A Brief Acceptance and Commitment Therapy Group Intervention on Systemic Lupus Erythematosus

  1. Arjol, David 1
  2. Barbero-Rubio, Adrián 1
  1. 1 Universidad Nacional de Educación a Distancia
    info

    Universidad Nacional de Educación a Distancia

    Madrid, España

    ROR https://ror.org/02msb5n36

Revista:
Revista de psicoterapia

ISSN: 1130-5142 2339-7950

Año de publicación: 2022

Título del ejemplar: Contextual Therapy: Acceptance and Commitment Therapy (ACT)

Volumen: 33

Número: 122

Páginas: 105-127

Tipo: Artículo

DOI: 10.33898/RDP.V33I122.1151 DIALNET GOOGLE SCHOLAR lock_openDialnet editor

Otras publicaciones en: Revista de psicoterapia

Resumen

El lupus eritematoso sistémico (LES) es una enfermedad reumática autoinmune sistémica de etiología desconocida que afecta principalmente a mujeres en edad reproductiva. El LES provoca una serie de síntomas físicos y psíquicos que, debido a su evolución crónica, provocan una disminución de la calidad de vida. La Terapia de Aceptación y Compromiso (ACT) está acumulando evidencia que avala su utilidad en la mejora de los problemas psicológicos asociados al LES aunque la investigación sigue siendo escasa. El objetivo de este estudio fue estudiar la eficacia de un protocolo de intervención breve de 10 horas de ACT en formato grupal a 15 pacientes navarras con LES. Nueve pertenecieron al grupo experimental (n1 = 9) y seis al grupo control (n2 = 6). Se tomaron medidas relacionadas con procesos de flexibilidad psicologica y calidad de vida antes de la intervención (pre), al final (post), al primer mes y después de tres meses (seguimientos). Las participantes del grupo experimental mostraron una mejora sustancial en el grado de aceptación del dolor y en variables centradas en la calidad de vida respecto al grupo control. Las mejoras tendieron a mantenerse en el tiempo. Estos resultados sugieren que intervenciones breves y grupales de ACT son prometedoras para la intervención en pacientes con LES.

