The Effect of Depression and Anxiety on the Success of Multidisciplinary Treatment of Chronic Resistant Myofascial Pain

Autor:	Jane L. McCall, William Flanagan, Michael R. Sorrell
Rok vydání:	2003
Předmět:	Self-assessment medicine.medical_specialty business.industry Myofascial Technique medicine.drug_class medicine.medical_treatment Chiropractic Biofeedback Anxiolytic Psychophysiology Rheumatology Physical therapy Medicine Anxiety medicine.symptom business Depression (differential diagnoses)
Zdroj:	Journal of Musculoskeletal Pain. 11:17-20
ISSN:	1540-7012 1058-2452
DOI:	10.1300/j094v11n01_04
Popis:	Objective: To determine the effect of anxiety and depression on the outcomes of the treatment of chronic resistant myofascial pain by a multidisciplinary program.Methods: We treated 52 consecutive patients with chronic myofascial pain which failed to respond to physical, chiropractic, medical, surgical, and pharmacologic treatment with myofascial technique physical therapy, clinical psychophysiology [biofeedback, counseling], medications, and trigger point injections. We assessed outcomes with a Global Self Assessment Scale of Improvement. We compared groups with clinically defined anxiety and depression or both with the group having neither. All patients with anxiety took anxiolytic medication during the study and all but one with depression took antidepressants.Results: Anxiety alone had no effect on outcomes. Compared with nondepressed patients, those with depression were 3.7 percent as likely to improve > 75 percent and 32 percent as likely to improve > 50 percent using the Global Self Assessment Scal...
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::e45468a19f320b318bcf8052524ac4b8 https://doi.org/10.1300/j094v11n01_04 Zobrazit plný text záznamu Plný text ve formátu PDF