{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,6]],"date-time":"2026-11-06T06:44:31Z","timestamp":1793947471636,"version":"4.8.0"},"reference-count":39,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2022,10,16]],"date-time":"2022-10-16T00:00:00Z","timestamp":1665878400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["British Journal of Pain"],"published-print":{"date-parts":[[2023,2]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>This paper describes the development of an eight-week Compassion Focused Therapy for Pain Management (CFT-PM) group. This group was specifically designed for \u2018strivers\u2019 a sub-group of people with persistent pain who tend to engage in over-activity and resist making reasonable adjustments to their activity levels to accommodate their persistent pain. \u2018Strivers\u2019 tend to cope by ignoring their pain and pushing on through, in the shorter term leading to \u2018boom and bust\u2019 activity-related exacerbations of their pain. They also risk the development of additional persistent fatigue and burnout in the longer term.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>117 people completed the CFT-PM group; The group was delivered in person ( n = 84) but in online format from July 2020 ( n = 33). 162 people started the CFT-PM group but 45 dropped-out (27.43%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>There was a significant effect for time across all measures: significant improvement was found for depression, self-compassion, pain-related disability, pain-related anxiety and pain self-efficacy. Pain numeric rating scores were approaching significance. There was a significant main effect of diagnosis; post-hoc t-test analysis found significant improvement for all diagnoses on all measures with the exception of spinal. There was also a significant interaction between time and format: post-hoc t-test analysis found greater improvement for virtual format on self-compassion and pain-related anxiety.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Findings suggests that CFT-PM may be a clinically effective group intervention with virtual format showing superior improvement. This approach might be less suitable for certain diagnoses; the spinal group may benefit more from traditional CBT-based PMPs. Limitations include the lack of random selection or allocation to treatment group. Future studies should adopt an experimental design to be able to draw firm conclusions regarding causation and efficacy. Despite these limitations, present findings suggest that CFT-PM may be an effective group intervention worthy of further investigation and clinical application.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/20494637221133630","type":"journal-article","created":{"date-parts":[[2022,10,16]],"date-time":"2022-10-16T22:20:40Z","timestamp":1665958840000},"page":"87-102","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":23,"title":["Compassion focused therapy for pain management: \u20183 systems approach\u2019 to understanding why striving and self-criticism are key psychological barriers to regulating activity and improving self-care for people living with persistent pain"],"prefix":"10.1177","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6319-5931","authenticated-orcid":false,"given":"Zoey","family":"Malpus","sequence":"first","affiliation":[{"name":"Manchester NHS Pain Service, Manchester University NHS Foundation Trust, Manchester, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zaynab","family":"Nazar","sequence":"additional","affiliation":[{"name":"Trainee Health Psychologist, Manchester Metropolitan University, Manchester, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chloe","family":"Smith","sequence":"additional","affiliation":[{"name":"University of Liverpool, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lesley","family":"Armitage","sequence":"additional","affiliation":[{"name":"Medical Psychology Service, South Tees Hospitals NHS Foundation Trust, Middlesbrough, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2022,10,16]]},"reference":[{"key":"bibr1-20494637221133630","doi-asserted-by":"publisher","DOI":"10.1177\/20494637211039252"},{"key":"bibr2-20494637221133630","doi-asserted-by":"publisher","DOI":"10.1016\/j.pain.2011.12.009"},{"key":"bibr3-20494637221133630","first-page":"p6","volume":"47","author":"Armitage","year":"2019","journal-title":"Pain Rehabil J Pain Physiother Assoc"},{"key":"bibr4-20494637221133630","doi-asserted-by":"publisher","DOI":"10.1177\/2049463717696602"},{"key":"bibr5-20494637221133630","doi-asserted-by":"publisher","DOI":"10.35680\/2372-0247.1175"},{"key":"bibr6-20494637221133630","unstructured":"Gilbert P. 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