Referencias bibliográficas

  • Alarcón, G. S., McGwin, G. Jr., Uribe, A., Friedman, A. W., Roseman, J. M., Fessler, B. J., Bastian, H. M., Baethge, B. A., Vilá, L. M., & Reveille, J. D. (2004). Systemic Lupus Erythematosus in a multiethnic Lupus Cohort (LUMINA). XVII. Predictors of self-reported health related quality of life early in disease course. Arthritis Care Research, 51(3), 465-474.https://doi.org/10.1002/art.20622
  • Bach, P., & Hayes, S. C. (2002). The use of acceptance and commitment therapy to prevent the rehospitalization of psychotic patients: a randomized controlled trial. Journal of Consulting and Clinical Psychology, 70(5), 1129. https://doi.org/10.1037/0022-006X.70.5.1129
  • Doria, A., Rinaldi, S., Ermani, M., Salaffi, F., Iaccarino, L., Ghirardello, A., Zampieri, S., Della-Libera, S., Perini, G., & Tudesco, S. (2004). Health-related quality of life in italian patients with Systemic Lupus Erythematosus. II. Role of clinical, immunological and psychological determinants. Rheumatology, 43(12), 1580-1586. https://doi.org/10.1093/rheumatology/keh392
  • Fangtham, M., Kasturi, S., Bannuru, R. R., Nash, J. L., & Wang, C. (2019). Non-pharmacologic therapies for systemic lupus erythematosus. Lupus, 28(6), 703-712. https://doi.org/10.1177/0961203319841435
  • Freire, E. A., Maia, I. O., Nepomuceno, J. C., & Ciconelli, R. M. (2007). Damage index assessment and quality of life in Systemic Lupus Erythematosus Patients (with Long-Term Disease) in Northeastern Brazil. Clinical Rheumatology, 26(3), 423-428. https://doi.org/10.1007/s10067-006-0517-6
  • Galindo, M., Molina, R. A., & Álvarez, J. P. (2017). Lupus Eritematoso Sistémico (I). Etiopatogenia. Manifestaciones clínicas. Historia natural. Pruebas diagnósticas. Diagnóstico diferencial [Systemic Lupus Erythematosus (I). Etiopathogenesis. Clinics Manifestations. Natural History. Diagnostic tests. Differential diagnosis]. Medicine-Programa de Formación Médica Continuada Acreditado, 12(25), 1429-1439. https://doi.org/10.1016/j.med.2017.01.001
  • Greco, C. M., Rudy, T. E., & Manzi, S. (2004). Effects of a stress-reduction program on psychological function, pain and physical function of Systemic Lupus Erythematosus patients: a randomized controlled trial. Arthritis Care & Research, 51(4), 625-634. https://doi.org/10.1002/art.20533
  • Guide Working Group of Clinical Practice on Systemic Lupues Erythematosus. (2015). Guía de práctica clínica sobre Lupus Eritematoso Sistémico [Clinical practice guide about Systemic Lupus Erythematosus]. Ministerio de Sanidad, Servicios Sociales e Igualdad. Servicio de Evaluación del Servicio Canario de la Salud. Guías de Práctica Clínica en el SNS. https://doi.org/10.1016/j.medcli.2016.01.013
  • Haupt, M., Millen, S., Jänner, M., Falagan, D., Fisher-Betz, R., & Schneider, M. (2005). Improvement of coping abilities in patientis with Systemic Lupus Erythematosus: a prospective study. Annals of the Rheumatic Diseases, 64(11), 1618-1623. https://doi.org/10.1136/ard.2004.029926
  • Hayes, S. C., Luoma, J. B., Bond, F. W., Masuda, A., & Lillis, J. (2006). Acceptance and commitment therapy: Model, processes and outcomes. Behaviour research and therapy, 44(1), 1-25. https://doi.org/10.1016/j.brat.2005.06.006
  • Hayes, S. C., Strosahl, K. D., Bunting, K., Twohig, M., & Wilson, K. G. (2004). What is acceptance and commitment therapy?. In S. C. Hayes, & K. D., Strosahl (Eds.), A practical guide to acceptance and commitment therapy (pp. 3-29). Springer.
  • Herrero, M. J., Blanch, J., Peri, J. M., De Pablo, J., Pintor, L., & Balbuena, A. (2003). A validation study of the Hospital Anxiety and Depression Scale (HADS) in spanish population. General Hospital Psychiatry, 25(4), 277-283. https://doi.org/10.1016/s0163-8343(03)00043-4
  • Johnston, M., Pollard, B., & Hennessey, P. (2000). Construct validation of the Hospital Anxiety and Depression Scale with clinical populations. Journal of Psychosomatic Research, 48(6), 579-584. https://doi.org/10.1016/S0022-3999(00)00102-1
