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This study has been conducted to investigate the effectiveness of group cognitive behavioral therapy for severity of pain and mental health in individuals with back pain. This is a quasi-experimental research and posttest-pretest, control group design is used. Of women with chronic back pain who came to Imam Khomeni Hospital and who consulted a physician in his surgery in 2011,30 women, having average age of 33 years and seven months, were selected randomly and were also put randomly into two groups of fifteen. All participants completed General Health Questionnaire(GHQ) and Quebec Back Pain Disability Scale  before and after intervention. After 12 sessions of cognitive behavioral therapy, t The results indicated that the back pain significantly decreased and mental health improved significantly, too. According to the findings of the study, it can be said that group cognitive behavioral therapy would lead to the improvement of bio- psychological components through affecting mechanisms involved in Melzack’s neuromatrix and changing psychological structures, as a mediator of pain. Therefore, group cognitive behavioral therapy is a useful intervention for reducing severity of pain, as well as increasing mental health

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Aim of present study was to study the role of psychological factors and pain-related variables in the prediction of the emotional distress in MS patients. Sample of the study was consisted of 249 patients with Multiple Sclerosis visiting M.S society of Isfahan and was selected through convenience sampling. Of this sample, 12 patients were not included because they didn’t meet the inclusion criteria. Participants answered to the questionnaires of pain-related self-efficacy, ego strength and multidimensional pain inventory. To analyze the data, Pearson correlation and stepwise regression analysis were used. Results indicated that ego strength and pain related self-efficacy could significantly and negatively predict the emotional distress in M.S patients. Social support also predicted the emotional distress significantly and positively. Findings of present research were consistent with the results of the previous studies that demonstrated the role of self-conceptions in predicting the emotional distress. Given the positive correlation between social support and emotional distress in this study that is consistent with some studies and that is different with some other studies, it is recommended to study the relationship between perceived and real social support and emotional distress in the future studies.

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Acceptance and commitment therapy (ACT) is one of the third wave behavioral therapies in treating of chronic pain. The purpose of present research was to study the effectiveness of ACT on the rate of pain and pain catastrophizing in females with chronic low back pain. This was a semi-xperimental research, and a pre-test, post-test design with control group was applied. Participants included 40 women with chronic low back pain that selected by convenience sampling method from three clinical centers and randomly assigned into control and experimental groups. All participants completed the Multidimensional pain inventory-screening and pain catastrophizing scale. Thenthe experimental group received ACT for 8 one-hour sessions. Results of covariance analysis indicated that there is a considerable improvement in pain catastrophizing and its subscale and pain and its subscale (except pain intensity) in experimental group in posttest stage. According to the results, ACT can decrease the pain and experienced psychological distresses in women with chronic low back pain and represents new horizons in clinical interventions and can be used as an appropriate intervention

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Research indicates that children of parents with chronic pain might be at risk of a variety of psychological, social and academic difficulties therefore, the present study aimed to investigate academic health among adolescent daughters of mothers with musculoskeletal chronic pain. In this study a group of 44 daughters of mothers with chronic pain were compared to matched control group of daughters of healthy mothers in variables of academic‌ health. The Study measure was Academic Health Self- Report Scales (AHS-SR), adapted from Healthy Pathways Child-Report Scales (HPC-RS, Bevans,et al, 2010). In order to analyze the data, a set of descriptive and inferential statistics including independent t-test, multivariate analysis of variance (MANOVA) were applied. Study results indicated that daughters of mothers with chronic pain exhibit lower levels of academic health in comparison with children in the control group and this suggests that having a mother in pain adversely impacts children’s academic function and suppress their capabilities. This study suggests that children of mothers with chronic pain might be at risk of poor academic health and lower educational functioning compared with children of healthy parents. It seems that family interventions or psycho-education would help child and mother to have a better understanding of chronic pain as a phenomenon and to apply coping strategies to prevent its interactional impacts.

