Changes in Perceived Pain Severity during Interdisciplinary Treatment for Chronic Pain
| Autor: | Keith G. Wilson, Peter R. Henderson, John Kowal, Celia M Geck, Joyce L D'Eon |
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| Rok vydání: | 2011 |
| Předmět: |
Adult
Male Biopsychosocial model medicine.medical_specialty Multivariate analysis MEDLINE Young Adult 03 medical and health sciences 0302 clinical medicine medicine Humans Pain Management 030212 general & internal medicine Young adult Aged Pain Measurement Retrospective Studies Aged 80 and over lcsh:R5-920 Cognitive Behavioral Therapy Depression business.industry Catastrophization Chronic pain Pain Perception Cognition Retrospective cohort study Fear Middle Aged medicine.disease Anesthesiology and Pain Medicine Neurology Multivariate Analysis Physical therapy Female Original Article Pain catastrophizing Chronic Pain Cognition Disorders lcsh:Medicine (General) business 030217 neurology & neurosurgery Clinical psychology |
| Zdroj: | Pain Research and Management, Vol 16, Iss 6, Pp 451-456 (2011) |
| ISSN: | 1203-6765 |
| Popis: | There is good support for the effectiveness of interdisciplinary chronic pain management programs in improving functional outcomes; however, relatively little is known about patients who report deterioration following participation in such programs.The present retrospective study investigated patients' reports of increased pain severity during participation in a cognitive-behaviourally oriented, outpatient treatment for chronic pain.Participants (n=280) completed a four-week, group-based, interdisciplinary chronic pain self-management program at a rehabilitation hospital. They completed pre- and post-treatment questionnaires, which included global change ratings of pain severity and clinically-relevant measures, including pain intensity ratings, functional limitations, pain catastrophizing and self-efficacy.Statistically significant pre-post improvements were observed for all study variables. Almost all patients reported global improvement overall. Nevertheless, a subset of patients (n=99) reported increased pain severity on global ratings. These individuals were characterized by lower self-efficacy at baseline.Participants endorsed significant pre- and post-treatment improvements in all domains. Nevertheless, some participants reported deterioration. The findings shed light on variables associated with negative treatment outcomes and have practical applications for interdisciplinary chronic pain management programs. |
| Databáze: | OpenAIRE |
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