000153021 001__ 153021 000153021 005__ 20250403160453.0 000153021 0247_ $$2doi$$a10.3390/jcm12124066 000153021 0248_ $$2sideral$$a135751 000153021 037__ $$aART-2023-135751 000153021 041__ $$aeng 000153021 100__ $$aCastaño-Asins, Juan R. 000153021 245__ $$aEffectiveness of acceptance and commitment therapy (ACT) for the management of postsurgical pain: study protocol of a randomized controlled trial (SPINE-ACT Study) 000153021 260__ $$c2023 000153021 5060_ $$aAccess copy available to the general public$$fUnrestricted 000153021 5203_ $$aResearch on the use of Acceptance and Commitment Therapy (ACT) for patients with degenerative lumbar pathology awaiting surgery are limited. However, there is evidence to suggest that this psychological therapy may be effective in improving pain interference, anxiety, depression, and quality of life. This is the protocol for a randomized controlled trial (RCT) to evaluate the effectiveness of ACT compared to treatment as usual (TAU) for people with degenerative lumbar pathology who are candidates for surgery in the short term. A total of 102 patients with degenerative lumbar spine pathology will be randomly assigned to TAU (control group) or ACT + TAU (intervention group). Participants will be assessed after treatment and at 3-, 6-, and 12-month follow-ups. The primary outcome will be the mean change from baseline on the Brief Pain Inventory (pain interference). Secondary outcomes will include changes in pain intensity, anxiety, depression, pain catastrophizing, fear of movement, quality of life, disability due to low back pain (LBP), pain acceptance, and psychological inflexibility. Linear mixed models will be used to analyze the data. Additionally, effect sizes and number needed to treat (NNT) will be calculated. We posit that ACT may be used to help patients cope with the stress and uncertainty associated with their condition and the surgery itself. 000153021 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttp://creativecommons.org/licenses/by/3.0/es/ 000153021 590__ $$a3.0$$b2023 000153021 591__ $$aMEDICINE, GENERAL & INTERNAL$$b59 / 329 = 0.179$$c2023$$dQ1$$eT1 000153021 592__ $$a0.882$$b2023 000153021 593__ $$aMedicine (miscellaneous)$$c2023$$dQ1 000153021 594__ $$a5.7$$b2023 000153021 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion 000153021 700__ $$aSanabria-Mazo, Juan P. 000153021 700__ $$aLuciano, Juan V. 000153021 700__ $$0(orcid)0000-0002-2116-9257$$aBarceló-Soler, Alberto$$uUniversidad de Zaragoza 000153021 700__ $$aMartín-López, Luis M. 000153021 700__ $$aDel Arco-Churruca, Alejandro 000153021 700__ $$aLafuente-Baraza, Jesús 000153021 700__ $$aBulbena, Antonio 000153021 700__ $$aPérez-Solà, Víctor 000153021 700__ $$aMontes-Pérez, Antonio 000153021 7102_ $$14009$$2735$$aUniversidad de Zaragoza$$bDpto. Psicología y Sociología$$cÁrea Psicolog.Evolut.Educac 000153021 773__ $$g12, 12 (2023), 4066 [15 pp.]$$pJ. clin.med.$$tJournal of Clinical Medicine$$x2077-0383 000153021 8564_ $$s724687$$uhttps://zaguan.unizar.es/record/153021/files/texto_completo.pdf$$yVersión publicada 000153021 8564_ $$s2728540$$uhttps://zaguan.unizar.es/record/153021/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada 000153021 909CO $$ooai:zaguan.unizar.es:153021$$particulos$$pdriver 000153021 951__ $$a2025-04-03-14:37:56 000153021 980__ $$aARTICLE