"The mind is an absolute ******" : adjustment to residual disability following an Acceptance and Commitment Therapy (ACT) group for stroke survivors

• Main Author: Large, Rebecca
• Published: Cardiff University 2017
• Subjects: 616.89; BF Psychology
• Online Access: https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.723611

This portfolio comprises of three papers: a systematic review, an empirical study and a critical evaluation of the research process. Systematic Review: The systematic review explored the influence of psychological flexibility on physical and psychosocial functioning in adults living with chronic pain. All studies revealed psychological flexibility or individual facets of the flexibility model improved daily functioning; including change in pain-related distress; depression-related interference; psychosocial functioning and in two cases improved physical health. There is some evidence that these effects are sustained over time. Proposals for further investigations into psychological flexibility are offered, in light of the methodological limitations associated with included articles. Empirical Study: This study aimed to explore stroke survivor’s experiences of an Acceptance and Commitment Therapy (ACT) group and the elements that supported them in adjusting to stroke limitations. Thirteen participants with varying residual stroke disabilities were interviewed; responses were analysed using Grounded Theory. Central to participant’s experiences was a concern of needing to accept a changed reality following stroke. Six core categories emerged from the data around processes that help facilitate movement towards improved acceptance. This intervention was found to support most stroke survivors with adjustment; although further replication and extension of this study is warranted due to certain methodological limitations. Implications for clinical practice and service development are considered. Critical Evaluation: Critical appraisal and reflections are offered on the research process.