Group Cognitive Behavioral Therapy for Thai Patients with Chronic Pain: A Case Series Report

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Natee Viravan
Sirirat Kooptiwoot
Pradit Prateepvanich
Janravee Laurujisawat
Naratip Sanguanpanich
Nattha Saisavoey


Objective: This study aimed to perform a preliminary study of the treatment effects of a group-based CBT for the first time in Thailand for Thai patients with chronic pain.

Methods: Retrospective review and prospective study of three participants who attended an 8-sessions, twice-weekly, “CBT for Chronic Pain” program at the Faculty of Medicine Siriraj Hospital between July 6 and 31, 2018. The outcome measures were the pain severity, depression–anxiety–stress, utility, overall health, disability, and pain self-efficacy. These participants were assessed before and immediately after the program, and again at the 1-, and 6-month follow-ups.

Results: All three participants were married women with the mean age of 46.33 ± 8.62 (range, 37-54) years. They were all diagnosed with Major Depressive Disorder. Long-term positive trends were observed in every participant for depression–anxiety–stress, utility, and disability. Two-third of them had long-term improvements in pain severity, overall health, and pain self-efficacy.          
Group-based CBT may have long-term benefits for Thai patients with chronic pain. It would be useful to further study with a large sample size and a control group.

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How to Cite
Viravan, N., Kooptiwoot, S. ., Prateepvanich , P. ., Laurujisawat, J. ., Sanguanpanich, N. ., & Saisavoey, N. (2021). Group Cognitive Behavioral Therapy for Thai Patients with Chronic Pain: A Case Series Report. Journal of the Psychiatric Association of Thailand, 66(2), 227–240. Retrieved from
Case Report Articles


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