Integrating Acceptance and Commitment Therapy with Islamic Psychotherapy for Managing Chronic Pain

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Publisher : Taylor & Francis
ISBN 13 : 1003860575
Total Pages : 115 pages
Book Rating : 4.0/5 (38 download)

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Book Synopsis Integrating Acceptance and Commitment Therapy with Islamic Psychotherapy for Managing Chronic Pain by : Razia Bhatti-Ali

Download or read book Integrating Acceptance and Commitment Therapy with Islamic Psychotherapy for Managing Chronic Pain written by Razia Bhatti-Ali and published by Taylor & Francis. This book was released on 2023-12-20 with total page 115 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book proposes a psychotherapeutic intervention integrating Islāmic Psychology with Acceptance Commitment Therapy (ACT) for Muslims with chronic pain conditions. The first part of the book provides an overview of the challenges of living with chronic pain and illness and explores the cultural expressions of pain and disease and a literature review on culturally adapted psychotherapies. An overview of the main components of ACT and their congruence with Islāmic tenets, including spirituality and contemplation, is provided to propose an Islāmic based ACT approach that aims not to reduce or eliminate pain but rather to help the client build a repertoire of behaviours that lead them towards value-based directions. The second part of the book outlines a session-by-session cultural adaptation of the six core processes of ACT interwoven with Islāmic teachings from the Quran and Sunnah. The book is supplemented with downloadable resources such as worksheets and handouts that professionals can use in practice. This book is intended as a pain management guide for therapists familiar with ACT and Islām. It will provide therapists with the tools to deliver a faith-adapted, evidence-based treatment for clients who follow the Islāmic faith.

Integrating Acceptance and Commitment Therapy with Islamic Psychotherapy for Managing Chronic Pain

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Author :
Publisher : Routledge
ISBN 13 : 9781032359779
Total Pages : 0 pages
Book Rating : 4.3/5 (597 download)

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Book Synopsis Integrating Acceptance and Commitment Therapy with Islamic Psychotherapy for Managing Chronic Pain by : Razia Bhatti-Ali

Download or read book Integrating Acceptance and Commitment Therapy with Islamic Psychotherapy for Managing Chronic Pain written by Razia Bhatti-Ali and published by Routledge. This book was released on 2023-12 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book proposes a psychotherapeutic intervention integrating Islāmic Psychology with Acceptance Commitment Therapy (ACT) for Muslims with chronic pain conditions. The first part of the book provides an overview of the challenges of living with chronic pain and illness and explores the cultural expressions of pain and disease and a literature review on culturally adapted psychotherapies. An overview of the main components of ACT and their congruence with Islāmic tenets, including spirituality and contemplation, is provided to propose an Islāmic based ACT approach that aims not to reduce or eliminate pain but rather to help the client build a repertoire of behaviours that lead them towards value-based directions. The second part of the book outlines a session-by-session cultural adaptation of the six core processes of ACT interwoven with Islāmic teachings from the Quran and Sunnah. The book is supplemented with downloadable resources such as worksheets and handouts that professionals can use in practice. This book is intended as a pain management guide for therapists familiar with ACT and Islām. It will provide therapists with the tools to deliver a faith-adapted, evidence-based treatment for clients who follow the Islāmic faith.

Acceptance and Commitment Therapy for Chronic Pain

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Author :
Publisher : New Harbinger Publications
ISBN 13 : 1608826678
Total Pages : 225 pages
Book Rating : 4.6/5 (88 download)

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Book Synopsis Acceptance and Commitment Therapy for Chronic Pain by : JoAnne Dahl

Download or read book Acceptance and Commitment Therapy for Chronic Pain written by JoAnne Dahl and published by New Harbinger Publications. This book was released on 2005-04-05 with total page 225 pages. Available in PDF, EPUB and Kindle. Book excerpt: Professionals who work with patients and clients struggling with chronic pain will benefit from this values-based behavior change program for managing the effects of pain. Acceptance and Commitment Therapy for Chronic Pain addresses case formulation and clinical techniques for working with pain patients through a combination of practical instruction and a treatment scenario narrative that follows a patient through an ACT-based intervention. An invaluable resource for rehabilitation specialists, psychologists, physicians, nurses, and others.

