Results from 10 Years of a CBT Pain Self-Management Outpatient Program for Complex Chronic Conditions

Autor: Samantha R. Fashler, Elvina Oey, Sarah Muir, Kathryn A. Boschen, Joel Katz, E.A. Robinson, Kent A. Campbell, Kristen Janes
Jazyk: angličtina
Rok vydání: 2016
Předmět:
Rehabilitation hospital
Adult
Male
medicine.medical_specialty
Coping (psychology)
Evidence-based practice
Article Subject
Adolescent
Psychological intervention
03 medical and health sciences
Young Adult
0302 clinical medicine
Outpatients
Medicine
Humans
030212 general & internal medicine
Longitudinal Studies
Aged
Pain Measurement
Retrospective Studies
Psychiatric Status Rating Scales
lcsh:R5-920
Self-management
Chi-Square Distribution
Cognitive Behavioral Therapy
business.industry
Mood Disorders
Cognition
Middle Aged
3. Good health
Exercise Therapy
Self Care
Anesthesiology and Pain Medicine
Treatment Outcome
Neurology
Chronic Disease
Physical therapy
Anxiety
Pain catastrophizing
Female
medicine.symptom
business
lcsh:Medicine (General)
030217 neurology & neurosurgery
Clinical psychology
Research Article
Zdroj: Pain Research and Management, Vol 2016 (2016)
Pain Research & Management
ISSN: 1918-1523
1203-6765
Popis: Background.Traditional unimodal interventions may be insufficient for treating complex pain, as they do not address cognitive and behavioural contributors to pain. Cognitive Behavioural Therapy (CBT) and physical exercise (PE) are empirically supported treatments that can reduce pain and improve quality of life.Objectives.To examine the outcomes of a pain self-management outpatient program based on CBT and PE at a rehabilitation hospital in Toronto, Ontario.Methods.The pain management group (PMG) consisted of 20 sessions over 10 weeks. The intervention consisted of four components: education, cognitive behavioural skills, exercise, and self-management strategies. Outcome measures included the sensory, affective, and intensity of pain experience, depression, anxiety, pain disability, active and passive coping style, and general health functioning.Results.From 2002 to 2011, 36 PMGs were run. In total, 311 patients entered the program and 214 completed it. Pairedt-tests showed significant pre- to posttreatment improvements in all outcomes measured. Patient outcomes did not differ according to the number or type of diagnoses. Both before and after treatment, women reported more active coping than men.Discussion.The PMGs improved pain self-management for patients with complex pain. Future research should use a randomized controlled design to better understand the outcomes of PMGs.
Databáze: OpenAIRE
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