The journey of 'Living with Pain': A feasibility study of the development and running of a collective narrative group

Clin Child Psychol Psychiatry. 2023 Jan;28(1):35-55. doi: 10.1177/13591045221112719. Epub 2022 Jul 5.

Abstract

Introduction: Chronic Pain is increasingly affecting young people, their quality of life and wellbeing including education, social life and mental health. Current Western approaches to psychological support for Chronic Pain often focus on 'pain management' and learning skills and strategies from professionals, making use of Cognitive Behavioural Therapy (CBT), Acceptance and Commitment Therapy (ACT) and psychoeducation approaches in individual and group interventions. As a Paediatric Psychology service, we have trialled groups running over multiple weeks informed by these approaches and experienced low attendance rates.

Method: This paper describes a feasibility study of an alternative group intervention; the 'Living with Pain group', which combines the 'Journey of Life' (Denborough, 2014) with collective narrative and liberation psychology approaches.

Results: Thirty three young people and eight parents / carers attended the intervention. Attendance rates, quantitative and qualitative feedback from one face-to-face group for young people and parents and two online groups for young people showed increased access and acceptability of the group.

Conclusion: The findings from this study have shown that a 1-day collective narrative group intervention is feasible, suitable and acceptable and has increased access to our group intervention. Future directions include co-creation with young people and families, community engagement to increase accessibility of our groups and developing partnerships to respond to young people's hopes to raise awareness.

Keywords: Adolescents; chronic pain; collective narrative therapy; group; journey of life; narrative therapy; young people.

MeSH terms

  • Acceptance and Commitment Therapy*
  • Adolescent
  • Child
  • Chronic Pain* / therapy
  • Feasibility Studies
  • Humans
  • Quality of Life
  • Running*