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Comparing the effectiveness of treatment based on acceptance and commitment and mindfulness therapy on chronic pain in people with drug addiction

Mohsen Kandi, Pegah Farokhzad, Afsaneh Taheri

Shenakht Journal of Psychology and Psychiatry June 11, 2023 DOI: 10.32598/shenakht.10.3.119 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Semi-experimental pre-test-post-test design with control group and one-month follow-up Peer reviewed
Sample size 60
Population People suffering from drug abuse who referred to addiction treatment clinics in Arak city in 2021
Interventions Acceptance and commitment-based therapy Mindfulness-based therapy
Duration 8 sessions of 90 minutes each; one-month follow-up
Measures Revised McGill Pain Questionnaire (2009)
Topics Addiction Meditation
Citations 2
Key findings Both acceptance and commitment-based therapy and mindfulness-based therapy significantly improved chronic pain in people with drug addiction at post-test and one-month follow-up, but the authors report that acceptance and commitment-based therapy was more effective than mindfulness-based therapy.

Abstract

Introduction: Not only can the experience of pain be a factor for drug use, but it can also be a motivation to use drugs again during and after treatment.

Aim: The purpose of the present study was to compare the effectiveness of acceptance and commitment-based therapy and mindfulness-based therapy on chronic pain in People with drug addiction.

Method: The research method was semi-experimental with a pre-test-post-test design and a control group with one-month follow-up. The statistical population included people suffering from drug abuse who referred to addiction treatment clinics in Arak city in 2021. Using available sampling method, 60 people were selected and randomly put/ placed in experimental and control groups (20 people in each group). The research tool included the revised McGill Pain Questionnaire (2009). Mindfulness therapy was implemented in 8 sessions (90 minutes each session) and acceptance and commitment based therapy was also implemented in 8 sessions (90 minutes each session). Data were analyzed using SPSS-25 statistical software and covariance analysis.

Results: The results of covariance analysis for chronic pain in the post-test and follow-up phase showed/ demonstrated a significant difference (P=0.001). Both treatments had a significant effect on the improvement of chronic pain, and it is worth noting that this effect was greater for the treatment group for whom the treatment was based on acceptance and commitment (P=0.01).

Conclusion: Treatment based on acceptance and commitment showed more effectiveness in improving chronic pain compared to mindfulness. Therefore, the use of acceptance and commitment-based therapy is recommended to improve chronic pain in people suffering from drug abuse.

Comparable studies

Other experimental studies on addiction, most cited first.

Study Year Design Participants
Mindfulness meditation and substance use in an incarcerated population. Incarcerated population 2006 Quasi-experimental with treatment-as-usual control condition
Neural Correlates of Ongoing Conscious Experience: Both Task-Unrelatedness and Stimulus-Independence Are Related to Default Network Activity Participants performing a go/no-go task while undergoing functional neuroimaging 2011 Observational neuroimaging study using thought-probes during a go/no-go task
Mindful attention reduces neural and self-reported cue-induced craving in smokers Treatment-seeking smokers, meditation-naïve, 12-hour abstinent 2011 Experimental study n = 47
DOI-Induced Activation of the Cortex: Dependence on 5-HT2AHeteroceptors on Thalamocortical Glutamatergic Neurons Rat 2000 Experimental study
Noribogaine is a G-protein biased κ-opioid receptor agonist. 2015 Experimental study with binding experiments, functional assays, and computational simulations

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