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The goal of this study was to examine the role of stress, anxiety and depression and fear of pain on anticipating the movement disability in patients with spinal cord chronic pain. The sample in the research included of 53 persons (41 women, 12 men) with spinal cord chronic pain (back pain) who were approached and referred over the 3 months to a physiotherapy clinic and briefed about the research and voluntarily agreed to participate in the study. Depression Anxiety Stress Scale (DASS), Pain Disability Questionnaire (PDQ), Pain Anxiety Symptom Scale (PASS) and Tampa Scale for Kinesiophobia (TSK) were completed by participants. The obtained data in the research was examined by statistical method of correlation coefficients and multiple regressions. The findings of this study shown that from the subscales of DASS, depression had the highest correlation with movement disability. Also the subscales of PASS, particularly dimension of escape/avoidance had the highest positive and significant correlation with movement disability. The findings showed that depression explained %28 and escape/avoidance explained %36 of the variance of movement disability. Although pain might be considered as a physical health problem primarily, however, psychological components including depression, anxiety, stress and fear of movement could play a crucial role at least in maintenance of pain that needs to be considered in rehabilitation interventions.

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Spirituality and Practice of Religious Beliefs as related variables to psychological and physical well-being are able to explain most of positive consequences in chronic pain sufferers. The aim of this study was to determine predictor role of those variables in predicting pain experience acceptance in Rheumatoid arthritis patients. In this correlative descriptive study, 80 Rheumatoid arthritis patients were chosen by purposive non-random sampling method. They accomplished Spirituality Insight Appraisal Questionnaire, Practice of Religious Beliefs Inventory (MABAD), and Chronic Pain Acceptance Questionnaire- Revised (CPQA-R). Data was analyzed by Pearson correlation and multiple regression statistical tests. Spiritual ability (a spirituality component) had significant role in predicting Activity engagement (a pain acceptance component) (p<0/01). There was no relationship between practice of religious beliefs and pain acceptance considering result of this study, when Spirituality presented in behavior (spiritual ability) can play effective role in predicting pain experience acceptance in Rheumatoid arthritis patients. Spirituality only as an ideology cannot predict pain acceptance in Rheumatoid arthritis patients.

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The present study aimed at comparing pain perception and alexithymia between patients suffering from rheumatoid arthritis, familial Mediterranean fever, and healthy people. The research method was casual-comparative and the sample was drawn from all patients afflicted with rheumatoid arthritis, familial Mediterranean fever, and healthy people in Ardabil city in 2017. The sampling procedure was Convenient. This way, 40 rheumatoid arthritis patients, familial Mediterranean fever patients and healthy people, collectively amounting to 120 subjects, were selected. The data collection procedure involved using McGill pain questionnaire and Toronto alexithymia scale as the instruments. To analyze the data, Manova and Post hoc tests were conducted. The results indicated that there is a meaningful difference in the perception of pain and alexithymia between people with rheumatoid arthritis, familial Mediterranean fever and healthy people. The intensity of pain perception among patients with alexithymia was more than its intensity among patients with familial Mediterranean fever. It can be concluded, therefore, that the disorder of pain perception and alexithymia in patients with rheumatoid arthritis and familial Mediterranean fever can worsen these diseases and affect their treatment process.

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Experience of anger is an indicator of the living conditions of patients with chronic musculoskeletal pain disorders. The aim of this study was to examine the mediating role of anger rumination on the relationship between anger and pain intensity in chronical musculoskeletal pain patients. For this purpose, a sample of 109 chronic musculoskeletal pain patients selected by convenience sampling method. Multidimensional pain questionnaire, multidimensional anger inventory and anger rumination scale used for collecting data. The present study is descriptive-correlation and analysis of data carried using simple correlation coefficient and regression analysis by Baron and Kenny method. Finding showed that anger and all of its dimensions except anger-eliciting situations and anger-out predicted pain intensity. Anger and all of its dimensions predicted anger rumination. In addition, results showed that anger rumination completely mediated the relationship between anger and pain intensity. Furthermore, the mediator role of anger rumination confirmed only for internal dimensions that had a significant relationship with the pain severity, such as anger arousal, hostile outlook and anger-in. However, this mediator role of anger was not confirmed for the dimensions with external nature (such as anger-eliciting situations and anger out), and there was not any significant correlations between pain severity and these dimensions. In general, anger rumination exacerbates the negative effects of anger on the pain severity in patients with chronic musculoskeletal pain.