Integrating Spiritual Interventions in Islamic Psychology

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Author :
Publisher : Taylor & Francis
ISBN 13 : 1040034896
Total Pages : 219 pages
Book Rating : 4.0/5 (4 download)

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Book Synopsis Integrating Spiritual Interventions in Islamic Psychology by : Juraida Latif

Download or read book Integrating Spiritual Interventions in Islamic Psychology written by Juraida Latif and published by Taylor & Francis. This book was released on 2024-04-10 with total page 219 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides Islāmic psychology practitioners a framework on integrating evidence-based approaches of spiritual interventions based on Islāmic jurisprudence (Shari’ah with therapy). Covering both the theoretical and theological underpinnings of religious coping from an Islāmic perspective while also serving as a practical guide, this text delivers an integrative approach which can be used in psychotherapy to ensure a more holistic process of healing and well-being. It outlines the positive and essential contributions that interventions rooted in Qur’ânic and Sunnah evidence can make in terms of prevention, treatment, and recovery, describing a wide variety of practices and beliefs. Chapters focus on highlighting the importance of daily supplications and prayers, as well as other Prophetic remedies as part of a comprehensive, encompassing therapeutic plan for not only psycho-spiritual, but also physiological afflictions. This book provides all Muslim mental health practitioners, trainees, and students as well as healthcare workers in Muslim communities with an accessible guide to using Islāmic spiritual interventions in therapeutic practice.

Living Beyond Your Pain

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Publisher : New Harbinger Publications
ISBN 13 : 1572244097
Total Pages : 184 pages
Book Rating : 4.5/5 (722 download)

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Book Synopsis Living Beyond Your Pain by : JoAnne Dahl

Download or read book Living Beyond Your Pain written by JoAnne Dahl and published by New Harbinger Publications. This book was released on 2006 with total page 184 pages. Available in PDF, EPUB and Kindle. Book excerpt: Using mindfulness-based techniques and cognitive behavioral tools, a leading expert on the use of acceptance and commitment therapy (ACT) teaches readers to transcend the experience of chronic pain by reconnecting with other, more valued aspects of their lives.

Applying Islamic Principles to Clinical Mental Health Care

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Author :
Publisher : Routledge
ISBN 13 : 1000097021
Total Pages : 273 pages
Book Rating : 4.0/5 ( download)

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Book Synopsis Applying Islamic Principles to Clinical Mental Health Care by : Hooman Keshavarzi

Download or read book Applying Islamic Principles to Clinical Mental Health Care written by Hooman Keshavarzi and published by Routledge. This book was released on 2020-07-26 with total page 273 pages. Available in PDF, EPUB and Kindle. Book excerpt: This text outlines for the first time a structured articulation of an emerging Islamic orientation to psychotherapy, a framework presented and known as Traditional Islamically Integrated Psychotherapy (TIIP). TIIP is an integrative model of mental health care that is grounded in the core principles of Islam while drawing upon empirical truths in psychology. The book introduces the basic foundations of TIIP, then delves into the writings of early Islamic scholars to provide a richer understanding of the Islamic intellectual heritage as it pertains to human psychology and mental health. Beyond theory, the book provides readers with practical interventional skills illustrated with case studies as well as techniques drawn inherently from the Islamic tradition. A methodology of case formulation is provided that allows for effective treatment planning and translation into therapeutic application. Throughout its chapters, the book situates TIIP within an Islamic epistemological and ontological framework, providing a discussion of the nature and composition of the human psyche, its drives, health, pathology, mechanisms of psychological change, and principles of healing. Mental health practitioners who treat Muslim patients, Muslim clinicians, students of the behavioral sciences and related disciplines, and anyone with an interest in spiritually oriented psychotherapies will greatly benefit from this illustrative and practical text.