  • Jolly, M. (2005). How does quality of life of patients with Systemic Lupus Erythematosus compare with that of other common chronic illnesses? Journal of Rheumatology, 32, 1706-1708.
  • Luciano, C., Ruiz, F. J., Gil-Luciano, B., & MolinaCobos, F. J. (2021). Terapias contextuales [Contextual Therapy]. En E. Fonseca-Pedrero (Ed.), Manual de tratamientos psicológicos. Adultos (167- 199). Síntesis.
  • McCracken, L. M., Vowles, K. E., & Eccleston, C. (2004). Acceptance of chronic pain: component analysis and a revised assessment method. Pain, 107(1-2), 159-166. https://doi.org/10.1016/j.pain.2003.10.012
  • McHorney, C. A., Ware, J. E., Lu, R., & Sherbourne, C. D. (1994). The MOS 36-Item Short form health survey (SF-36). III. Tests of data quality scaling assumptions, and reliability across diverse patient groups. Medical Care, 32(1), 40-66. https://doi.org/10.1097/00005650-199401000-00004
  • Moore, A. D., Petri, M. A., Manzi, S., Isenberg, D. A., Gordon, C., Senecal, J. L., Pierre, Y., Joseph, L., Penrod, J., Fortin, P. R., Sutcliffe, N., Goulet, J. R., Choquette, D., Grodzick, T., Esdaile, J. M., & Clarke, A.E. (2000). The use of alternative medical therapies in patients with Systemic Lupus Erythematosus. Arthritis and Rheumatism, 43(6), 1410-1418. https://doi.org/10.1002/1529-0131(200006)43:6<1410::AID-ANR27>3.0.CO;2-U
  • Morrison, A. P., Haddock, G., & Tarrier, N. (1995). Intrusive thoughts and auditory hallucinations: A cognitive approach. Behavioural and Cognitive Psychotherapy, 23(3), 265-280. https://doi.org/10.1017/S1352465800015873
  • Navarrete, N., Peralta, M. I., Sabio, J. M., Hidalgo, C., Coín, M. A., Robles-Ortega, H., Hidalgo-Tenorio, C., Callejas-Rubio, J. L., & Jiménez-Alonso, J. (2010). Efficacy of cognitive behavioural therapy for the treatmen for chronic stress in patients with Lupus Erythematosus: a randomized control trial. Psychoterapy and Psychosomatics, 79(2), 107-115. https://doi.org/10.1159/000276370
  • Öst, L.G. (2014). The efficacy of acceptance and commitment therapy: an updated systematic review and meta-analysis. Behav Res Ther, 61, 105-121. https://doi.org/10.1016/j.brat.2014.07.018
  • Pérez, Y. E., & Otero, I. (2014). Calidad de vida, ansiedad, depresión y optimismo disposicional en pacientes con lupus eritematoso sistémico [Quality of life, anxiety, depression and dispositional optimism in patients with systemic lupus erythematosus]. Psicogente, 17(31), 107-119.https://doi.org/10.17081/psico.17.31.1473
  • Quirosa, T. (2011). Aplicación de la terapia de aceptación y compromiso en el tratamiento de problemas psicológicos asociados al Lupus Eritematoso Sistémico [Application of acceptance and commitment therapy in the treatment of psychological problems associated with systemic lupus erythematosus ] [Doctoral Dissertation, Universidad de Almería]. http://metodoquirosa.com/wp/wp-content/uploads/2017/06/TESIS-DOCTORAL-Aplicaci%C3%B3n-de-la-Terapia-de-Aceptaci%C3%B3n-y-Compromiso-en-el-tratamiento-de-problemas-psicol%C3%B3gicos-asociados-al-Lupus-Eritematoso-Sist%C3%A9mico-.pdf
  • Rafie, S., Akbari, R., Yazdani-Charati, J., Elyasi, F., & Azimi-Lolaty, H. (2020). Effect of mindfulness-based metacognitive skills training on depression, anxiety, stress, and well-being in patients with Systemic Lupus Erythematosus. Journal of Mazandaran University of Medical Sciences, 30(183), 11-21. http://jmums.mazums.ac.ir/article-1-13641-en.html
  • Rinaldi, S., Ghisi, M., Iaccarino, L., Zampieri, S., Ghirardello, A., Sarzi-Puttini, P., Ronconi, L., Perini, G., Todesco, S., Sanavio, E., & Doria, A. (2006). Influence of coping skills on health-related quality of life in patients with Systemic Lupus Erythematosus. Arthritis Care and Research, 55(3), 427-433. https://doi.org/10.1002/art.21993
