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Existential therapy for treating chronic pain: A scoping review.

Amara Kohlert1, Natasha L Gallant1,2, Taylor G Hill3,4

  • 1University of Regina, Regina, Canada.

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|November 21, 2025
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Existential therapy effectively reduces chronic pain symptoms and severity by focusing on meaningfulness. While physical functioning may not improve alone, this approach offers a holistic path for chronic pain management.

Keywords:
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Area of Science:

  • Psychology
  • Pain Management
  • Existential Therapy

Background:

  • Chronic pain requires holistic treatment approaches.
  • Existential therapy offers a biopsychosocial framework for pain management.
  • Understanding the role of existential therapy in chronic pain is crucial.

Purpose of the Study:

  • To identify characteristics, themes, and results of existential therapy for chronic pain.
  • To review empirical studies on existentially based interventions for chronic pain.
  • To synthesize current knowledge on existential therapies in pain treatment.

Main Methods:

  • Scoping review of seven databases.
  • Searched for empirical papers on existential therapy for chronic pain.
  • Included quantitative and qualitative studies (RCTs, case reports, etc.).

Main Results:

  • All six included studies reported reduced pain symptoms or severity.
  • Meaningfulness was a common intervention theme and outcome.
  • Physical functioning improved when existential therapy was combined with cognitive-behavioral therapy (CBT).

Conclusions:

  • Existential therapy shows promise in reducing chronic pain symptoms.
  • Meaningfulness is a key component of effective existential interventions for pain.
  • Spirituality may influence treatment effectiveness, warranting further investigation.