LONG-TERM FOLLOW-UP OF OUTPATIENT INTERDISCIPLINARY PAIN MANAGEMENT WITH A NO-TREATMENT COMPARISON GROUP1

Autor: James C. Agre, Jack E. Sherman, Jane Megan Powers, Ruth Torkelson Lynch
Rok vydání: 1996
Předmět:
Zdroj: American Journal of Physical Medicine & Rehabilitation. 75:213-222
ISSN: 0894-9115
DOI: 10.1097/00002060-199605000-00014
Popis: The long-term psychosocial and physical functioning impact of an outpatient interdisciplinary pain management program was evaluated by comparison of pain management completors and a no-treatment group. Although pain intensity did not change and there were no significant differences between groups in several aspects of daily activity, the group that completed the program reported a greater sense of control over pain, had a more hopeful outlook on the future, perceived pain as interfering less with their life, and used strategies that are considered adaptive for long-term management of pain. The results suggest that patients with chronic, complex pain problems can improve perceptions regarding pain control and reduce the interference of pain in their lives. Outlook regarding the future was identified as a critical assessment and treatment variable. Individuals who were more optimistic about the future perceived a greater control over pain and endorsed coping strategies that involve diverting attention, ignoring pain sensations, and making coping self-statements. Although pain intensity rating did not differ, individuals who had a more pessimistic outlook on life considered pain to interfere with their work activity, mood, relations with other people, and overall enjoyment of life to a greater extent than individuals who were more optimistic.
Databáze: OpenAIRE