BACKGROUND Although evidence-based psychological treatments for chronic pain have been demonstrated to be effective for a variety of outcomes, modest effects observed in recent reviews indicate scope for improvement. Self-compassion promotes a proactive attitude towards self-care and actively seeking relief from suffering. Consequently, more compassionate people experience better physical, psychological, and interpersonal wellbeing. METHODS We conducted a single-blind, randomized, controlled trial to examine the effects of a Mindful Self-Compassion program (MSC) on relevant clinical outcomes in patients with chronic pain. Patients were randomly assigned to one of the two intervention arms: MSC or Cognitive-Behavioral Therapy (CBT). The protocols of both intervention arms were standardized and consisted of a 150-minute session once every 8 weeks formatted to groups of no more than 20 participants. The primary outcome was self-compassion, measured with the self-compassion scale (SCS). The secondary outcomes were other pain-related scores, quality-of-life measures, and anxiety and depression scores. RESULTS Sixty-two and sixty-one patients were assigned to the MSC and CBT group, respectively. The MSC intervention was more effective than CBT for self-compassion (ATE = 0.126, p < 0.05). The secondary outcomes, pain acceptance (ATE = 5.214, p < 0.01), pain interference (ATE = -0.393, p < 0.05), catastrophizing (ATE = -2.139, p < 0.10), and anxiety (ATE = -0.902, p < 0.05), were also favored in the experimental arm (MSC). No serious adverse events were observed. CONCLUSIONS MSC is an appropriate therapeutic approach for chronic pain patients and may result in greater benefits on self-compassion and emotional well-being than CBT.

中文翻译：

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慢性疼痛患者的自我关怀计划：一项随机对照试验

背景虽然慢性疼痛的循证心理治疗已被证明对多种结果有效，但在最近的评论中观察到的适度效果表明还有改进的余地。自我同情促进对自我照顾的积极态度，并积极寻求摆脱痛苦。因此，更有同情心的人会体验到更好的身体、心理和人际关系福祉。方法 我们进行了一项单盲、随机、对照试验，以检查正念自我同情计划 (MSC) 对慢性疼痛患者相关临床结果的影响。患者被随机分配到两个干预组之一：MSC 或认知行为疗法 (CBT)。两个干预组的协议都是标准化的，由每 8 周一次 150 分钟的会议组成，每组不超过 20 名参与者。主要结果是自我同情，用自我同情量表（SCS）衡量。次要结果是其他疼痛相关评分、生活质量指标以及焦虑和抑郁评分。结果 62 名和 61 名患者分别被分配到 MSC 和 CBT 组。在自我同情方面，MSC 干预比 CBT 更有效（ATE = 0.126，p < 0.05）。次要结果，疼痛接受（ATE = 5.214，p < 0.01），疼痛干扰（ATE = -0.393，p < 0.05），灾难性（ATE = -2.139，p < 0.10）和焦虑（ATE = -0.902，p < 0.05)，在实验组 (MSC) 中也受到青睐。没有观察到严重的不良事件。