Islāmically Modified Cognitive Behavioural Therapy

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Publisher : Taylor & Francis
ISBN 13 : 1040107605
Total Pages : 132 pages
Book Rating : 4.0/5 (41 download)

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Book Synopsis Islāmically Modified Cognitive Behavioural Therapy by : Mahdi Qasqas

Download or read book Islāmically Modified Cognitive Behavioural Therapy written by Mahdi Qasqas and published by Taylor & Francis. This book was released on 2024-06-07 with total page 132 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book outlines the methods and practice of Islāmically Modified Cognitive Behavioural Therapy (IMCBT), a modified version of CBT adapted to the Muslim client’s preferences, culture, and religion. The book begins by establishing IMCBT’s fidelity to the core competencies and evidence-based practices of CBT while also introducing new unique features and interventions related to Muslim clients. It uses real-life cases to off er practical strategies for overcoming stigma, forming the therapeutic alliance, structuring the session, and utilising the client’s faith for coping and problem-solving. Chapters comprehensively provide CBT skills competencies with Islāmic modifications for a range of topics including case conceptualisation, reframing, cognitive restructuring, and advanced coping strategies for addressing interpersonal conflicts and enhancing therapeutic outcomes. The book also offers both proscriptive and prescriptive ethical guidance by showcasing instances where clients experienced negative outcomes with other practitioners to emphasise the dangers of not properly preparing for and understanding how to work with Muslims who prioritise their faith. This book will appeal to practitioners, educators, and students who are seeking deeper ways of adapting their practice, teaching, or learning to the Muslim client’s needs while also maintaining fidelity to the core features of CBT.

Islamically Integrated Psychotherapy

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Publisher : Templeton Foundation Press
ISBN 13 : 1599475421
Total Pages : 290 pages
Book Rating : 4.5/5 (994 download)

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Book Synopsis Islamically Integrated Psychotherapy by : Carrie York Al-Karam

Download or read book Islamically Integrated Psychotherapy written by Carrie York Al-Karam and published by Templeton Foundation Press. This book was released on 2018-07-01 with total page 290 pages. Available in PDF, EPUB and Kindle. Book excerpt: Integrating the Islamic faith with modern psychotherapy is at the forefront of the spiritually integrated psychotherapy movement. To bring this work to wider attention and to promote its continuation, Dr. Carrie York Al-Karam has brought together the present volume of nine essays, each of which is written by a Muslim clinician who practices Islamically integrated psychotherapy (IIP)—a modern approach that unites the teachings, principles, and interventions of the faith with Western therapeutic approaches. As delineated in the Introduction, IIP has emerged from a variety of domains including the psychology of religion and spirituality, multicultural psychology and counseling, transpersonal psychology, Muslim Mental Health, and Islamic Psychology. The individual chapters then describe a variety of ways IIP is practiced by Muslim clinicians in their service provision with Muslim clients. The contributors discuss a wide range of topics, such as how Islam can be viewed as a system for psychological wellbeing, or a “science of the soul”; what marital counseling can look like from an Islamically-integrated perspective; Prophet Mohammed as a psycho-spiritual exemplar in a new approach called The HEART Method; the use of Quranic stories in family therapy; as well as using Islamic teachings when working with Muslim children and adolescents. A description of the various approaches is supplemented with discussions of their theoretical underpinnings as well as research-based recommendations for advancing clinical application. What emerges is a vital resource for Muslim and non-Muslim clinicians alike as well as the lay Muslim reader wanting to know more about how the Islamic faith and psychotherapy are engaging with each other in a modern clinical context.

Acceptance and Commitment Therapy for Longstanding Chronic Pain in a Community-based Outpatient Group Setting

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Author :
Publisher :
ISBN 13 :
Total Pages : 256 pages
Book Rating : 4.:/5 (848 download)

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Book Synopsis Acceptance and Commitment Therapy for Longstanding Chronic Pain in a Community-based Outpatient Group Setting by : Jennifer Carolyn Plumb Vilardaga

