Journal of

The aim of this study was to examine the effectiveness of cognitive-behavioral stress management training on anxiety, cognitive avoidance, and health-related quality of life in patients with chronic pain. This semi-experimental study used a pre-test-post-test design with follow-up and a control group. The statistical population consisted of patients with chronic pain in Tehran during the second half of 2023. Thirty patients were selected using purposive sampling and randomly assigned to the experimental and control groups. The experimental group participated in 10 sessions of cognitive-behavioral stress management training (Hajilu et al., 2018). To evaluate the impact of the intervention, the Beck Anxiety Inventory (1990), the Sexton and Dugas Cognitive Avoidance Scale (2004), and the Health-Related Quality of Life Questionnaire (2003) were administered at pre-test, post-test, and follow-up stages. Multivariate analysis of covariance revealed that the intervention significantly reduced anxiety and cognitive avoidance while improving health-related quality of life (P<0.05). The results suggest that cognitive-behavioral stress management training can be an effective intervention for improving the mental health and quality of life of patients with chronic pain.