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Self report – an alternative measurement used in a study of ACT and Chronic Pain

Self report – an alternative measurement used in a study of ACT and Chronic Pain. Michaele Terena Saban – Pontifical Catholic University of São Paulo and Psychiatry Institute of Clinical Hospital of São Paulo Medical School

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Self report – an alternative measurement used in a study of ACT and Chronic Pain

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  1. Self report – an alternative measurement used in a study of ACT and Chronic Pain MichaeleTerenaSaban – Pontifical Catholic University of São Paulo and Psychiatry Institute of Clinical Hospital of São Paulo Medical School Francisco LotufoNeto, NilzaMicheletto, Nelma Madeira and FláviaMarconAbud

  2. PreviewStudies • Dahl, Wilson & Nilsson, 2004; McCracken, Vowles & Eccleston, 2005; Vowles et al., 2007; Vowles, McCracken & Eccleston, 2007; and Wicksell, Melin & Olsson, 2007 • Indicated that ACT improved quality of life : • Less medication / medical resources • Less sick days / pain • Better emotion, physical and social function • Improved depression and anxiety related to pain • Higher pain acceptance • Less catastrofization • Better engagement in activities

  3. Objective • Check those findings in Brazilian population. • Explore different types of measurement.

  4. Method • Population: 3 participants with chronic pain • Material: • Protocol - adaptation of “LivewithChronicPain: AnAcceptance-based Approach” (Vowles & Sorrell, 2007) • Questionnaire – • Profile • Pain history • Brief pain inventory • WHOQOL-BREF • HAD • Chronic Pain Acceptance Questionnaire - Self report

  5. Method Procedure • Interview • Protocol(8 sessions, once a week, 1:30 hour) • Measurement: • Questionnaires - Before, during, after intervention and follow up. • Self report – since one week before the intervention until the end of the sessions.

  6. Results • Less pain • Less anxiety • Improvement of social relations • Less medication • Less repose due to pain

  7. Self Report - Pain Diary

  8. Self Report Measurement of discomfort Antecedent condition Covert responses Action Consequence

  9. Procedure • At first, complete the diary with the participant • Check at the next session if he/she understood all the questions • Do not provide any specific reinforcement

  10. Possibilities of Analysis Commitment actions X experiential avoidance Degree of discomfort Problematic condition Aversive internal conditions Toward X Away values?? Interaction between all variables

  11. Some results • Degree of discomfort (average weekly) Numbers of pain episodes (blue line) Pain intensity (red line)

  12. Some results • Problematic condition (average weekly) Activities before pain (blue line) Rest before pain (red line)

  13. Some results • Actions after feeling pain (average weekly) Potential positive reinforcement actions (blue line) Potential negative reinforcement actions (red line)

  14. Conclusion • The instrument of self report is useful to analyze procedures and results in a clinical research. • It provides a constant measurement of the behavior of interest.

  15. Discussion • The reinforcement history of referring oneself, must be considered. • The instrument has a therapeutic function of observation and reporting problematic situations. New researches are needed to investigate theses effects.

  16. Thankyou! michaele.saban@yahoo.com.br

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