Download or read book Acceptance and Commitment Therapy for Longstanding Chronic Pain in a Community-based Outpatient Group Setting written by Jennifer Carolyn Plumb Vilardaga and published by . This book was released on 2012 with total page 256 pages. Available in PDF, EPUB and Kindle. Book excerpt: Chronic pain affects millions of adults each year and has serious costs both economically and on psychosocial well-being. Acceptance-based behavioral treatments have been developed that improve quality of life and reduce disability, but additional attention to processes of change responsible for good outcomes is needed. While many interventions are effective in the context of comprehensive interdisciplinary treatment centers, such settings have limited reach. Treatments applicable to smaller, community-based settings are also needed. The current study examined the impact of an outpatient Acceptance and Commitment Therapy group intervention on adults (N=28) recruited from the community with heterogeneous longstanding chronic pain as compared to a wait-list control group. Results showed no between-group differences on process or outcome measures. Within-subjects analyses examining change from baseline at mid-treatment, post-treatment, and 4-month follow up indicated trending improvements in pain-related disability and depression outcomes, with changes in disability at post and follow up in line with clinically meaningful change, while quality of life and pain severity did not improve. ACT processes of pain-related avoidance and success at living leisure and relationship values improved at post and follow up with medium to large effect sizes, while mindfulness and coping strategy use did not improve. Limitations include small sample size, high attrition, and low participant engagement. Despite the fact that changes observed cannot be directly attributed to the intervention, important information was gleaned about the feasibility of adapting interventions to community settings and recommendations for next steps in such endeavors are discussed.

Acceptance and Commitment Therapy

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Author :
Publisher :
ISBN 13 :
Total Pages : 32 pages
Book Rating : 4.:/5 (235 download)

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Book Synopsis Acceptance and Commitment Therapy by : Chad N. Osborne

Download or read book Acceptance and Commitment Therapy written by Chad N. Osborne and published by . This book was released on 2007 with total page 32 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Acceptance and Commitment Group Therapy for Older Women with Chronic Pain

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Author :
Publisher :
ISBN 13 : 9781124978291
Total Pages : pages
Book Rating : 4.9/5 (782 download)

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Book Synopsis Acceptance and Commitment Group Therapy for Older Women with Chronic Pain by : Jana A. Pochop

Download or read book Acceptance and Commitment Group Therapy for Older Women with Chronic Pain written by Jana A. Pochop and published by . This book was released on 2011 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: "This project explored the issues of chronic pain and its impact on the lives of older women. The introduction provided definitions and an introduction to theories of pain. Western treatments for chronic pain and their limitations were discussed. The review of the literature documented that neither medical interventions nor psychological treatments offer relief to all chronic pain sufferers and, in particular, to older women. This paper reviewed the research evaluating the efficacy of acceptance and commitment therapy in the treatment of chronic pain, indicating that these women may benefit from group counseling using this evidence-based approach. A long-term acceptance and commitment therapy group is proposed as a means to assist older women with chronic pain, with the primary goal of helping them to live active lives in accordance with their values, in spite of the presence of persistent pain" -- Abstract, p. 1.

Managing Chronic Pain

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Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (3 download)

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Book Synopsis Managing Chronic Pain by : John D. Otis

Download or read book Managing Chronic Pain written by John D. Otis and published by . This book was released on 2007 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:

Integrating Spirituality and Religion Into Counseling

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Publisher : John Wiley & Sons
ISBN 13 : 1119025877
Total Pages : 343 pages
Book Rating : 4.1/5 (19 download)

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Book Synopsis Integrating Spirituality and Religion Into Counseling by : Craig S. Cashwell

Download or read book Integrating Spirituality and Religion Into Counseling written by Craig S. Cashwell and published by John Wiley & Sons. This book was released on 2014-12-01 with total page 343 pages. Available in PDF, EPUB and Kindle. Book excerpt: In this book, experts in the field discuss how spiritual and religious issues can be successfully integrated into counseling in a manner that is respectful of client beliefs and practices. Designed as an introductory text for counselors-in-training and clinicians, it describes the knowledge base and skills necessary to effectively engage clients in an exploration of their spiritual and religious lives to further the therapeutic process. Through an examination of the 2009 ASERVIC Competencies for Addressing Spiritual and Religious Issues in Counseling and the use of evidence-based tools and techniques, this book will guide you in providing services to clients presenting with these deeply sensitive and personal issues. Numerous strategies for clinical application are offered throughout the book, and new chapters on mindfulness, ritual, 12-step spirituality, prayer, and feminine spirituality enhance application to practice. *Requests for digital versions from the ACA can be found on wiley.com. *To request print copies, please visit the ACA website here: https://imis.counseling.org/store/detail.aspx?id=78161 *Reproduction requests for material from books published by ACA should be directed to [email protected]

