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    Casey, Máire-Bríd Smart, Keith Segurado, Ricardo Hearty, Conor Gopal, Hari Lowry, Damien Flanagan, Dearbhail McCracken, Lance and Doody, Catherine 2018. Exercise combined with Acceptance and Commitment Therapy (ExACT) compared to a supervised exercise programme for adults with chronic pain: study protocol for a randomised controlled trial. Trials, Vol. 19, Issue. 1,
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Physical Activity of Patients With Chronic Pain Receiving Acceptance and Commitment Therapy or Cognitive Behavioural Therapy

  • Katherine VanBuskirk (a1) (a2), Scott Roesch (a3), Niloofar Afari (a1) (a4) (a5) and Julie Loebach Wetherell (a1) (a5)
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.

Copyright
COPYRIGHT: © The Author(s), published by Cambridge University Press on behalf of Australian Academic Press Pty Ltd 2014
Corresponding author
Address for correspondence: Katherine VanBuskirk, 6363 Alvarado Court, Suite 103, San Diego, CA 92120, USA. Email: kvanbusk@ucsd.edu
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