RT Journal Article
T1 Acceptance and commitment therapy (ACT) for pediatric chronic non-cancer pain: A systematic review
A1 Serrano-Ibáñez, Elena Rocío
A1 Houghton, Jade Louise
A1 Ruiz-Párraga, Gema Teresa
A1 Esteve-Zarazaga, Rosa
A1 Ramírez-Maestre, María del Carmen
A1 López-Martínez, Alicia Eva
K1 Dolor - Aspectos psicológicos
K1 Niños - Psicoterapia
AB ObjectiveAcceptance and Commitment Therapy (ACT) is an emerging intervention in the paediatric population but is also increasingly being applied across a range of conditions, including chronic noncancer pain (CNCP). The aim of this study was to evaluate the efficacy of ACT in paediatric CNCP.MethodsA systematic review of English and Spanish articles was conducted. The search was performed in July 2023 and updated in September 2024, using Medline, APA PsycInfo, Psychology Database, APA PsycArticles, PubMed, and Web of Science. We included quasi-experimental pre-post studies and randomized controlled trials (RCT) based on ACT treatment for the paediatric population with a diagnosis of CNCP. Data were extracted by two of the authors using predefined data fields. The risk of bias was evaluated using the Study Quality Assessment Tools of the National Heart Lung and Blood Institute.ResultsNine articles met the inclusion criteria (8 pre-post studies and one RCT), involving a total of 423 children and adolescents and 380 parents. The studies assessed variables related to the following areas: physical, psychological, and social/academic. The inclusion of parents in the intervention was taken into account. At a moderate level of evidence, the following variables generally showed a significant change after the intervention: pain interference, anxiety, depression, pain catastrophizing, pain reactivity, and psychological flexibility in the children, adolescents, and their parents. However, overall, the studies had a moderate risk of bias.ConclusionsACT could be efficacious in the treatment of paediatric CNCP; furthermore, the inclusion of parents could lead to improved outcomes. While these findings are promising, further research is needed.
PB Elsevier
SN 2212-1447
YR 2025
FD 2025-01-13
LK https://hdl.handle.net/10630/38522
UL https://hdl.handle.net/10630/38522
LA eng
NO Serrano Ibáñez, E. R., Jade Louise Houghton, Ruiz-Párraga, G. T., Esteve, R., Ramírez-Maestre, C., & López-Martínez, A. E. (2025). Acceptance and commitment therapy (ACT) for pediatric chronic non-cancer pain: A systematic review. Journal of Contextual Behavioral Science, 35, 100873.
NO Funding for open access charge: Universidad de Málaga / CBUA
DS RIUMA. Repositorio Institucional de la Universidad de Málaga
RD 4 mar 2026