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Time to gain trust and change-Experiences of attachment and mindfulness-based cognitive therapy among patients with chronic pain and psychiatric co-morbidity

Journal article
Authors Birgitta Peilot
Paulin Andréll
A. Samuelsson
Clas Mannheimer
A. Frodi
A. J. Sundler
Published in International Journal of Qualitative Studies on Health and Well-Being
Volume 9
Issue 24420
ISSN 1748-2623
Publication year 2014
Published at Institute of Medicine
Language en
Keywords Phenomenology, lived experiences, lifeworld, cognitive therapy, attachment, mindfulness, chronic, CHRONIC MUSCULAR PAIN, FIBROMYALGIA, DISABILITY, SUBGROUPS, WOMEN, CARE, Public, Environmental & Occupational Health
Subject categories Other Medical Sciences


The treatment of patients with chronic pain disorders is complex. In the rehabilitation of these patients, coping with chronic pain is seen as important. The aim of this study was to explore the meaning of attachment and mindfulness-based cognitive therapy (CT) among patients with chronic pain and psychiatric co-morbidity. A phenomenological approach within a lifeworld perspective was used. In total, 10 patients were interviewed after completion of 7-to 13-month therapy. The findings reveal that the therapy and the process of interaction with the therapist were meaningful for the patients' well-being and for a better management of pain. During the therapy, the patients were able to initiate a movement of change. Thus, CT with focus on attachment and mindfulness seems to be of value for these patients. The therapy used in this study was adjusted to the patients' special needs, and a trained psychotherapist with a special knowledge of patients with chronic pain might be required.

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