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Systematic review with meta-analysis
Acceptance and commitment therapy: an appropriate treatment option for older adults with chronic pain
  1. Karen Barban
  1. Group Health Centre, Sault Ste Marie, Ontario, Canada
  1. Correspondence to : Karen Barban, Group Health Centre, 170 East Street #303 Sault Ste Marie, Ontario, Canada P6A 3C6; kbarban{at}

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Implications for practice and research

  • Acceptance and commitment therapy (ACT) shows benefit for older adults managing chronic pain.

  • Research is needed around which components of different psychotherapies are most suitable for individuals.

  • Research with a larger population is needed to show clinical significance of ACT and/or cognitive-behavioural therapy in adults with chronic pain.


Chronic pain is a complex, multifactored condition that affects and is influenced by both physical and psychological function. Successful treatment requires addressing both these factors.1 The evidence is indisputable that psychotherapy can help people manage their chronic pain, however, we do not know enough about what patient factors and which …

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  • Competing interests None declared.

  • Provenance and peer review Commissioned; internally peer reviewed.