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A systematic review of cognitive behavioral therapy-based ... frontiersin.org 23 facts
claimIn both Acceptance and Commitment Therapy (ACT) and Behavioral Activation Treatment for Depression (BATD), improvements in pain interference at follow-up were significantly mediated by improvements at post-treatment in psychological flexibility (Sanabria-Mazo et al., 2023).
measurementAcceptance and Commitment Therapy (ACT) demonstrated significant improvement in psychological flexibility compared to Treatment as Usual (TAU) with a medium effect size (d = 0.52) at post-treatment and a small effect size (d = 0.37) at follow-up.
measurementBehavioral Activation Treatment for Depression (BATD) showed significant differences in behavioral activation compared to Treatment as Usual (TAU) with a small effect size (d = 0.46) at post-treatment, but not at follow-up.
measurementAcceptance and Commitment Therapy (ACT) showed significant differences in behavioral activation compared to Treatment as Usual (TAU) with a small effect size (d = 0.30) at post-treatment, but not at follow-up.
measurementBehavioral Activation Treatment for Depression (BATD) demonstrated significant improvement in psychological flexibility compared to Treatment as Usual (TAU) with a small effect size (d = 0.40) at post-treatment, but this difference was not maintained at follow-up.
measurementAcceptance and Commitment Therapy (ACT) demonstrated significant improvement in pain interference compared to Treatment as Usual (TAU) at post-treatment (effect size d = 0.64) and at follow-up (effect size d = 0.73).
measurementBehavioral Activation Therapy for Depression (BATD) was statistically superior to Treatment as Usual (TAU) in improving pain interference only at follow-up, with a medium effect size (d = 0.66).
measurementCognitive behavioral therapy (CBT) interventions for anxiety were evaluated across 6 studies, involving 270 participants in the intervention group and 255 in the control group, with 83% of studies showing positive results at post-treatment and 75% at follow-up.
claimResearch by De Jong et al. (2016, 2018) reported no significant differences between mindfulness-based interventions (MBI) and treatment as usual (TAU) at post-treatment and follow-up regarding the reduction of behavioral activation.
measurementBehavioral activation therapy for depression (BATD) for anxiety was evaluated in 1 study, involving 78 participants in the intervention group and 78 in the control group, with 0% of studies showing positive results at post-treatment or follow-up.
claimCognitive Behavioral Therapy (CBT) shows evidence of benefit in improving pain interference and pain acceptance at post-treatment, but not at follow-up, with small effect sizes (Buhrman et al., 2015; Gasslander et al., 2022).
measurementMindfulness-based interventions (MBI) for anxiety were evaluated in 1 study, involving 26 participants in the intervention group and 14 in the control group, with 0% of studies showing positive results at post-treatment or follow-up.
measurementPatients assigned to Acceptance and Commitment Therapy (ACT) and Behavioral Activation Therapy for Depression (BATD) reported a significant reduction in pain catastrophizing compared to Treatment as Usual (TAU) at post-treatment (ACT effect size d = 0.45; BATD effect size d = 0.59) and at follow-up (both effect sizes d = 0.59).
measurementAcceptance and Commitment Therapy (ACT) showed significant improvement in pain acceptance compared to Treatment as Usual (TAU) at post-treatment (effect size d = 0.34) and at follow-up (effect size d = 0.42).
claimCBT-based interventions were more effective than control groups in improving depression, anxiety, and quality of life at both post-treatment and follow-up, but not in improving pain intensity, according to the systematic review.
measurementCompared to Treatment As Usual (TAU), traditional Cognitive Behavioral Therapy (CBT) reported significant differences in the reduction of depressive and anxiety symptoms and in the increase of quality of life at post-treatment and at follow-up, with effect sizes ranging from very large to small.
measurementDe Jong et al. (2016, 2018) reported no significant differences in the reduction of pain self-efficacy at post-treatment or follow-up when comparing Mindfulness-Based Interventions (MBI) to Treatment As Usual (TAU).
measurementBehavioral activation therapy for depression (BATD) for stress was evaluated in 1 study, involving 78 participants in the intervention group and 78 in the control group, with 0% of studies showing positive results at post-treatment or follow-up.
measurementAcceptance and Commitment Therapy (ACT) showed significant improvement in stress symptoms at post-treatment (effect size d = 0.69) compared to Treatment as Usual (TAU), but this effect was not sustained at follow-up.
measurementAcceptance and commitment therapy (ACT) for stress was evaluated in 1 study, involving 78 participants in the intervention group and 78 in the control group, with 100% of studies showing positive results at post-treatment and 0% at follow-up.
claimStudies exploring pain intensity and pain catastrophizing found no significant differences between traditional Cognitive Behavioral Therapy (CBT) and Treatment As Usual (TAU) at post-treatment and follow-up.
measurementAcceptance and commitment therapy (ACT) for anxiety was evaluated in 1 study, involving 78 participants in the intervention group and 78 in the control group, with 0% of studies showing positive results at post-treatment or follow-up.
measurementGardiner et al. (2019) found a significant effect in improving quality of life at follow-up in favor of Mindfulness-Based Interventions (MBI) compared to Treatment As Usual (TAU), with a relative risk (RR) of 1.07.