Couple Therapy Based on Mindfulness to Improve the Satisfaction of Life and Pain Self-Efficacy in Patients with Chronic Pain.

Manijeh Firoozi1, Shima Rouhi1, *
1 Department of Psychology, University of Tehran, Tehran, Iran

© 2020 Firoozi and Rouhi.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: ( This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

* Address correspondence to this author at the Department of Psychology, University of Tehran, Tehran, Iran,



To manage chronic pain, in addition to medical interventions, several psychological treatments have been designed. In couple therapy based on mindfulness, in addition to the patients, their spouses, who care for the patients, were involved. The purpose of this research was to study the effectiveness of couple therapy based on mindfulness to improve life satisfaction and pain self-efficacy in patients with chronic pain.


The present study is a quasi-experimental and clinical trial with a control group with pre-test and post-test. The research was performed at LABAFI NEJAD Hospital in Tehran on 30 patients with chronic pain and their spouses. To measure the efficacy of treatment, a short form of self-reported Pain Self-Efficacy Questionnaire (PSEQ) and the questionnaire of life satisfaction (SWLS) were utilized.


The results showed that the level of pain self-efficacy after the intervention in the experimental group increased, while in the control group, this value remained unchanged. Also, the intervention has improved the satisfaction of life among patients in the experimental group.


Couple therapy based on mindfulness, an eclectic intervention, can increase social support, improve the quality of sex, and decentralize pain. Additionally, paying attention to neglected caregivers, and patients with chronic pain can rise pain self-efficacy, and life satisfaction. Finally, suggestions for future research are offered.

Keywords: Chronic pain, Couple therapy, Mindfulness, Pain self-efficacy, Life satisfaction, PSEQ.