version (MPI-F) , Journal of Psychology, 2008, 12(Spring): 50-71
Azizi A, Ghasemi S. Comparison the effectiveness of Solution-Focused Therapy, Cognitive-Behavior Therapy and Acceptance and Commitment Therapy on depression and quality of life in divorced women. QCCPC. 2017;8(29):207-236.
Bandura A. (1994). Self-Efficacy. In V. S. Ramachaudran (Ed.) , Encyclopedia of Human Behavior (Vol. 4, pp. 71-81). New York: Academic Press. (Reprinted in H. Friedman (Ed.) (1998). Encyclopediaof Mental Health. San Diego: Academic Press).
Bento TPF, Genebra CVDS, Maciel NM, Cornelio GP, Simeao SFAP, Vitta A. Low back pain and some associated factors: is there any difference between genders? Braz J Phys Ther. 2020;24(1):79-87.
Chou YY, Lai YH, Wang SS, Shun SC. Impact of fatigue characteristics on quality of life in patients after heart transplantation. J Cardiovasc Nurs. 2017;32(6):551-559.
Cohen M, Quintner J, van Rysewyk S. Reconsidering the International Association for the Study of Pain definition of pain. Pain Rep. 2018;3(2):e634.
Connelly M, Keefe FJ, Affleck G, Lumley MA, Anderson T, Waters S. Effects of day-to-day affect regulation on the pain experience of patients with rheumatoid arthritis. Pain. 2007;131(1-2):162-170.
Costa HS, Lima MMO, Figueiredo PHS, Chaves AT, Nunes MCP, da Costa Rocha MO. The prognostic value of health-related quality of life in patients with Chagas heart disease. Qual Life Res. 2019;28(1):67-72.
Ebrahimi I, Negahban Siouki H, Shaterzadeh MJ. Evaluation and treatment of lumbar-pelvic lesions "A new approach in the treatment of low back pain". Tehran: Danesh Faryar; 2001.
Ebrahimi Z, Asadi Majareh S, Akbari B, Naderi Nabi B. The relationship between alexithymia and emotion dysregulation with quality of life in Patients with chronic pain. JAP. 2017;8(1):1-11.
Feros DL, Lane L, Ciarrochi J, Blackledge JT. Acceptance and Commitment Therapy (ACT) for improving the lives of cancer patients: a preliminary study. Psychooncology. 2013;22(2):459-464.
Hartvigsen J, Christensen K, Frederiksen H. Back pain remains a common symptom in old age. A population-based study of 4486 Danish twins aged 70–102. Eur Spine J. 2003;12(5):528–534.
Hartvigsen  J, Hancock MJ, Kongsted A, Louw Q, Ferreira ML, Genevay S, et al; Lancet Low Back Pain Series Working Group. What low back pain is and why we need to pay attention. Lancet. 2018;391(10137):2356-2367.
Hung CI, Liu CY, Fu TS. Depression: An important factor associated with disability among patients with chronic low back pain. Int J Psychiatry Med. 2015;49(3):187-98.
 
Kiani.S, Sabahi.P, (2020) Comparison of the effectiveness of acceptance and commitment-based therapy and positive cognitive-behavioral therapy on the pain self-efficacy of patients with chronic pain. Journal of Psychological Science, Vol. 19, Issue 89, p 567-578, Summer(August) 2020
Kolivand PH, Nazari Mahin A, Jafari R. The effectiveness of Cognitive Behavioral Therapy on decrease of the distress in patients with chronic pain. JSK. 2015;3(3):70-75.
Oraki M, Mahdizadeh A, Dortaj A. Comparing the effectiveness of emotion regulation-focused Cognitive-Behavior Therapy and Acceptance and Commitment Therapy on reducing the backache symptoms and depression and increasing life satisfaction in women suffering from chronic backache with commorbid major depressive disorder. HPJ. 2018;7(2):25-43.
Rahimian Boogar E. The effect of Cognitive-Behavioral group Therapy on improving the multidimensional pain symptoms of the patients with chronic low back pain; a 4 months follow up. JAUMS. 2011;9(3):199-208.
 Razavi.B ., Shahnam Aboalghasimi.SH , Akbari.B, Nadirinabi.B(2021).
Effectiveness of Acceptance and Commitment Therapy on Feeling Hope and pain management of Women with Chronic pain. Journal of Anesthesiology and pain.Spring 2019, Vol 10, NO 1.
Rezaian.M, Ebrahimi.A, Zargham.M (2014). Treatment based on acceptance and commitment to catastrophic and disabling pain in women with chronic pelvic pain, Journal of Cognitive and Behavioral Sciences Research Fourth Year Fall and Winter 2014 Issue 2 (7 in a row).
Shojaedin S.A., Ghasemi F. (2014), The Effects of two methods Exercise Therapy on Military Personnel with Chronic Low Back Pain, Journal of Military Medicine, Spring 2014 ,Volume 16, Issue 1, Pages: 1-7