Comparing effectiveness of combined transdiagnostic, mindfulness, and DBT with CBT on psychological inflexibility of pain in people with chronic pain

The purpose of this study was to compare the effectiveness of metadiagnostic, mindfulness, and dialectical behavior therapy with cognitive behavioral therapy on the psychological inflexibility of pain in people with chronic pain associated with emotional problems. The research method was a semi-experimental type with a pre-test-post-test-follow-up plan with a control group. The research sampling method was purposive. In the quantitative part, the method of analysis of variance with repeated measurements was used. The results showed that the effect of the measurement time, the interaction between the measurement time and the group, and the effect of the group on the average scores of pain avoidance, cognitive fusion and flexibility The psychological intractability of total pain was significant. The average scores of pain avoidance and total pain inflexibility in the combined treatment and cognitive behavioral therapy groups were significantly lower than the control group, but the combined treatment group was better than the control group. Cognitive behavioral therapy had no significant difference. The mean cognitive fusion scores of the combined therapy group were significantly lower than those of the cognitive behavioral therapy groups. Combined therapy and cognitive behavioral therapy can be used as functional therapy to reduce the psychological inflexibility of pain in people suffering from chronic pain accompanied by emotional problems. Therefore, it is suggested to use these treatments in patients with chronic pain.