Chronic pain affects around 28 million people in the UK. Those living with chronic pain can frequently experience internalised self-stigma and negative self-evaluations as a result of the pain itself and due to difficult life experiences. Previous research has found Compassion Focused Therapy to be effective for people living with long term health conditions like chronic pain. The current study sought to evaluate a routine Virtual Compassionate Living Group for patients with chronic pain on the measures of self-compassion, self-criticism and pain self-efficacy. The evaluation took place in a routine clinical setting. 13 outpatients attended the online group across three separate groups. Groups were delivered over eight or ten sessions with the group content focusing on psychoeducation of the Compassion Focused Therapy model and Compassionate Mind Training. Reliable and clinically significant change analyses were used to assess the data. Results showed that there had been improvements on the measures of self-compassion with 6 out of 13 patients exhibiting reliable and clinically significant change. Some improvements had also been made on pain self-efficacy and self-criticism but to a lesser extent. Thematic analysis was used to analyse the evaluation feedback forms for the course. Three superordinate themes were identified; <em>sense of belonging</em>, <em>flourishing</em> <em>and virtual benefits</em>. The service evaluation indicated that a Virtual Compassionate Living Group for patients with chronic pain can lead to improvements in self-compassion. This is consistent with previous research evidence, but larger scale evaluations are required to verify conclusions.
The Living Well with Neurological Conditions Acceptance and Commitment Therapy (ACT) group workshops (Hill et al., 2017a) aim to assist outpatients with neurological conditions to cultivate greater psychological flexibility towards a more valued life. This service evaluation analyses aggregated clinical outcome data from seven Living Well interventions (2016 – 2019, N=39). We report improved self-reported outcomes in psychological flexibility (AAQ-II), value congruent-living (VQ), trait mindfulness (FFMQ) and overall psychological distress (CORE-10) between the first and final sessions. The stringent criterion for clinically significant reliable change in overall psychological distress was attained for 30.8 per cent of cases. These promising findings highlight the growing need for further research into ACT-based group interventions for individuals adjusting to the impact of neurological conditions.
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