Jenny Thorsell Cederberg|Martin Cernvall|JoAnne Dahl|Louise von Essén|Gustaf Ljungman
Acceptance as a Mediator for Change in Acceptance and Commitment Therapy for Persons with Chronic Pain?
Uppsala University|Uppsala University|Uppsala University|Uppsala University|Uppsala University
cognitive behavior therapy cbt considered effective chronic pain little known active treatment components although acceptance correlates better health outcomes chronic pain patients study examined mediating effect experimental design aim present study investigate acceptance mediator acceptance commitment therapy act third wave cbt intervention chronic pain bootstrapped cross product coefficients approach used data previously published rct evaluating act chronic pain address specificity acceptance mediator anxiety depression also tested mediators outcome variables satisfaction life physical functioning two change scores preassessment 6month followup n 53 preassessment 12month followup n 32 used acceptance found mediate effect treatment change physical functioning preassessment followup 6 months trend shown preassessment followup 12 months indirect effect treatment via acceptance found change satisfaction life study adds small growing body research using mediation analysis investigate mediating factors treatment chronic pain summary results suggest acceptance may mediating effect change physical functioning act persons chronic pain however given small sample size study findings need replicated