Acceptance and commitment therapy in chronic low back pain and comorbid depression : a single-case study with idiographic network analysis
Sanabria Mazo, Juan Pablo (Parc Sanitari Sant Joan de Déu)
Rodríguez Freire, Carla (Parc Sanitari Sant Joan de Déu)
Gallego, Ana (Universitat de Girona. Departament de Psicologia)
Feliu-Soler, Albert (Universitat Autònoma de Barcelona. Departament de Psicologia Clínica i de la Salut)
Suso-Ribera, Carlos (Universitat Jaume I. Departament de Psicología Clínica i Psicobiologia)
García-Palacios, Azucena (Universitat Jaume I. Departament de Psicologia Bàsica, Clínica i Psicobiologia)
Hayes, Steven C. (University of Nevada. Department of Psychology)
Hofmann, Stefan G. (Philipps-Universität Marburg. Department of Psychology)
Ciarrochi, Joseph (Australian Catholic University. Institute for Positive Psychology and Education)
McCracken, Lance M. (Uppsala University. Department of Psychology)
Luciano, Juan Vicente (Parc Sanitari Sant Joan de Déu)
Universitat Autònoma de Barcelona. Departament de Psicologia Clínica i de la Salut

Publicació:	Springer Science and Business Media Deutschland GmbH, 2025
Descripció:	32 pàg.
Resum:	This study analyzed the efficacy of acceptance and commitment therapy (ACT) in six individuals with chronic low back pain plus depressive symptoms using an idiographic approach within a randomized controlled trial. Daily ecological momentary assessments (EMA) and full assessments at baseline, posttreatment, and follow-up were collected. Outcomes included pain interference, pain intensity, and depressed mood, and the process variable was psychological inflexibility. Analyses involved visual inspection, non-overlap of all pairs, Tau, Tau-U, and idiographic network analysis. Moderate improvements were observed in pain interference (5/6), depressed mood (5/6), and psychological inflexibility (3/6), with limited change in pain intensity (1/6). Most participants (4/6) reported an overall relevant improvement. Idiographic networks showed considerable variability across participants, with psychological inflexibility and depressed mood playing a central role. Findings suggest ACT may help reduce pain interference and depressed mood, highlighting the need for personalized approaches and the continued use of single-case methods combined with EMA.
Ajuts:	Instituto de Salud Carlos III PI19/00112 Instituto de Salud Carlos III ICI20/00080
Nota:	Altres ajuts: acords transformatius de la UAB
Nota:	Altres ajuts: Co-financed with European Union ERDF funds. Juan P. Sanabria-Mazo had a PFIS contract from the ISCIII (FI20/00034) when this study was conducted.
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Matèria:	Acceptance and commitment therapy ; Chronic pain ; Ecological momentary assessment ; Idiographic approach ; Network analysis ; Single-case analysis
Publicat a:	International Journal of Cognitive Behavioral Therapy, Published: 28 October 2025, ISSN 3059-3042

DOI: 10.1007/s41811-025-00268-x

32 p, 1.3 MB

El registre apareix a les col·leccions:
Articles > Articles de recerca
Articles > Articles publicats