  • Rivera, J., Alegre, C., Ballina, F. J., Carbonell, J., Carmona, L., Castel, B., Collado, A., Esteve, J. J., Martínez, F. G., Tornero, J., Vallejo, M. A., & Vidal, J. (2006). Documento de consenso de la sociedad española de reumatología sobre la Fibromialgia [Consensus document of the Spanish society of rheumatology on Fibromyalgia]. Reumatología Clínica, 2(1), 55-66. https://doi.org/10.1016/S1699-258X(06)73084-4
  • Rodero, B., García-Campayo, J., Casanueva, B., López del Hoyo, Y., Serrano-Blanco, A., & Luciano, J. M. (2010). Validation of the spanish version of the Chronic Pain Acceptance Questionnaire (CPAQ) for the assessment of acceptance in Fibromialgia. Health and Quality of Life Outcomes, 8(1), 1-10. https://doi.org/10.1186/1477-7525-8-37
  • Sahebari, M., Ebrahimabad, M. J., Shoraketokanlo, A. A., Sharbaf, H. A., & Khodashahi, M. (2019). Efficacy of Acceptance and Commitment Therapy in reducing disappointment, psychological distress, and psychasthenia among Systemic Lupus Erythematosus (SLE) Patients. Iranian Journal of Psychiatry, 14(2), 130-136. https://doi.org/10.18502/ijps.v14i2.992
  • Seawell, A. H., & Danoff-Burg, S. (2004). Psychosocial research on Systemic Lupus Erythematosus: a literature review. Lupus, 13(12), 881-889. https://doi.org/10.1191/0961203304lu1083rr
  • Terol-Cantero, M. C., Cabrera-Perona, V., & Martín-Aragón, M. (2015). Revisión de estudios de la Escala de Ansiedad y Depresión Hospitalaria (HAD) en muestras españolas [Review of studies of the Hospital Anxiety and Depression Scale (HAD) in Spanish samples]. Anales de Psicología, 31(2), 494-503. http://dx.doi.org/10.6018/analesps.31.2.172701
  • Thumboo, J., & Strand, V. (2007). Health-related quality of life in patients with Systemic Lupus Erythematosus: an update. Annals Academy of Medicine, 36(2), 115-122. https://doi.org/10.1177/0961203310374309
  • Törneke, N., Luciano, C., Barnes-Holmes, Y., & Bond, F. W. (2016). RFT for clinical practice. In R. D. Zettle, S. C. Hayes, D. Barnes-Holmes, & A. Biglan (Eds.), The Wiley handbook of contextual behavioral science (pp. 254-272). Wiley.
  • Trompetter, H. R., Bohlmeijer, E. T., Veehof, M. M., & Schreurs, K. M. (2015). Internet-based guided self-help intervention for chronic pain based on acceptance and commitment therapy: a randomized controlled trial. Journal of behavioral medicine, 38(1), 66-80. https://doi.org/10.1007/s10865-014-9579-0
  • Vilagut, G., Ferrer, M., Rajmil, M., Rebollo, P., Permanyer-Miralda, G., Quintana, J. M., Santed, R., Valderas, J. M., Ribera, A., Domingo-Salvany, A., & Alonso, J. (2005). El Cuestionario de Salud SF-36 español: Una década de experiencia y nuevos desarrollos [The Spanish SF-36 Health Questionnaire: A decade experience and new developments]. Gaceta Sanitaria, 19(2), 135-50. https://doi.org/10.1157/13074369
  • Vowles, K. E., McCracken, L. M., McLeod, C., & Eccleston, C. (2008). The Chronic Pain Acceptance Questionnaire: confirmatory factor analysis and identification of patient subgroups. Pain, 140(2), 284-291. https://doi.org/10.1016/j.pain.2008.08.012
  • Wilson, K. G., & Luciano, M. C. (2002). Terapia de aceptación y compromiso (ACT). Un tratamiento orientado a los valores [Acceptance and commitment therapy (ACT). A value-oriented treatment]. Pirámide.
  • Wilson, K. G., Sandoz, E. K., Kitchens, J., & Roberts, M. E. (2010). The Valued Living Questionnaire: Defining and measuring valued action within a behavioral framework. The Psychological Record, 60(2), 249-272. https://doi.org/10.1007/BF03395706
  • Yelin, E., Tonner, C., Trupin, L., Panopalis, P., Yazdany, J., Julian, L., Katz, P., & Criswell, L. A. (2009). Work loss and work entry among persons with Systemic Lupus Erythematosus: comparisons with a national matched sample. Arthritis & Rheumatism, 61(2), 247-258. https://doi.org/10.1002/art.24213
  • Zigmond, A. S., & Snaith, R. P. (1983). H.A.D.S. Hospital Anxiety and Depression Scale. Acta Psychiatrica Scandinavica, 67(6), 361-370. https://doi.org/10.1111/j.1600-0447.1983.tb09716.x