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
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
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DOI：
10.1016/s0005-7894(04)80020-0
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发表时间：
2004-09-01
期刊：
影响因子：
3.7
通讯作者：
Nilsson, A
中科院分区：
文献类型：
--
作者：
Dahl, J;Wilson, KG;Nilsson, A
大约14%的瑞典工作年龄人口因残疾而长期休病假或提前退休。由于压力和肌肉骨骼慢性疼痛，生病名单、工作残疾和提前退休的报告大量增加，这表明需要有预防这些情况造成的功能丧失的方法。目前的初步调查研究的影响，一个简短的接受和承诺疗法（ACT）干预治疗的公共卫生部门的工作人员谁表现出慢性压力/疼痛，并在高病假利用率的风险。ACT在添加治疗设计中与常规药物治疗（MTAU）进行比较。一组19名参与者被随机分配到2组。两种情况均接受了MTAU。除了MTAU外，ACT条件还接受了每周4次1小时的ACT治疗。在术后和6个月的随访中，ACT参与者比MTAU条件下的参与者表现出更少的病假和更少的医疗资源。在疼痛、压力或生活质量方面没有发现显著差异。ACT组的压力和疼痛缓解不能解释病假和医疗利用的改善，因为没有发现压力或疼痛症状的组间差异。
Approximately 14% of the working-age Swedish population are either on long-term sick leave or early retirement due to disability. Substantial increase of sick listing, reports of work disabilities and early retirement due to stress and musculoskeletal chronic pain suggest a need for methods of preventing loss of function resulting from these conditions. The present preliminary investigation examined the effects of a brief Acceptance and Commitment Therapy (ACT) intervention for the treatment of public health sector workers who showed chronic stress/pain and were at risk for high sick leave utilization. ACT was compared in an additive treatment design with medical treatment as usual (MTAU). A group of 19 participants were randomly distributed into 2 groups. Both conditions received MTAU. The ACT condition received four 1-hour weekly sessions of ACT in addition to MTAU. At post and 6-month follow-up, ACT participants showed fewer sick days and used fewer medical treatment resources than those in the MTAU condition. No significant differences were found in levels of pain, stress, or quality of life. Improvements in sick leave and medical utilization could not be accounted for by remission of stress and pain in the ACT group as no between-group differences were found for stress or pain symptoms.