Effectiveness of Pain Self-Management Training on Resilience, Quality of Life, and Adherence Treatment in Women with Chronic Pain
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Objective: Chronic pain is one of the most common health problems, affecting the physical, psychological, and social aspects of patients’ lives. Pharmacological approaches often have limited and temporary effects, whereas educational and psychological interventions can play a key role in improving pain-related outcomes. This study aimed to investigate the effectiveness of pain self-management training on resilience, quality of life, and treatment adherence in women with chronic pain.
Methods and Materials: This quasi-experimental study used a pretest–posttest design with a follow-up and control group. The sample consisted of 30 women with chronic pain selected through convenience sampling and randomly assigned to either the pain self-management training group (n=15) or the control group (n=15). The intervention group received eight 90-minute weekly sessions of self-management training based on Lorig’s protocol. Data were collected using the Connor–Davidson Resilience Scale, the WHO Quality of Life Questionnaire, and the Modanlou Treatment Adherence Questionnaire. Data were analyzed using repeated-measures ANOVA and post-hoc tests.
Findings: Pain self-management training significantly increased resilience, quality of life, and treatment adherence in the intervention group compared to the control group (p < 0.001). The positive effects of the intervention persisted at the three-month follow-up, with a large effect size (η² > 0.76).
Conclusion: Pain self-management training is an effective and sustainable intervention for improving psychological and behavioral indicators in patients with chronic pain. It can be used as a complementary approach alongside conventional treatments. Implementing such programs in clinical and community settings is recommended.
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