Effectiveness of Acceptance and Commitment-Based Therapy (ACT Rehab) on Quality of Life, Severity and Duration of Pain; in Women With Chronic Low Back Pain

Objectives: Most of the women around the globe experience low back pain which often has a psychological overlay. Acceptance and Commitment Therapy (ACT) can enhance psychological condition and subsequently improve mental health. Thereby the quality of life of individuals with chronic low back pain gets improved. The study rationale aimed to assess the effectiveness of ACT on quality of life, severity and duration of pain in women with chronic low back pain. Methods: Twenty subjects (women aged between ۲۳ to ۳۴ years) with chronic low back pain from a rehabilitation clinic in Rasht city in the year ۲۰۱۶ were included in the study by convenience sampling method. They were then randomly divided into experimental and control groups (in each group, n=۱۰). Data were collected by a three-part checklist containing demographic characters, World Health Organization Quality of Life questionnaire and McGill Pain Questionnaire. The rehabilitation interventions were based on ACT carried out for eight sessions of one hour each, twice a week. The collected data were analyzed by SPSS software via Paired t-test and independent t-test method. Results: There was a significant increase in all subscales of quality of life (P<۰.۰۰۱) except subscale of physical health (P<۰.۳۸) in experimental group. Independent t-test showed a significant decline in mean severity and duration of pain in the experimental group compared to control group. Discussion: The effects of ACT rehabilitation technique on women with chronic low back pain were impressive, which augmented the quality of life. Hence this method can be used as a rehabilitation tool for women with chronic low back pain.

Keywords:

Low back pain , Chronic pain , Quality of life , Severity of pain , Duration of pain , Acceptance and commitment therapy