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Grant support

This study was supported by a grant from the MAPFRE Foundation. Primitivo de Vega. The collaboration of Andres Losada in this project has been supported by the Grant PSI2012-31293, funded by the Spanish Ministry of Economy and Competitiveness and the collaboration of Jose Luis Gonzalez in his project has been supported by the Grant sPSI2010-21888, funded by the Spanish Ministry of Science and Innovation, and URJC-CM-2010-CSH-5530, funded by the Community of Madrid and the Rey Juan Carlos University.

Analysis of institutional authors

Alonso-Fernandez, MCorresponding AuthorLopez-Lopez, AAuthorLosada, AAuthorGonzalez, JlAuthor

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September 27, 2022
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Acceptance and Commitment Therapy and Selective Optimization with Compensation for Institutionalized Older People with Chronic Pain

Publicated to:Pain Medicine. 17 (2): 264-277 - 2016-02-01 17(2), DOI: 10.1111/pme.12885

Authors: Alonso-Fernandez, Miriam; Lopez-Lopez, Almudena; Losada, Andres; Luis Gonzalez, Jose; Wetherell, Julie Loebach

Affiliations

Rey Juan Carlos Univ, Dept Psychol, Sch Hlth Sci, Madrid, Spain - Author
Univ Calif San Diego, Dept Psychiat, La Jolla, CA 92093 USA - Author
VA San Diego Healthcare Syst, San Diego, CA USA - Author

Abstract

Objective. Recent studies support the efficacy of Acceptance and Commitment Therapy (ACT) with people with chronic pain. In addition, Selective Optimization with Compensation strategies (SOC) can help the elderly with chronic pain to accept their chronic condition and increase functional autonomy. Our aim was to analyze the efficacy of an ACT treatment program combined with training in SOC strategies for elderly Methods. 101 participants (mean age = 82.26; SD = 10.00; 78.6% female) were randomized to the intervention condition (ACT-SOC) or to a minimal support group (MS). Complete data are available for 53 participants (ACT-SOC: n = 27; MS: n = 26). Assessments of functional performance, pain intensity, pain acceptance, SOC strategies, emotional well being and catastrophizing beliefs were done preintervention and postintervention. Results. Significant time by intervention changes (P = 0.05) were found in acceptance, pain related anxiety, compensation strategies, and pain interference in walking ability. Simple effects changes were found in acceptance (P = 0.01), selection strategies (P = 0.05), catastrophizing beliefs (P = 0.03), depressive symptoms (P = 0.05), pain anxiety (P = 0.01) and pain interference in mood and walking ability (P = 0.03) in the ACT-SOC group. No significant changes were found in the MS group. Conclusions. These results suggest that an ACT intervention combined with training in SOC strategies could help older people with pain to improve their emotional well being and their functional capability.

Keywords

Acceptance and commitment therapyAgeAge factorsAgedAged, 80 and overCaregiversChronic musculoskeletal painChronic painCognitive-behavioral therapyControlled studyDepressionExposureFemaleGeneral-practiceHome for the agedHomes for the agedHumanHumansInterventionLiteracyMaleManagement strategiesNursing homeNursing homesProceduresPsychological-factorsPsychologyQuality-of-lifeRandomized controlled trialSpainStandardsTheory of selective optimization with compensationVery elderly

Quality index

Bibliometric impact. Analysis of the contribution and dissemination channel

The work has been published in the journal Pain Medicine due to its progression and the good impact it has achieved in recent years, according to the agency WoS (JCR), it has become a reference in its field. In the year of publication of the work, 2016, it was in position 32/155, thus managing to position itself as a Q1 (Primer Cuartil), in the category Medicine, General & Internal.

From a relative perspective, and based on the normalized impact indicator calculated from World Citations provided by WoS (ESI, Clarivate), it yields a value for the citation normalization relative to the expected citation rate of: 1.93. This indicates that, compared to works in the same discipline and in the same year of publication, it ranks as a work cited above average. (source consulted: ESI Nov 14, 2024)

This information is reinforced by other indicators of the same type, which, although dynamic over time and dependent on the set of average global citations at the time of their calculation, consistently position the work at some point among the top 50% most cited in its field:

  • Weighted Average of Normalized Impact by the Scopus agency: 3.25 (source consulted: FECYT Feb 2024)
  • Field Citation Ratio (FCR) from Dimensions: 16.42 (source consulted: Dimensions Jul 2025)

Specifically, and according to different indexing agencies, this work has accumulated citations as of 2025-07-03, the following number of citations:

  • WoS: 53
  • Scopus: 69

Impact and social visibility

From the perspective of influence or social adoption, and based on metrics associated with mentions and interactions provided by agencies specializing in calculating the so-called "Alternative or Social Metrics," we can highlight as of 2025-07-03:

  • The use of this contribution in bookmarks, code forks, additions to favorite lists for recurrent reading, as well as general views, indicates that someone is using the publication as a basis for their current work. This may be a notable indicator of future more formal and academic citations. This claim is supported by the result of the "Capture" indicator, which yields a total of: 278 (PlumX).

It is essential to present evidence supporting full alignment with institutional principles and guidelines on Open Science and the Conservation and Dissemination of Intellectual Heritage. A clear example of this is:

  • The work has been submitted to a journal whose editorial policy allows open Open Access publication.

Leadership analysis of institutional authors

This work has been carried out with international collaboration, specifically with researchers from: United States of America.

There is a significant leadership presence as some of the institution’s authors appear as the first or last signer, detailed as follows: First Author (Alonso Fernández, Miriam Aranzazu) .

the author responsible for correspondence tasks has been Alonso Fernández, Miriam Aranzazu.