Kalmanti Asimina, Yotsidi Vasiliki, Douzenis Athanasios, Moraiti Vasiliki, Malafanti Aikaterini, Michopoulos Ioannis
2nd Department of Psychiatry, Medical School, National and Kapodistrian University of Athens, "Attikon" University Hospital, 1 Rimini Str, 12462 Athens, Greece.
Department of Psychology, Panteion University of Social and Political Sciences, 136 Syggrou Ave, 17671 Athens, Greece.
Healthcare (Basel). 2025 Jun 16;13(12):1440. doi: 10.3390/healthcare13121440.
: Optimal coping with chronic pain (CP) has a positive impact on minimizing the barriers to patients' quality of life. Mindfulness-based approaches have been shown to improve emotional regulation and coping strategies in CP management, promoting a greater acceptance of pain and reducing psychological distress. Given that personality traits may influence the adjustment to chronic pain, this study aimed to investigate whether specific personality dimensions, based on Cloninger's model of temperament-character dimensions, affect the enrolment and the response to pain treatment in an innovative hybrid arts-based CBT-CP group intervention for patients with non-malignant CP. : A pre-and-post assessment design was implemented in a non-randomized control trial. A total number of 100 outpatients at a University Pain Management Unit were allocated through self-selection in either an arts-based CBT-CP group intervention ( = 50) or a treatment-as-usual (TAU) control group ( = 50). All participants completed the Brief Pain Inventory (BPI), the Orbach and Mikulincer Mental Pain Scale (OMMP), the Tolerance for Mental Pain Scale (TMPS), and the Temperament and Character Inventory (TCI-140). The assessment took place at baseline and at the end of the intervention, after a 10-week period. The statistical analyses included a -test for independent samples, Chi-square, and linear regression analyses. : At baseline, the arts-based CBT-CP intervention group had a higher score in the novelty seeking character dimension ( = 64.04; = 9.56), whereas the TAU group was found to have higher scores in self-directedness ( = 74.34; = 11.22) and self-transcendence ( = 51.42; = 6.61). The arts-based CBT-CP group reported a lower loss of control ( = 22.94; = 6.70) and higher belief in the ability to cope with pain ( = 21.10; = 3.76) after the intervention, compared to the control group. Self-transcendence was found to be a significant predictor of average pain as well as of patients' belief in their ability to cope with pain. : The current study provides practice-based evidence suggesting that an arts-based CBT-CP group intervention is a promising treatment for non-malignant CP. Personality dimensions affect patients' enrolment and response to pain treatment. Furthermore, integrating mindfulness-based strategies within such interventions may further enhance treatment outcomes by fostering acceptance, improving coping mechanisms, and reducing the emotional burden associated with chronic pain.
最佳应对慢性疼痛（CP）对最大程度减少影响患者生活质量的障碍具有积极作用。基于正念的方法已被证明可改善慢性疼痛管理中的情绪调节和应对策略，促进对疼痛的更大接纳并减轻心理困扰。鉴于人格特质可能影响对慢性疼痛的适应，本研究旨在调查基于克隆宁格气质 - 性格维度模型的特定人格维度，是否会影响针对非恶性慢性疼痛患者的创新性基于艺术的认知行为疗法 - 慢性疼痛（CBT - CP）团体干预中患者的参与情况及对疼痛治疗的反应。：在一项非随机对照试验中实施了前后评估设计。一所大学疼痛管理单元的100名门诊患者通过自我选择被分配到基于艺术的CBT - CP团体干预组（n = 50）或常规治疗（TAU）对照组（n = 50）。所有参与者完成了简明疼痛量表（BPI）、奥尔巴赫和米库林纳心理疼痛量表（OMMP）、心理疼痛耐受量表（TMPS）以及气质与性格量表（TCI - 140）。评估在基线时以及干预结束后（为期10周）进行。统计分析包括独立样本t检验、卡方检验和线性回归分析。：在基线时，基于艺术的CBT - CP干预组在寻求新奇性格维度上得分较高（M = 64.04；SD = 9.56），而TAU组在自我导向性（M = 74.34；SD = 11.22）和自我超越性（M = 51.42；SD = 6.61）上得分较高。与对照组相比，基于艺术的CBT - CP组在干预后报告的失控感较低（M = 22.94；SD = 6.70），应对疼痛能力的信念较高（M = 21.10；SD = 3.76）。发现自我超越性是平均疼痛以及患者应对疼痛能力信念的显著预测因素。：本研究提供了基于实践的证据，表明基于艺术的CBT - CP团体干预是一种有前景的非恶性慢性疼痛治疗方法。人格维度影响患者对疼痛治疗的参与情况和反应。此外，在此类干预中整合基于正念的策略可能通过促进接纳、改善应对机制以及减轻与慢性疼痛相关的情感负担来进一步提高治疗效果。
