title: Time to gain trust and change--experiences of attachment and mindfulness-based cognitive therapy among patients with chronic pain and psychiatric co-morbidity.
abstract: 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.
authors.affiliation: Department of Molecular and Clinical Medicine/Multidisciplinary Pain Center, Institute of Medicine, Sahlgrenska Academy at the University of Gothenburg, Sahlgrenska University Hospital, Gothenburg, Sweden; birgittapeilot@hotmail.com.
authors.forename: Birgitta
authors.initials: B
authors.lastname: Peilot
authors.affiliation: Department of Molecular and Clinical Medicine/Multidisciplinary Pain Center, Institute of Medicine, Sahlgrenska Academy at the University of Gothenburg, Sahlgrenska University Hospital, Gothenburg, Sweden.
authors.forename: Paulin
authors.initials: P
authors.lastname: Andréll
authors.affiliation: Health Centre, Landvetter, Sweden.
authors.forename: Anita
authors.initials: A
authors.lastname: Samuelsson
authors.affiliation: Department of Molecular and Clinical Medicine/Multidisciplinary Pain Center, Institute of Medicine, Sahlgrenska Academy at the University of Gothenburg, Sahlgrenska University Hospital, Gothenburg, Sweden.
authors.forename: Clas
authors.initials: C
authors.lastname: Mannheimer
authors.affiliation: Developmental Psychology, University of Wisconsin, Iowa, Michigan, Rochester, NY, USA.
authors.forename: Ann
authors.initials: A
authors.lastname: Frodi
authors.affiliation: School of Health and education, University of Skövde, Skövde, Sweden; Post Doctoral Research Fellow at School of Health, Care and Social Welfare, Mälardalens University, Västerås, Sweden.
authors.forename: Annelie J
authors.initials: AJ
authors.lastname: Sundler
mesh_terms: D064869:Acceptance and Commitment Therapy; D000223:Adaptation, Psychological; D000328:Adult; D059350:Chronic Pain / Q000523:psychology / Q000534:rehabilitation / Q000628:therapy*; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D015897:Comorbidity; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D064866:Mindfulness; D017060:Patient Satisfaction; D011795:Surveys and Questionnaires; D013548:Sweden
keywords: Phenomenology; attachment; chronic pain; cognitive therapy; lifeworld; lived experiences; mindfulness; psychosocial issues