ACT for Clergy and Pastoral Counselors

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Publisher : New Harbinger Publications
ISBN 13 : 1626253234
Total Pages : 502 pages
Book Rating : 4.6/5 (262 download)

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Book Synopsis ACT for Clergy and Pastoral Counselors by : Jason A. Nieuwsma

Download or read book ACT for Clergy and Pastoral Counselors written by Jason A. Nieuwsma and published by New Harbinger Publications. This book was released on 2016-07-01 with total page 502 pages. Available in PDF, EPUB and Kindle. Book excerpt: For the first time ever, three pioneers in the field of acceptance and commitment therapy (ACT) present an edited volume that outlines how the core ACT processes can be applied to religious and spiritual care approaches. If you are a clergy leader or pastoral counselor, people struggling with difficult situations or life traumas frequently turn to you for guidance. And while you’re passionate about helping, you may be unprepared for counseling people with certain mental health challenges. On the other hand, if you are a psychotherapist, you may need guidance in supporting your client’s religious belief system in therapy. In either case, this book presents a powerful road map to help you provide the best care. In this book, you’ll find a complete overview of ACT, as well as strategies for integrating ACT and issues related to spirituality. You’ll also learn how the core processes of ACT—such as commitment to change and values-based living—can be seamlessly tied into spiritual and religious counseling, no matter your faith or therapeutic background. By teaching you how to fuse conceptual psychological and spiritual principles, this book will provide you with the tools needed to enhance your counseling skill set.

Assessing the Efficacy of Acceptance and Commitment Therapy in Reducing Schema-enmeshment in Fibromyalgia Syndrome

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Author :
Publisher :
ISBN 13 :
Total Pages : 276 pages
Book Rating : 4.:/5 (889 download)

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Book Synopsis Assessing the Efficacy of Acceptance and Commitment Therapy in Reducing Schema-enmeshment in Fibromyalgia Syndrome by : Jennifer Leah Steiner

Download or read book Assessing the Efficacy of Acceptance and Commitment Therapy in Reducing Schema-enmeshment in Fibromyalgia Syndrome written by Jennifer Leah Steiner and published by . This book was released on 2013 with total page 276 pages. Available in PDF, EPUB and Kindle. Book excerpt: The presence of a chronic pain condition can have a profound impact on one's self-concept. Some individuals may have had to make major lifestyle changes. As a result, some people may start to define themselves in terms of their pain, such that their self-schema and pain-schemas become intertwined in a process termed schema-enmeshment. It is thought that schema-enmeshment is related to psychological distress making it a prime target for intervention. Little research has been conducted on interventions to reduce schema-enmeshment. Acceptance-based interventions may be especially appropriate in reducing schema-enmeshment or the connection between self and illness symptoms as these interventions tend to emphasize learning to live with pain and other symptoms and to work toward important life goals rather than continually fighting against the condition and allowing it to control their life. This study is a randomized trial comparing Acceptance and Commitment Therapy (ACT) to education about pain management in a sample of women with Fibromyalgia Syndrome (FMS). The primary aim of this study was to assess the efficacy of ACT in reducing schema-enmeshment between self and pain, as well as enmeshment between self and other symptoms and FMS as a whole. In addition, this study also explored the role of pain acceptance, specifically activity engagement as a mediator of the relationship between treatment group membership and changes in schema-enmeshment. The data was analyzed as an intent-to-treat analysis using the "last measure carried forward" method. Results indicated that the ACT group reported statistically significant differences in self schema-enmeshment with FMS, fatigue, and cognitive symptoms, but not with pain, following the intervention, compared to the educational control group. In each of these cases, the ACT group experienced greater reductions in schema-enmeshment compared to the education group. Interestingly, no statistically significant differences were observed for schema-enmeshment with pain. Statistically significant group differences were also observed for acceptance of pain following the intervention. Finally, a mediational model in which changes in activity engagement (a form of pain acceptance) served as the mediator of the relationship between treatment group and changes in schema-enmeshment with FMS was tested. The model was tested using a bootstrapping method, and results revealed a trend toward a significant indirect effect of changes in activity engagement leading to changes in schema-enmeshment with FMS. Taken together, the results of this study indicate that ACT may be a promising intervention for targeting maladaptive beliefs about the self in relation to illness, especially schema-enmeshment of self with illness and illness symptoms. Additionally, there is evidence that ACT may target key constructs such as activity engagement, which may be related to other cognitive and behavioral changes. Future directions for research and clinical practice related to ACT as an intervention for FMS are discussed in depth.

