ArticleJournal of pain research2026
The Effect of ACT on Experiential Avoidance and Pain Acceptance: A Study on Women with Myofascial Pain Syndrome.
Article in Journal of pain research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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4 authors.
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Abstract
Purpose: Chronic pain can be considered one of the most serious medical problems worldwide due to the problems it causes in various aspects such as social and economic aspects. Myofascial pain syndrome is also known as a chronic pain-related disease. Considering the prevalence and importance of this disease, the present study aims to investigate the effectiveness of acceptance and commitment therapy on experiential avoidance and pain acceptance in people with myofascial pain syndrome. Patients and Methods: The present study was a pre-test and post-test clinical trial with intervention and control groups. The population of this study included people with myofascial pain syndrome referred to the Shahid Beheshti Hospitals in Kashan in 2024. Through a purposive sampling method, 56 people were selected and randomly divided into two groups, namely, intervention (n = 28) and control (n = 28). In the intervention group, eight 90-minute sessions were conducted based on the acceptance and commitment therapy (ACT) protocol for chronic pain. The applied tools included the Experiential Avoidance Questionnaire (MEAQ) and the Pain Acceptance Questionnaire (CPAQ). Data were analyzed by SPSS using ANCOVA while controlling baseline scores. Results: Participants receiving ACT showed a significant reduction in experiential avoidance compared with the control group, F(1,53) = 10.11, p = 0.002. Pain acceptance significantly increased in the intervention group, F(1,53) = 34.79, p < 0.001. Conclusion: ACT can be considered as an effective therapeutic approach to reduce experiential avoidance and increase pain acceptance in patients with myofascial pain syndrome. These changes appear to be due to improved acceptance of thoughts and feelings associated with pain and reduce experiential avoidance, which is one of goal of ACT treatment.
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