Tarbiat Modares University International Journal of Musculoskeletal Pain Prevention 2476-5279 9 4 2024 11 01 Comparing the Effectiveness of Cognitive-behavioral Therapy and Dialectical Behavior Therapy on the Pain Metaphorical Perception in Patients with Chronic Pain 1133 1140 20261 10.22034/IJMPP.9.4.1133 EN Roghayeh Rahimi Islamic Azad University- South Tehran Branch, Faculty of Psychology and Educational Sciences Saeideh Abddoust Sardehaei Islamic Azad University- South Tehran Branch, Faculty of Psychology and Educational Sciences Azadeh Lashgari Islamic Azad University-Rodehen branch Helma Darbandi Islamic Azad University, electronic-Campus. Tehran, Iran Journal Article <strong>Aims:</strong> This study was conducted to compare the effectiveness of cognitive-behavioral therapy and dialectical behavior therapy on the pain metaphorical perception in patients with chronic pain.<br> <strong>Method and Materials:</strong> The study method was semi-experimental with a pre-test-post-test design and control group. The population was all people with chronic pain in the first six months of 2024 in Tehran. Accordingly, 45 patients with chronic pain were selected voluntarily and randomly assigned to intervention and control groups (each group n=15). The Questionnaire of the study was Raiisi`s Pain Metaphorical Perception. The first experimental group received eight sessions of 90-minute cognitive-behavioral therapy, but the second group received eight sessions of 90-minute dialectical behavior therapy. The control group did not receive any intervention. The data were analyzed using multivariate analysis of covariance by SPSS-26.<br> <strong>Findings: </strong>The results indicated that cognitive-behavioral therapy and dialectical behavior therapy significantly increased components of pain metaphorical perception (object, force, human, and causality) in patients with chronic pain (P<0.001).<br> <strong>Conclusion: </strong>The findings of this research emphasized the effectiveness of cognitivebehavioral therapy and dialectical behavior therapy on the pain metaphorical perception. As a result, by changing the metaphors of pain in patients, the interpretation of pain can be changed. https://ijmpp.modares.ac.ir/article_20261_b79be635901b01b11a2eadb9a587532b.pdf