chronic pain

Objective: Chronic pain is one of the most important medical problems that affect many people every year. The highest prevalence of chronic pain is in adulthood. Sleep problems are one of common symptoms of chronic pain. The aim of this study was to compare sleep quality in mothers with chronic pain and healthy mothers. Methods: This study was comparative and its statistical population was included all women referred to the Pain Clinic of Imam Hossein Hospital, Tehran, Iran. Among them, 159 persons were selected using convenience sampling method. Pittsburgh Sleep Quality Index, Von korff Pain Intensity Scale and demographic information Form were used to collect data. Data analysis was done using t-test and one way analysis of variance. Results: The results showed that sleep quality in mothers with chronic pain was significantly different from healthy mothers, and with increase in pain intensity, sleep quality decreased. Conclusions: Results of this study have implications on need pay attention to quality of sleep in mothers with chronic pain and its impact on daily routine and their duties as a parent.

Objective: Both of the defense mechanisms of ego and depression, affects the intensity of the pain in the patient with chronic pain. The present study investigates the mediating role of depression in the relationship between immature ego defenses and perceived pain intensity in patients with chronic pain. Method: Research was conducted on 503 patients with chronic pain who were referred to pain centers in Tehran. Participants were asked to answer Numerical Rating Scale (NRS) for perceived pain intensity, Defense Styles Questionnaire (DSQ-40), and Depression, Anxiety, and Stress Scale (DASS). Results: The results indicated that depression plays a mediating role in the relationship between immature ego defenses and perceived pain intensity in patients with chronic pain. Conclusion: the relationship between immature ego defenses and the perceived pain intensity is not a simple linear one, but is mediated by depression. So, depression has an important role in Transforming of defense mechanisms to the pain.

This paper examines the intersection of Crip Time and Disability Justice within the Spanish medical-industrial complex, uncovering the systemic barriers faced by disabled individuals, particularly those with chronic pain and fatigue. It argues for a paradigm shift toward more inclusive and sustainable healthcare temporalities that prioritize care, interdependence, and accessibility over efficiency and productivity. Building on the history of healthcare activism in Spain, with a focus on movements such as Marea Blanca, the paper integrates the principles of Disability Justice and Crip Theory to critique the rigid temporal structures imposed by medical institutions. These structures marginalize disabled individuals by enforcing normative timelines that fail to accommodate their lived experiences. The chapter highlights the necessity of rethinking healthcare systems to embrace temporalities that sustain well-being and challenge the austerity-driven logic of the Medical Industrial Complex. This paper analyzes Spanish healthcare settings and draws on previous experiments in Disability Justice activism for citizens living with chronic pain or chronic fatigue to envision a future of healthcare grounded in justice and sustainability. It advocates for flexible, patient-centered care models that respect and adapt to diverse temporalities. This approach proposes a shift in public healthcare policies toward long-term collective flourishing and equity.

Objective: The present study aimed to examine the effectiveness of mindfulness-based cognitive therapy on the quality of life and resilience of women suffering from chronic pain. Method: This was a quasi-experimental study using a pre-test, post-test, and follow-up design with a control group. The sample consisted of 120 women with chronic pain who visited medical centers in Tonekabon, from which 30 were selected through simple random sampling and randomly assigned to either the experimental group or the control group (15 per group). Data were collected using the Quality of Life Questionnaire (Ware & Sherbourne, 1992) and the Connor-Davidson Resilience Scale (2003). The experimental group received eight weekly sessions based on the Kabat-Zinn protocol (2003). During this period, the control group did not receive any training. Data were analyzed using repeated measures and SPSS software version 22. Findings: The results indicated that mindfulness-based cognitive therapy significantly improved the quality of life (F=15.25, p<0.001) and resilience (F=38.86, p<0.001) of women with chronic pain. Conclusion: It can be concluded that mindfulness-based cognitive therapy enhances the quality of life and resilience of women with chronic pain and therefore, this therapy can be utilized to alleviate the problems faced by women with chronic pain.

Objective: The present study aimed to present a structural model of psychological maladjustment based on post-traumatic stress symptoms with the mediating role of ego strength in individuals suffering from chronic pain. Methods: The research method was descriptive, correlational, and structural equation modeling was used. The study population included all patients suffering from chronic pain who had visited specialized pain clinics in Tehran from February 2021 to May 2021. Using the Tabachnick and Fidell (2007) formula, the sample size was determined to be 330, selected through convenience sampling. Research instruments included the Psychological Adjustment Questionnaire (Rohner & Khaleque, 2005), the Mississippi Scale for Post-Traumatic Stress Disorder (1998), and the Psychological Ego Strength Scale (Markstrom et al., 1997). Data analysis was conducted in two parts: descriptive (central and dispersion indices, skewness, and kurtosis) and inferential (structural equation modeling) using SPSS-V23 and LISREL-V8.8 software. Findings: The results indicated that the model has a good fit. Additionally, the results showed that there is a significant direct and indirect relationship (mediated by ego strength) between post-traumatic stress and psychological maladjustment in individuals with chronic pain. The results suggest that the effect of post-traumatic stress indirectly influences psychological maladjustment positively through ego strength, with a magnitude of 0.81. Conclusion: Therefore, through individual and group therapy sessions, assistance should be provided to patients with chronic pain suffering from post-traumatic stress disorder symptoms, enabling them to fairly assess their functioning in life, free the individual from potential guilt at the time of the incident, and the lack of positive individual performance. Thus, by increasing ego strength and reducing avoidance behaviors, a lesser degree of psychological maladjustment can be expected in the individual.