{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T17:02:01Z","timestamp":1786122121654,"version":"build-2736575974"},"reference-count":42,"publisher":"MDPI AG","issue":"12","license":[{"start":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T00:00:00Z","timestamp":1781481600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100013920","name":"Adam Mickiewicz University in Pozna\u0144","doi-asserted-by":"crossref","award":["153\/12\/POB5\/0008"],"award-info":[{"award-number":["153\/12\/POB5\/0008"]}],"id":[{"id":"10.13039\/501100013920","id-type":"DOI","asserted-by":"crossref"}]},{"award":["153\/12\/POB5\/0008"],"award-info":[{"award-number":["153\/12\/POB5\/0008"]}],"id":[{"id":"https:\/\/ror.org\/04g6bbq64","id-type":"ROR","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Clin. Med.","JCM"],"abstract":"<jats:p>Introduction. Chronic non-cancer pain is highly prevalent and profoundly diminishes quality of life. While pharmacological and interventional treatments are central, its psychosocial and spiritual dimensions remain under-addressed. This pilot study assessed the feasibility of a therapist-led support group intervention for patients with chronic non-cancer pain and explored preliminary psychospiritual outcomes. Methods. A two-arm, non-randomized pilot feasibility study was conducted among 58 outpatients of a university pain management clinic in Poland. Feasibility was assessed through recruitment, retention, attendance, and safety, while preliminary psychological and spiritual outcomes were evaluated using validated self-report instruments. The intervention group (n = 29) participated in eight group sessions combining psychoeducation, mindfulness-based techniques, and supportive dialogue inspired by the Simonton Method. The control group (n = 29) received standard care. Participants completed the Numeric Rating Scale to measure pain intensity, the Satisfaction with Life Scale, the Positive and Negative Affect Schedule, the WHOQOL-BREF, the Spiritual Well-Being Scale, the Generalized Anxiety Disorder Scale, and the Patient Health Questionnaire-9. Results. The intervention was feasible in terms of physician workload; however, patients adherence varied significantly. At baseline, the control group showed a significantly higher positive affect and existential well-being than did the intervention group. In exploratory within-group analyses, participants in the intervention group showed improved positive affect and reduced anxiety (p &lt; 0.05), whereas existential well-being showed a trend toward improvement (p &lt; 0.06). However, the self-selection design limits causal inferences. Nevertheless, participants reported social connectedness, meaning-making, and enhanced vitality. Discussion. This pilot feasibility study provides preliminary evidence that a therapist-led support group intervention integrating psychoeducation, mindfulness, and supportive components is practicable within multidisciplinary pain management. Further research in a larger, randomized trial is needed to evaluate adherence and safety, as well as clinical effects, more rigorously.<\/jats:p>","DOI":"10.3390\/jcm15124641","type":"journal-article","created":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T00:49:01Z","timestamp":1781570941000},"page":"4641","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Life with Pain Revalued\u2014A Therapist-Led Support Group for Patients with Chronic Non-Cancer Pain: A Pilot Feasibility Study"],"prefix":"10.3390","volume":"15","author":[{"given":"Maciej","family":"Klimasi\u0144ski","sequence":"first","affiliation":[{"name":"Department of Palliative Medicine, Poznan University of Medical Sciences, os. Rusa 55, 61-701 Pozna\u0144, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Piotr","family":"Krajewski","sequence":"additional","affiliation":[{"name":"Anesthesiology and Intensive Care Unit, J\u00f3zef Stru\u015b Municipal Hospital, ul. Szwajcarska 3, 61-285 Pozna\u0144, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daria","family":"Metelkina","sequence":"additional","affiliation":[{"name":"Department of Medicine, Poznan University of Medical Sciences, ul. Fredry 10, 61-701 Pozna\u0144, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicole","family":"Goldsztajn","sequence":"additional","affiliation":[{"name":"Department of Medicine, Poznan University of Medical Sciences, ul. Fredry 10, 61-701 Pozna\u0144, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Haugland","sequence":"additional","affiliation":[{"name":"Department of Medicine, Poznan University of Medical Sciences, ul. Fredry 10, 61-701 Pozna\u0144, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-8782-9433","authenticated-orcid":false,"given":"Malwina","family":"Prus-Zieli\u0144ska","sequence":"additional","affiliation":[{"name":"Wy\u017csza Szko\u0142a Kszta\u0142cenia Zawodowego we Wroc\u0142awiu, plac Powsta\u0144c\u00f3w \u015al\u0105skich 1, 53-329 Wroc\u0142aw, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3784-5870","authenticated-orcid":false,"given":"Marcin","family":"Wnuk","sequence":"additional","affiliation":[{"name":"Faculty of Psychology and Cognitive Sciences, Adam Mickiewicz University, A. Szamarzewskiego 89\/AB, 60-568 Pozna\u0144, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,6,15]]},"reference":[{"key":"ref_1","unstructured":"G\u0142\u00f3wny Urz\u0105d Statystyczny (2026, February 21). Stan Zdrowia Ludno\u015bci Polski w 2019 r, Available online: https:\/\/stat.gov.pl\/obszary-tematyczne\/zdrowie\/zdrowie\/stan-zdrowia-ludnosci-polski-w-2019-r-,26,1.html."},{"key":"ref_2","unstructured":"Polskie Towarzystwo Bada\u0144 B\u00f3lu (2026, February 21). Specjalistyczne Poradnie Leczenia B\u00f3lu. Available online: https:\/\/ptbb.pl\/dzialalnosc\/informacje\/248-specjalistyczne-poradnie-leczenia-bolu."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"133","DOI":"10.1177\/2374373518786013","article-title":"Impact of chronic pain on patients\u2019 quality of life: A comparative mixed-methods study","volume":"6","author":"Hadi","year":"2019","journal-title":"J. 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