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Advances in Chronic Pain and Related Management

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Anesthesiology".

Deadline for manuscript submissions: 10 May 2026 | Viewed by 1307

Special Issue Editor


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Guest Editor
Department of Pain Medicine, Vienna General Hospital, Medical University of Vienna, 1090 Vienna, Austria
Interests: chronic pain; musculoskeletal pain; neuropathic pain; fibromyalgia syndrome; somatoform disorder; post-COVID syndrome; small fiber disease; invasive pain therapy; vagus stimulation; quality of life
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Special Issue Information

Dear Colleagues,

Chronic pain is a significant health burden in industrialized societies, being a leading cause of disability. It is highly prevalent and often coexists with psychological issues such as anxiety, depression, insomnia, and cognitive disorders. Chronic pain impacts quality of life and generates substantial social health expenses, including economic costs from absenteeism, reduced productivity, and disability. Despite its prevalence, there is no proven effective therapy for chronic pain management, leading to international resolutions recognizing adequate pain therapy as a human right. With population aging, chronic pain is expected to increase, further raising social health costs.  Chronic pain is a multidimensional phenomenon involving cognitive, emotional, and physiological aspects. This Special Issue aims to explore the diagnosis, treatment, prevention, and management of chronic pain, focusing on patient experiences and advancing research in the field. Researchers are invited to contribute original studies or reviews to provide clinical updates and perspectives on chronic pain management.

Prof. Dr. Sabine Sator
Guest Editor

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Keywords

  • chronic pain
  • musculoskeletal pain
  • neuropathic pain
  • fibromyalgia syndrome
  • somatoform disorder
  • post-COVID syndrome
  • small fiber disease
  • invasive pain therapy
  • vagus stimulation

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Published Papers (2 papers)

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Research

19 pages, 832 KB  
Article
Impact of Mindfulness-Based Cognitive Therapy on Trajectory of Mood States in Patients with Chronic Pain: A Retrospective Observational Study of Within-Session Evaluations
by Chisato Tanaka, Yuta Shinohara, Saki Takaoka, Morihiko Kawate, Yuki Mashima, Reiko Hoshino, Daisuke Fujisawa, Shizuko Kosugi and Kenta Wakaizumi
J. Clin. Med. 2026, 15(5), 1839; https://doi.org/10.3390/jcm15051839 - 28 Feb 2026
Viewed by 275
Abstract
Background/Objectives: Mindfulness-Based Cognitive Therapy (MBCT) is a well-documented treatment option for chronic pain. However, few studies have examined the emotional state experienced by participants with chronic pain during the sessions. This study aimed to assess the trajectory of mood experiences in an [...] Read more.
Background/Objectives: Mindfulness-Based Cognitive Therapy (MBCT) is a well-documented treatment option for chronic pain. However, few studies have examined the emotional state experienced by participants with chronic pain during the sessions. This study aimed to assess the trajectory of mood experiences in an MBCT program and evaluate the effect on temporal mood state. Methods: The Temporary Mood Scale (TMS) was used to assess vigor, fatigue, anger-hostility, depression-dejection, tension-anxiety, and confusion before and after each MBCT session from July 2018 to May 2019. A total of 33 patients with chronic pain who attended the MBCT program were included in the study. A mixed-effect model was used to identify single-session and overall effects on each mood state. Pearson’s correlation analysis was used to examine the associations between changes in the six mood states and baseline conditions, including pain-related factors. Results: The mixed-effect model identified significant improvements in single-session effects on all mood states (p < 0.001). Significant overall effects were identified on vigor (p < 0.01), depression-dejection (p < 0.01), tension-anxiety (p < 0.001), and confusion (p < 0.05) states throughout the sessions. Moreover, participants with higher tension-anxiety at baseline showed significantly greater improvements in anger-hostility (p < 0.05), depression-dejection (p < 0.01), tension-anxiety (p < 0.05), and confusion (p < 0.01). Conclusions: Individual sessions and the overall MBCT program significantly improved the mood states of patients with chronic pain. Patients with higher tension-anxiety are likely to be effective treatment targets for MBCT programs. Full article
(This article belongs to the Special Issue Advances in Chronic Pain and Related Management)
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15 pages, 321 KB  
Article
A Longitudinal Study of Coping Strategies and Differences by Sex in Patients with Chronic Low Back Pain
by Xavier Pericot-Mozo, Gloria Reig-Garcia, Afra Masià-Plana, Miquel Sitjar-Suñer, Carme Bertran-Noguer, Josefina Patiño-Maso and Rosa Suñer-Soler
J. Clin. Med. 2026, 15(2), 516; https://doi.org/10.3390/jcm15020516 - 8 Jan 2026
Viewed by 714
Abstract
Background/Objectives: The most relevant psychological constructs for responding to stress in chronic lumbar pain in a positive way are active coping strategies, positive emotions, and resilience. The aim of this study was to study the coping strategies used by people affected by [...] Read more.
Background/Objectives: The most relevant psychological constructs for responding to stress in chronic lumbar pain in a positive way are active coping strategies, positive emotions, and resilience. The aim of this study was to study the coping strategies used by people affected by chronic low back pain and associated factors. Methods: We carried out a prospective longitudinal study involving people on a first visit at the Pain Unit of Josep Trueta University Hospital (Girona, Spain) presenting with chronic back pain, with a follow-up at three months. The Brief Pain Inventory (BPI), the Vanderbilt Pain Management Inventory (VPMI), and the Abridged Connor–Davidson Resilience Scale (CD-RISC) were used. The correlation of variables was analyzed, and a multiple linear regression model was used. Results: A total of 129 people with a mean age of 62.5 years participated (58.1% women). The mean severity of pain was moderate with mild improvement at the follow-up (6.42 to 6.17 points). The use of active coping strategies declined during the study (21.28 to 15.6 points), and a significant increase in passive strategies (23.6 to 30.21 points) and in catastrophizing (13.98 to 14.56 points) was observed. The total resilience scores were slightly better at baseline than at follow-up (27.50 to 26.67 points). The intensity of the back pain had a direct and significant relationship with passive strategies and an inverse relationship with active strategies and resilience. Conclusions: The coping strategies for dealing with chronic back pain observed in the study participants are not fully effective. The intensity of pain is significantly associated with the use of passive strategies and female sex. Full article
(This article belongs to the Special Issue Advances in Chronic Pain and Related Management)
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