Abstract
Background: Understanding successful and unsuccessful behavioural treatment for pain is essential. Aims: We carried out a retrospective survey of 130 people who had undergone pain rehabilitation based on acceptance and commitment therapy, aiming to identify factors associated with non-response. Method: The sample was selected using the reliable change index to define 'responders' and 'non-responders' to key outcome measures. We surveyed a range of treatment-related, systemic, practical and personal factors that may have affected their treatment, and then compared 'non-responders' with 'responders', controlling for factors that might not be causal or specific to non-response. Results: Logistic regression analysis showed two themes that distinguished the groups, 'people outside programme' and 'emotional state'. Conclusions: These data have clinical implications, as such factors can be addressed directly or incorporated into an assessment of treatment 'readiness'. This study introduced a novel methodology for the investigation of pain treatment response, which allowed a broad study of clinically relevant variables, but with greater rigour than conventional self-reports of 'helpful factors' in treatment.
Original language | English |
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Pages (from-to) | 238-243 |
Number of pages | 6 |
Journal | Behavioural and Cognitive Psychotherapy |
Volume | 46 |
Issue number | 2 |
Early online date | 9 Oct 2017 |
DOIs | |
Publication status | Published - 1 Mar 2018 |
Keywords
- Cognitive behavioral therapy
- Acceptance and Commitment Therapy
- Treatment Process
- Outcome
- Pain Management
- Treatment Failure