Evaluation of a Virtual Compassionate Living Group for Patients with Chronic Pain

Alicia D. Brown, A. R. Bowman, Kelly Cocallis, Caitlin Woodcock
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Abstract

Chronic pain affects around 28 million people in the UK. Those living with chronic pain can frequently experience internalised self-stigma and negative self-evaluations as a result of the pain itself and due to difficult life experiences. Previous research has found Compassion Focused Therapy to be effective for people living with long term health conditions like chronic pain. The current study sought to evaluate a routine Virtual Compassionate Living Group for patients with chronic pain on the measures of self-compassion, self-criticism and pain self-efficacy. The evaluation took place in a routine clinical setting. 13 outpatients attended the online group across three separate groups. Groups were delivered over eight or ten sessions with the group content focusing on psychoeducation of the Compassion Focused Therapy model and Compassionate Mind Training. Reliable and clinically significant change analyses were used to assess the data. Results showed that there had been improvements on the measures of self-compassion with 6 out of 13 patients exhibiting reliable and clinically significant change. Some improvements had also been made on pain self-efficacy and self-criticism but to a lesser extent. Thematic analysis was used to analyse the evaluation feedback forms for the course. Three superordinate themes were identified; sense of belonging, flourishing and virtual benefits. The service evaluation indicated that a Virtual Compassionate Living Group for patients with chronic pain can lead to improvements in self-compassion. This is consistent with previous research evidence, but larger scale evaluations are required to verify conclusions.
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慢性疼痛患者虚拟同情生活小组的评估
在英国,慢性疼痛影响着大约2800万人。由于疼痛本身和艰难的生活经历,那些患有慢性疼痛的人经常会经历内在的自我耻辱和负面的自我评价。之前的研究发现,以同情为中心的疗法对患有慢性疼痛等长期健康问题的人有效。本研究旨在评估一个常规的虚拟同情生活组对慢性疼痛患者的自我同情、自我批评和疼痛自我效能的测量。评估在常规的临床环境中进行。13名门诊患者参加了在线小组的三个独立小组。每组进行8到10次的培训,内容集中在以同情为中心的治疗模式和慈悲心训练的心理教育上。采用可靠且具有临床意义的变化分析来评估数据。结果显示,13名患者中有6名在自我同情方面有所改善,表现出可靠的临床显著变化。在疼痛自我效能和自我批评方面也有一些改善,但程度较轻。采用主题分析法对课程评价反馈表进行分析。确定了三个上级主题;归属感,繁荣和虚拟利益。服务评估显示,虚拟慈悲生活小组对慢性疼痛患者的自我慈悲有改善作用。这与先前的研究证据一致,但需要更大规模的评估来验证结论。
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