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Physical Activity of Patients With Chronic Pain Receiving Acceptance and Commitment Therapy or Cognitive Behavioural Therapy

Published online by Cambridge University Press:  21 May 2014

Katherine VanBuskirk ,
Scott Roesch ,
Niloofar Afari  and
Julie Loebach Wetherell
Katherine VanBuskirk*
Affiliation:
VA San Diego Healthcare System, San Diego, California, USA SDSU/UCSD Joint Doctoral Program in Clinical Psychology, San Diego State University, San Diego, California, USA
Scott Roesch
Affiliation:
Department of Psychology, San Diego State University, San Diego, California, USA
Niloofar Afari
Affiliation:
VA San Diego Healthcare System, San Diego, California, USA VA Center of Excellence for Stress and Mental Health, San Diego, California, USA Department of Psychiatry, University of California, San Diego, California, USA
Julie Loebach Wetherell
Affiliation:
VA San Diego Healthcare System, San Diego, California, USA Department of Psychiatry, University of California, San Diego, California, USA
*
Address for correspondence: Katherine VanBuskirk, 6363 Alvarado Court, Suite 103, San Diego, CA 92120, USA. Email: [email protected]
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Abstract

Physical activity is positively related to various indices of quality of life and is found to reduce symptoms in individuals with chronic pain. This manuscript presents findings from a post hoc analysis investigating whether treatment-related improvements from psychological treatment for chronic pain are mediated by changes in physical activity (PA). Secondary analyses sought to determine predictor variables of PA in patients with chronic pain and to determine the relationship between objective and self-report measurements of PA. The effect of psychological treatment on physical activity was assessed using accelerometers in a sample of participants with chronic pain in a randomised controlled trial comparing 8 weeks of acceptance and commitment therapy (ACT) to cognitive behavioural therapy (CBT). Participants wore actigraph accelerometers for 7 consecutive days at baseline, post-treatment, and at 6-month follow-up. Hierarchical linear modelling analyses found that the variance in physical activity was not significantly predicted by time (b = 104.67, p = .92) or treatment modality (b = −1659.34, p = .57). Women had greater increases in physical activity than did men (b = 6804.08, p = .02). Current ‘gold standard’ psychological treatments for chronic pain were not found to significantly increase physical activity, an important outcome to target in the treatment of physical and mental health. These results suggest that tailored interventions with greater emphasis on exercise may complement psychological treatment for chronic pain. In particular, gender-tailored interventions may capitalise on physical activity differences found between men and women.

Keywords

chronic painbehaviour changeexerciseclinical health psychologygender differences
Type
Standard Papers
Information
Behaviour Change , Volume 31 , Issue 2 , June 2014 , pp. 131 - 143
Creative Commons
This is a work of the U.S. Government and is not subject to copyright protection in the United States.
Copyright
Copyright © The Author(s), published by Cambridge University Press on behalf of Australian Academic Press Pty Ltd 2014

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