Journal of Anesthesiology and Pain

 Aim and background:Chronic pain is an important public health problem that seriously affects people’s everyday lives. Aggression has been widely observed in patients with chronic pains and several studies have suggested that aggression is highly associated with chronic pain intensity. The aim of the current study was to test the effectiveness of cognitive self-management program in reducing aggression and multidimensional pain symptoms in women with chronic pain. Methods and Materials: The design of this study was quasi-experimental with pretest-posttest design, including control group which 30 women eligible chronic musculoskeletal pain more than three months (with the mean age 36.60 ± 2.26  yr) were selected by available and  Judgmental sampling. Participants had physiological and psychological trauma. Then they were randomly assigned to treatment (n=15) and control group (n=15). Participants completed the Aggression Questionnaire (AQ) and Multidimensional Pain Inventory (MPI) and in two phases of pre-test and post-test. Treatment consisted of eight sessions of cognitive self-management program over eight weeks. Analysis of Covariance was used for analyzing the data. Findings:    The    Results    showed    significant    reductions    of    aggression    (p<0/001)    and    multidimensional    pain    symptoms    (p<0/05)    compared    to    the    control    group. conclusions: These    results    suggest    that    cognitive    self-management    program    is    efficient    and    useful    in    reduction    multidimensional pain symptoms and aggression in women with chronic pain.

 Aim and Background: Chronic pain self-management is one of the improvement, rehabilitation and prevent worsening of the pain programs influenced by several factors such as severity of pain and type of recurrent and continuous chronic pain, that the present study examines these two factors through catastrophic thoughts and pain self-efficacy. Methods and Materials: This study was descriptive and correlational which using available sampling was done in 1394 on 301 patients with backbone chronic pain. In this study, descriptive and inferential statistical methods such as fitting parameters, path coefficients and its significance in path analysis were used. Findings: The results obtained from path coefficient test indicate direct effects of self-efficacy (positively) and catastrophic thoughts )negatively) on the self-management, also pain intensity indirectly affect pain self management, but this effect was not significant in recurrent and continuous chronic pain. Conclusions: In chronic backbone pain self-management, in addition to disease characteristics we must pay special attention to cognitive factors such as self-efficacy and catastrophic thoughts and through this increase the areas of pain management.