Journal of Anesthesiology and Pain

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Koushanfar S, Ebrahimi Y, Monadi K. The Effect of Group Schema Therapy on Resilience, Hopelessness, and Mental Well-Being in Patients with Chronic Pain in Hamadan. JAP 2026; 16 (4) :78-90
URL: http://jap.iums.ac.ir/article-1-5810-en.html

Background and Objective:

Chronic pain can lead to reduced quality of life, increased stress, and impairment in daily functioning. Group-based therapeutic approaches, due to their social interaction and effectiveness in emotion regulation, can contribute to pain improvement. The present study aimed to examine the effect of group schema therapy on resilience, hopelessness, and mental well-being in patients with chronic pain in the city of Hamadan.

Methods:

This experimental research employed a pretest–posttest control group design with a follow-up stage. The statistical population consisted of all individuals suffering from chronic pain in Hamadan during the years 2023–2024. Sixty participants were selected through purposive sampling and randomly assigned to two groups of 30 participants each. The experimental group received 10 sessions of group schema therapy, while the control group did not receive any intervention. Three months after the intervention ended, a follow-up assessment was conducted. Data were analyzed using repeated measures ANOVA with SPSS version 26.

Results:

The findings indicated that group schema therapy had a significant effect on resilience, hopelessness, and mental well-being in patients with chronic pain in Hamadan. Moreover, results from the follow-up stage showed that the positive effects of group schema therapy on resilience, hopelessness, and mental well-being were sustained over time.

Conclusion:

Group schema therapy, as a cognitive–emotional intervention focusing on the restructuring and modification of negative thought patterns, enhances resilience, improves mental well-being, and reduces hopelessness in patients with chronic pain.