TY - JOUR
T1 - An acceptance-oriented cognitive-behavioral therapy in multimodal rehabilitation
T2 - A pre-post test evaluation in highly distressed patients with rheumatic diseases
AU - Vriezekolk, J.E.
AU - Eijsbouts, A.M.M.
AU - van Lankveld, W.G.J.M.
AU - Beenackers, H.
AU - Geenen, R.
AU - van den Ende, C.H.M.
PY - 2013/6/1
Y1 - 2013/6/1
N2 - Objective: To examine the potential effectiveness of a multimodal rehabilitation program including an acceptance-oriented cognitive-behavioral therapy for highly distressed patients with rheumatic diseases. Methods: An observational study employing a one-group pre-post test design (. N=. 25). The primary outcome was psychological distress. Secondary outcomes were quality of life, illness acceptance, and coping flexibility. Group pre-to-post and pre-to-12 months follow-up treatment changes were evaluated by paired-samples t-tests and Cohen's effect sizes (. d). Individual changes were evaluated by the reliable change index (RCI) and clinically significant change (CSC) parameters. Results: Significant effects were found post-treatment and maintained at 12 months in psychological distress (. d>. 0.80), illness acceptance (. d=. 1.48) and the SF-36 subscales role physical, vitality, and mental health (. d≥. 0.65). No significant effects were found for coping flexibility and the SF-36 subscales physical functioning, bodily pain, social functioning, and role emotional. Both a reliable (RCI) and clinically significant (CSC) improvement was observed for almost half of the highly distressed patients. Conclusion: The patients enrolled in the multimodal rehabilitation program showed improved psychological health status from pre to post-treatment. Practice implications: A randomized clinical trial is needed to confirm or refute the added value of an acceptance-oriented cognitive-behavioral therapy for highly distressed patients in rehabilitation.
AB - Objective: To examine the potential effectiveness of a multimodal rehabilitation program including an acceptance-oriented cognitive-behavioral therapy for highly distressed patients with rheumatic diseases. Methods: An observational study employing a one-group pre-post test design (. N=. 25). The primary outcome was psychological distress. Secondary outcomes were quality of life, illness acceptance, and coping flexibility. Group pre-to-post and pre-to-12 months follow-up treatment changes were evaluated by paired-samples t-tests and Cohen's effect sizes (. d). Individual changes were evaluated by the reliable change index (RCI) and clinically significant change (CSC) parameters. Results: Significant effects were found post-treatment and maintained at 12 months in psychological distress (. d>. 0.80), illness acceptance (. d=. 1.48) and the SF-36 subscales role physical, vitality, and mental health (. d≥. 0.65). No significant effects were found for coping flexibility and the SF-36 subscales physical functioning, bodily pain, social functioning, and role emotional. Both a reliable (RCI) and clinically significant (CSC) improvement was observed for almost half of the highly distressed patients. Conclusion: The patients enrolled in the multimodal rehabilitation program showed improved psychological health status from pre to post-treatment. Practice implications: A randomized clinical trial is needed to confirm or refute the added value of an acceptance-oriented cognitive-behavioral therapy for highly distressed patients in rehabilitation.
KW - Acceptance
KW - Anxiety
KW - Cognitive-behavioral therapy
KW - Coping flexibility
KW - Depression
KW - Quality of life
KW - Rehabilitation
KW - Rheumatic diseases
UR - http://www.scopus.com/inward/record.url?scp=84877040919&partnerID=8YFLogxK
U2 - 10.1016/j.pec.2013.01.018
DO - 10.1016/j.pec.2013.01.018
M3 - Article
C2 - 23428511
AN - SCOPUS:84877040919
SN - 0738-3991
VL - 91
SP - 357
EP - 363
JO - Patient Education and Counseling
JF - Patient Education and Counseling
IS - 3
ER -