Acceptance and commitment therapy (ACT) for pediatric chronic non-cancer pain: A systematic review

IF 3.4 3区心理学 Q1 PSYCHOLOGY, CLINICAL

Journal of Contextual Behavioral Science Pub Date : 2025-01-01 DOI:10.1016/j.jcbs.2025.100873

Elena Rocío Serrano Ibáñez , Jade Louise Houghton , Gema T. Ruiz-Párraga , Rosa Esteve , Carmen Ramírez-Maestre , Alicia E. López-Martínez

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引用次数: 0

Abstract

Objective

Acceptance and Commitment Therapy (ACT) is an emerging intervention in the paediatric population but is also increasingly being applied across a range of conditions, including chronic noncancer pain (CNCP). The aim of this study was to evaluate the efficacy of ACT in paediatric CNCP.

Methods

A systematic review of English and Spanish articles was conducted. The search was performed in July 2023 and updated in September 2024, using Medline, APA PsycInfo, Psychology Database, APA PsycArticles, PubMed, and Web of Science. We included quasi-experimental pre-post studies and randomized controlled trials (RCT) based on ACT treatment for the paediatric population with a diagnosis of CNCP. Data were extracted by two of the authors using predefined data fields. The risk of bias was evaluated using the Study Quality Assessment Tools of the National Heart Lung and Blood Institute.

Results

Nine articles met the inclusion criteria (8 pre-post studies and one RCT), involving a total of 423 children and adolescents and 380 parents. The studies assessed variables related to the following areas: physical, psychological, and social/academic. The inclusion of parents in the intervention was taken into account. At a moderate level of evidence, the following variables generally showed a significant change after the intervention: pain interference, anxiety, depression, pain catastrophizing, pain reactivity, and psychological flexibility in the children, adolescents, and their parents. However, overall, the studies had a moderate risk of bias.

Conclusions

ACT could be efficacious in the treatment of paediatric CNCP; furthermore, the inclusion of parents could lead to improved outcomes. While these findings are promising, further research is needed.

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接受和承诺疗法（ACT）治疗儿童慢性非癌性疼痛：一项系统综述

目的：接受与承诺疗法（ACT）是一种新兴的儿科干预手段，但也越来越多地应用于一系列疾病，包括慢性非癌性疼痛（CNCP）。本研究的目的是评估ACT在小儿CNCP中的疗效。方法对英文和西班牙文文献进行系统综述。检索于2023年7月进行，并于2024年9月更新，检索工具包括Medline、APA PsycInfo、心理学数据库、APA PsycArticles、PubMed和Web of Science。我们纳入了基于ACT治疗诊断为CNCP的儿科人群的准实验前后研究和随机对照试验（RCT）。数据由两位作者使用预定义的数据字段提取。使用国家心肺血液研究所的研究质量评估工具评估偏倚风险。结果9篇文章符合纳入标准（8篇前后研究和1篇随机对照试验），共涉及423名儿童和青少年，380名家长。这些研究评估了与以下领域相关的变量：身体、心理和社会/学术。在干预中考虑到了父母的参与。在中等证据水平上，干预后儿童、青少年及其父母的疼痛干扰、焦虑、抑郁、疼痛灾难化、疼痛反应性和心理灵活性等变量普遍表现出显著变化。然而，总的来说，这些研究有中等偏倚风险。结论act可有效治疗小儿CNCP；此外，父母的参与可能会带来更好的结果。虽然这些发现很有希望，但还需要进一步的研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Contextual Behavioral Science PSYCHOLOGY, CLINICAL-

CiteScore

8.50

自引率

18.00%

发文量

审稿时长

61 days

期刊介绍： The Journal of Contextual Behavioral Science is the official journal of the Association for Contextual Behavioral Science (ACBS). Contextual Behavioral Science is a systematic and pragmatic approach to the understanding of behavior, the solution of human problems, and the promotion of human growth and development. Contextual Behavioral Science uses functional principles and theories to analyze and modify action embedded in its historical and situational context. The goal is to predict and influence behavior, with precision, scope, and depth, across all behavioral domains and all levels of analysis, so as to help create a behavioral science that is more adequate to the challenge of the human condition.