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Brief Acceptance and Commitment Therapy for Fibromyalgia: Feasibility and Effectiveness of a Replicated Single-Case Design

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Brief Acceptance and Commitment Therapy for Fibromyalgia: Feasibility and Effectiveness of a Replicated Single-Case Design

dc.contributor.author	Gómez Pérez, María Camino
dc.contributor.author	García Palacios, Azucena
dc.contributor.author	Castilla López, Diana Virginia
dc.contributor.author	Zaragozá Álvarez, Irene
dc.contributor.author	Suso Ribera, Carlos
dc.date.accessioned	2021-02-12T16:56:33Z
dc.date.available	2021-02-12T16:56:33Z
dc.date.issued	2020
dc.identifier.citation	Gómez Pérez, María Camino García Palacios, Azucena Castilla López, Diana Virginia Zaragozá Álvarez, Irene Suso Ribera, Carlos 2020 Brief Acceptance and Commitment Therapy for Fibromyalgia: Feasibility and Effectiveness of a Replicated Single-Case Design Pain Research & Management 2020 7897268 1 11
dc.identifier.uri	https://hdl.handle.net/10550/77749
dc.description.abstract	Objective. Overall, the literature on the effectiveness of psychological treatments in general and those for fibromyalgia in particular has been dominated by research designs that focus on large groups and explore changes on average, so the treatment impact at the individual level remains unclear. In this quasi-experimental, replicated single-case design, we will test the feasibility and effectiveness of a brief acceptance and committed therapy intervention using ecological momentary assessment supported by technology. Methods. The sample comprised 7 patients (3 in the individual condition and 4 in the group condition) who received a brief, 5-week psychological treatment. Patient evolution was assessed one week prior to treatment onset and during the whole study with a smartphone app. Because ecological momentary assessment and the use of an app are not frequent practices in routine care, we also evaluated the feasibility of this assessment methodology (i.e., compliance with the app). Change was investigated with a nonoverlap of all pairs index. Outcomes were pain interference with sleep and social activities, fatigue, sadness, and pain intensity. Results. Patient change was not uniform across outcomes. Four patients (two in each condition) showed relatively moderate levels of change (approximately 60% nonoverlap in several outcomes). The remaining patients showed more modest improvements which affected a reduced number of outcomes. Based on nonoverlapping indices, there was no clear evidence in favor of any treatment format. Conclusions. An alternative design to large-scale trials, one that focuses on the individual change, exists and it can be implemented in pain research. The use of technology (e.g., smartphones) simplifies such designs by facilitating ecological momentary assessment. Based on our findings showing that changes were not homogeneous across patients or outcomes, more single-case designs and patient-centered analyses (e.g., responder and moderation analyses) are required.
dc.language.iso	eng
dc.relation.ispartof	Pain Research & Management, 2020, vol. 2020, num. 7897268, p. 1-11
dc.subject	Psicologia
dc.subject	Fibromiàlgia
dc.title	Brief Acceptance and Commitment Therapy for Fibromyalgia: Feasibility and Effectiveness of a Replicated Single-Case Design
dc.type	journal article	es_ES
dc.date.updated	2021-02-12T16:56:33Z
dc.identifier.doi	10.1155/2020/7897268
dc.identifier.idgrec	143294
dc.rights.accessRights	open access	es_ES