Cognitive Behavioral Therapy for Patients with Trigeminal Neuralgia: A Feasibility Study

Area of Science:

• Neurology
• Psychiatry
• Pain Management

Background:

• Trigeminal neuralgia (TN) is a debilitating neuropathic facial pain condition.
• Current management strategies for TN often have limited efficacy or significant side effects.
• Cognitive behavioral therapy (CBT) has shown promise in managing chronic pain conditions.

Purpose of the Study:

• To assess the feasibility and acceptability of a customized six-session CBT group intervention for adults with recurrent TN.
• To explore the preliminary effects of the CBT intervention on participants' self-management, beliefs about pain, and engagement in meaningful activities.

Main Methods:

• Fifteen participants with TN were recruited from a specialist facial pain unit.
• A six-session group CBT intervention was delivered.
• Validated self-report measures were used pre- and post-intervention, and at 1- and 9-month follow-ups.
• Semi-structured interviews were conducted at 1-year follow-up for qualitative feedback.

Main Results:

• 100% retention rate indicated high acceptability of the group intervention.
• Participants reported increased confidence in managing daily tasks despite TN symptoms.
• A reduction in negative pain-related beliefs and increased engagement in meaningful activities were observed.
• Qualitative feedback was positive, with no reported worsening of mood or experience.

Conclusions:

• The customized CBT group intervention appears feasible and acceptable for adults with recurrent TN.
• Positive trends in self-management and well-being suggest potential clinical benefits.
• Further large-scale implementation is warranted to determine the clinical efficacy of this CBT program for TN.