Effect of acceptance and commitment therapy on rehabilitation patients with spinal cord injury

Contemporary Clinical Trials Communications, 2021 · DOI: https://doi.org/10.1016/j.conctc.2021.100778 · Published: July 6, 2021

Spinal Cord Injury Mental Health Rehabilitation

Simple Explanation

This study explores whether combining rehabilitation with acceptance commitment therapy (ACT) is more effective than rehabilitation alone for spinal cord injury (SCI) patients with post-traumatic stress disorder (PTSD). Patients were split into two groups: one receiving ACT plus rehabilitation, and the other rehabilitation only. The study measured PTSD and functional independence using specific scales at different times. They compared the scores between the two groups before, one month, two months, and three months after the treatments began. The results indicated that ACT, when combined with rehabilitation, can reduce stress levels and improve function in SCI patients. This could positively impact their self-care abilities and the effectiveness of rehabilitation therapy.

Study Duration

3 months

Participants

60 patients with spinal cord injury and PTSD symptoms

Evidence Level

Not specified

Key Findings

1
The PTSD score in SCI patients who were treated with ACT was significantly different before and after treatment.
2
The FIM score in the treatment group was significantly higher than that in the control group after 2 and 3 months of treatment.
3
ACT combined with rehabilitation therapy was effective in reducing PTSD symptoms and improving body function and self-care ability.

Research Summary

The study aimed to assess the impact of acceptance commitment therapy (ACT) on traumatic stressed SCI patients, focusing on reducing psychological stress and improving rehabilitation outcomes compared to conventional rehabilitation alone. Patients with SCI were divided into two groups: one receiving ACT combined with rehabilitation, and the other receiving rehabilitation alone. PTSD and FIM scores were evaluated over three months. The findings suggest that incorporating ACT with rehabilitation is effective in reducing stress levels and enhancing functional independence among SCI patients, thereby improving the overall effectiveness of rehabilitation efforts.

Practical Implications

Improved Rehabilitation Outcomes

Integrating ACT into spinal cord injury rehabilitation programs can lead to better functional recovery and reduced psychological distress.

Enhanced Self-Care Ability

The combination of ACT and rehabilitation therapy helps improve patients' self-care abilities, fostering greater independence.

Reduced Stress Levels

ACT effectively reduces stress levels in SCI patients, which can positively impact their overall well-being and rehabilitation progress.

Study Limitations

1
The two groups were matched for the level and severity of spinal cord injury but were not matched for sex and cognitive level.
2
Sample size of 30 patients in each group may limit the generalizability of the findings.
3
Not specified

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