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This study was conducted with the aim of predicting the components of chronic pain based on insecure attachment style, mentalization and emotional regulation with a cross-sectional descriptive design and correlational method and the statistical population includes all patients with chronic pain who were referred the Yalda Clinic of Imam Khomeini Hospital in Tehran from April to August 2020. The research sample consisted of 339 people who were selected by available sampling method and answered the Chronic Pain, adult attachment, mentalization and difficulty in emotion regulation questionnaires. The effect of predictors of difficulties in emotion regulation, mentalization and insecure attachments on pain inability indicates a positive effect of difficulties in emotion regulation (β =0.52) and anxiety insecure attachment (β =0.30) at a significance level of less than 0.05 (Gives p-value (<0.001) and (p-value =0.001). In the study of pain intensity, difficulties in emotion regulation with (β =0.53) and avoidant insecure attachment with (β =0.13) with (p-value <0.001) and (p-value =0.01) indicates significance at the significance level less than 0.05 with a positive value of these two predictor variables. Using these findings, effective measures can be taken to improve and enhance the psychological health of patients with chronic pain.

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This study aimed to develop and introduce training package of chronic pain self-management interventions and evaluate its effects on improving pain self-management (PSM), mindfulness skills (MS), metacognitive beliefs (MB), and cognitive emotion regulation strategies (CERS) in people with chronic musculoskeletal pain (CMP). The statistical population included all patients with CMP who were referred to Tehran hospitals between June 2020 and December 2021. Among these, 22 people (two experimental and control groups) of eligible individuals were selected by voluntary sampling method and examined during a quasi-experimental design. The experimental group underwent 8 online intervention sessions and were evaluated online by GSCS-7, PSMC-18, FFMQ-39, MCQ-30 and CERQ-18 during tree sessions (pre-test, post-test and follow-up). Data were analyzed by MANKOVA. According to the results, the overall effects of the self-management interventions were significant (p < 0.05). Also the interventions had a significant effects on improving PSM, increasing the use of MS, and improving CERS (p<0.05), however, the interventions had no significant effects on reducing dysfunctional MB (p < 0.05). Considering the evidence from this study, the authors believe that the use of chronic pain self-management interventions for people with CMP has significant clinical benefits, so its use is recommended to health care providers.
 

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Pain is an unpleasant experience, usually accompanied by potential or actual tissue injury, and is composed of emotional, sensory, cognitive, and social components. Past research has shown that both cognitive and emotional factors play a significant role in experiencing pain. An important complication of cancer is pain. More than 70 % of cancer patients experience disease-related pain. The cancer-caused chronic pain affects the quality of life of people with cancer. It also increases the risk of depression and anxiety in these patients. Psychological factors play a significant role in how patients adapt to pain. The research design was descriptive-correlational and the statistical population included people with Leukemia who had referred to clinics and hospitals in Yazd for treatment and chemotherapy. In total, 240 individuals were selected by convenient sampling method. The results showed that there is a significant relationship between metacognitions, meta-emotions, psychological flexibility and experienced pain. The presence of negative emotions and decreased mental flexibility was associated with increased pain. The role of psychological flexibility as a mediating variable between metacognition and meta-emotion with the amount of pain experienced was confirmed. It was demonstrated that metacognitions and meta-emotions, through psychological flexibility affect the degree of the pain experienced.

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