Health Psychology Research / HPR / Volume 1 / Issue 3 / DOI: 10.4081/hpr.2013.e34
GENERAL

Values-based action in  fibromyalgia: results from a  randomized pilot of acceptance  and commitment therapy

Jennifer L. Steiner1 Leah Bogusch2 Silvia M. Bigatti3*
Show Less
1 Atlanta Veteran’s Affarirs Medical Center, GA
2 Department of Psychology, Indiana University-Purdue University Indianapolis, IN
3 Indiana University School of Public Health, Indianapolis, IN, USA
Submitted: 30 March 2013 | Accepted: 22 May 2013 | Published: 2 June 2013
© 2013 by the Author(s). Licensee Health Psychology Research, USA. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution -Noncommercial 4.0 International License (CC BY-NC 4.0) ( https://creativecommons.org/licenses/by-nc/4.0/ )
Abstract

Fibromyalgia Syndrome (FMS) is a chronic pain condition characterized by pain, fatigue, and nonrestorative sleep. The disruptive symp toms of FMS are associated with reductions in quality of life related to family, intimate rela tionships, and work. The present study was part of a randomized pilot study of an 8-week Acceptance and Commitment Therapy (ACT) intervention compared to education in a sam ple of 28 women with FMS. The Chronic Pain Values Inventory was administered at baseline, postintervention, and 12 week follow-up. Both groups showed significant improvements in family success, which were maintained at fol low-up. Groups showed a differential pattern of success in work. The ACT group demonstrated significant, maintained improvements in suc cess in intimate relationships, while the edu cation group reported no changes over time. Findings suggest that both interventions may lead to improvements in valued living; however different interventions may be best suited for certain valued domains. The results of this study indicate that FMS patients are able to improve their success in family and intimate relationships and losses in these areas are not necessarily permanent.

Keywords
fibromyalgia
acceptance and commit ment therapy
quality of life
References

1. Wolfe F, Ross K, Anderson J, et al. The prevalence and characteristics of fibromyalgia in the general population. Arthritis Rheum 1995;38:19-28.
2. Desmeules JA, Cedraschi C, Rapiti E, et al. Neurophysiologic evidence for central sensitization in patients with fibromyalgia. Arthritis Rheum 2003;48:1420-9.
3. Soderberg S, Lundman B. Transitions experienced by women with fibromyalgia. Health Care Women Int 2001;22:617-31.
4. Preece JC, Sandberg JG. Family resilience and the management of fibromyalgia: Implications for family therapists. Contemp Fam Ther 2006;27:559-76.
5. Romano JM, Turner JA, Jensen MP. The family environment in chronic pain patients: Comparison to controls and relationship to patient functioning. J Clin Psychol Med Settings 1997;4:383-95.
6. Arnold LM, Crofford LJ, Mease PJ, et al. Patient perspectives on the impact of fibromyalgia. Patient Educ Couns 2008;73:114-20.
7. Soderberg S, Strand M, Haapaa M, Lundman B. Living with a woman with fibromyalgia from the perspective of the husband. J Adv Nurs 2003;42:143-50.
8. Steiner JL, Bigatti SM, Hernandez AM, et al. Social support mediates the relations between role strains and marital satisfaction in husbands of patients with fibromyalgia syndrome. Fam Syst Health 2010;28:209-23.
9. Oliver K, Cronan TA, Walen HR, Tomita M. Effects of social support and education on health care costs for patients with fibromyalgia. J Rheumatol 2001;28:2711-9.
10. Bigatti SM, Lydon JR, Brothers BM. Role strains and mood in husbands of women with fibromyalgia syndrome: a test of the stress process model. Open Fam Stud J 2008;1:66-75.
11. Henriksson, CM, Liedberg GM, Gerdle B. Women with fibromyalgia: work and rehabilitation. Disabil Rehabil 2005;27:685-95.
12. Shaver JLF, Wilbur J, Robinson FP, et al. Women’s health issues with fibromyalgia syndrome. J Womens Health 2006;15:1035-45.
13. Burckhardt CS, Liedberg GM, Henriksson CM, Kendall S. The impact of fibromyalgia on employment status of newly-diagnosed young women: a pilot study. J Musculoskelet Pain 2005;13:31-41.
14. Kurtze N, Gundersen KT, Svebak S. The impact of perceived physical dysfunction, health-related habits, and affective symptoms on employment status among fibromyalgia support group members. J Musculoskelet Pain 2001;92:39-53.
15. Hayes SC, Strosahl K, Wilson KG. Acceptance and commitment therapy: an experiential approach to behavior change. New York: Guilford Press; 1999.
16. Hayes SC, Strosahl K, Wilson KG. Acceptance and commitment therapy, 2nd ed. The Process and Practice of Mindful Change. New York: Guilford Press; 2012.
17. Viane I, Crombez G, Eccleston C, et al. Acceptance of pain is an independent predictor of mental well-being in patients with chronic pain: empirical evidence and reappraisal. Pain 2003;106:65-72.
18. McCracken LM. Learning to live with the pain: acceptance of pain predicts adjustment in persons with chronic pain. Pain 1998;74:21-7.
19. McCracken LM, Vowles KE, Eccelston C. Acceptance-based treatment for persons with complex, long standing chronic pain: a preliminary analysis of treatment outcome in comparison to a waiting phase. Behav Res Ther 2005;43:1335-46.
20. Dahl J, Wilson KG, Nilsson A. Acceptance and commitment therapy and the treatment of persons at risk for long-term disability resulting from stress and pain symptoms: a preliminary randomized trial. Behav Ther 2004;35:785-801.
21. Ang DC, Kaleth AS, Bigatti S, et al. Research to Encourage Exercise for Fibromyalgia (REEF): use of motivational interviewing design and method. Contemp Clin Trials 2011;32:59-68.
22. McCracken LM, Yang S. The role of values in a contextual cognitive-behavioral approach to chronic pain. Pain 2006;123:137-45.
23. Garamszegi LZ. Comparing effect sizes across variables: generalization without the need for Bonferroni correction. Behav Ecol 2006;17:682-7.
24. Peterson BD, Eifert GH, Feingold T, Davidson S. Using acceptance and commitment therapy to treat distressed couples: a case study with two couples. Cogn Behav Pract 2009;16:430-42.
25. Vowles KE, McCracken LM. Acceptance and values-based action in chronic pain: A study of treatment effectiveness and process. J Consult Clin Psychol 2008;76:397-407.
26. Nicassio PM, Radojevic V, Weisman MH, et al. A comparison of behavioral and educational intervention for fibromyalgia. J Rheumatol 1997;24:2000-7.
27. Hassett AL, Gervitz RN. Nonpharmacologic treatment for fibromyalgia: patient education, cognitive behavioral therapy, relaxation techniques, and complementary medicine. Rhuem Dis Clin North Am 2009;35:393-407.
28. Turk DC, Okifiki A, Sinclair JD, Starz TW. Interdisciplinary treatment for fibromyalgia syndrome: clinical and statistical significance. Arthritis Rheum 2005;11:186-95.
29. Wetherell JL, Afari N, Rutledge T, et al. A randomized, controlled trial of acceptance and commitment therapy and cognitive-behavioral therapy for chronic pain. Pain 2001;152:2098-107.

Conflict of interest
The authors declare no potential conflict of interests.
Share
Back to top
Health Psychology Research, Electronic ISSN: 2420-8124 Published by Health Psychology Research