Behavioral and Psychopharmacologic Pain Management

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Author :
Publisher : Cambridge University Press
ISBN 13 : 113949354X
Total Pages : 507 pages
Book Rating : 4.1/5 (394 download)

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Book Synopsis Behavioral and Psychopharmacologic Pain Management by : Michael H. Ebert

Download or read book Behavioral and Psychopharmacologic Pain Management written by Michael H. Ebert and published by Cambridge University Press. This book was released on 2010-11-25 with total page 507 pages. Available in PDF, EPUB and Kindle. Book excerpt: Pain is the most common symptom bringing a patient to a physician's attention. Physicians training in pain medicine may originate from different disciplines and approach the field with varying backgrounds and experience. This book captures the theory and evidence-based practice of behavioral, psychotherapeutic and psychopharmacological treatments in modern pain medicine. The book's contributors span the fields of psychiatry, psychology, anesthesia, neurology, physical medicine and rehabilitation, and nursing. Thus the structure and content of the book convey the interdisciplinary approach that is the current standard for the successful practice of pain management. The book is designed to be used as a text for training fellowships in pain medicine, as well as graduate courses in psychology, nursing, and other health professions.

Online Acceptance and Commitment Therapy for Chronic Pain in a Sample of People with Chiari Malformation

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Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (139 download)

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Book Synopsis Online Acceptance and Commitment Therapy for Chronic Pain in a Sample of People with Chiari Malformation by : Monica Garcia

Download or read book Online Acceptance and Commitment Therapy for Chronic Pain in a Sample of People with Chiari Malformation written by Monica Garcia and published by . This book was released on 2021 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Objective. Chronic pain is a complex disorder often presenting with comorbid anxiety, depression, and sleep dysfunction, each of which perpetuates pain-related symptomatology. Acceptance and Commitment Therapy (ACT), an intervention based on increasing engagement in valued activities and decreasing experiential avoidance, is an empirically-supported treatment for chronic pain. However, face-to-face interventions are costly and require trained clinicians to administer. In an attempt to increase the accessibility of effective treatments, research has begun to explore the efficacy of online ACT interventions for chronic pain with positive results. Given the complex combinations of disorders that often present with chronic pain an intervention that broadly teaches ACT philosophies without focusing only on pain may facilitate the generalization of skills to comorbid conditions and provide more comprehensive treatment. The present study administered a broad online ACT intervention that is able to flexibly address participants' changing symptom presentations and aimed to examine the efficacy of this intervention. Method. 53 adults (ages 18-65) with Chiari Malformation (CM), a disorder characterized by chronic pain, were randomized into either the treatment or control group. Both groups completed baseline assessments followed by 8 weekly assessments of pain interference, anxiety, depression, sleep dysfunction, chronic pain acceptance, and psychological flexibility; the treatment group also completed 8 weekly online intervention modules. All participants also completed an assessment immediately following the intervention and at 1-month post intervention. Multi-level modeling utilized all assessment time-points to examine group differences in symptom trajectories between baseline and 1-month follow-up. Results. Significant group differences were identified in the trajectories of sleep dysfunction, psychological flexibility, and chronic pain acceptance (including both the activity engagement and pain willingness subscales). However, there were no significant group differences in pain interference or depression and a group by time interaction predicting anxiety symptoms was only trending towards significance. Psychological flexibility was a significant predictor of sleep dysfunction, but it did not serve as a mediator of sleep dysfunction over time. Conclusion. The current study provides preliminary evidence supporting the use of this online intervention to teach ACT philosophies. The treatment group exhibited significant improvement in psychological flexibility, chronic pain acceptance, pain willingness, and activity engagement. The impacts on sleep dysfunction (significant group differences identified, but a large percentage remained above the cutoff for moderate insomnia), anxiety, depression, and pain interference were as not noteworthy. This indicates that some alterations may be needed in the intervention to effectively target these symptoms.