Effect of an Interdisciplinary Outpatient Pain Management Program (IOPP) for Chronic Pain Patients with and without Migration Background: A Prospective, Observational Clinical Study

Scascighini, Luca; Litschi, Martin; Walti, Martina; Sprott, Haiko

doi:10.1111/j.1526-4637.2011.01085.x

Cited by 18 publications

(13 citation statements)

References 55 publications

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“…This might in part be due to the high proportion of patients with more than one pain site and/or a high degree of chronicity (as measured with the MPSS) which may have limited the treatment effect. Indeed, the present effect sizes are well within the range reported for multidisciplinary treatment in chronic pain patients with mixed diagnoses . However, it is evident that the outcome at T 3 was not as good as at T 2, possibly because no booster sessions were performed between T 2 and T 3 .…”

Section: Discussionsupporting

confidence: 76%

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Basal Pain Sensitivity does not Predict the Outcome of Multidisciplinary Chronic Pain Treatment

et al. 2015

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Section: Discussionsupporting

confidence: 76%

“…Small predictive effects have been reported for beliefs about recovery and acceptance of pain . Migration background seems to be a more important factor .…”

Section: Discussionmentioning

confidence: 90%

Basal Pain Sensitivity does not Predict the Outcome of Multidisciplinary Chronic Pain Treatment

et al. 2015

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“…Empirically, higher scores of the FESV's coping dimensions predicted pain reduction (23). Thus, the increase in all the aforementioned behavioural and cognitive coping strategies is interpreted as a positive effect in the questionnaire manual and in studies measuring change after pain therapy (23)(24)(25). We concur with this viewpoint in our study.…”

Section: Methodssupporting

confidence: 81%

Illness beliefs and treatment beliefs as predictors of short-term and medium-term outcome in chronic back pain

Glattacker

Heyduck²,

Meffert³

2013

J Rehabil Med

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Objective: Patients' illness beliefs were shown to be more relevant than other psychosocial factors of influence for predicting outcome in back pain in primary care. The aim of this study was to determine whether illness beliefs and beliefs about rehabilitation are predictors of functioning, pain intensity, and coping with pain after rehabilitation in a population with longstanding chronic back pain. Design and patients: The study included 110 patients with longstanding chronic back pain in a longitudinal study design with 3 measurement points (before rehabilitation, end of rehabilitation, and 6 months follow-up). Methods: Hierarchical multiple regression analyses were conducted to test the relative contribution of illness beliefs and beliefs about rehabilitation to the rehabilitation outcomes while adjusting for baseline values of outcome measures, mental health, sociodemographic, and illness-related variables. Results: Illness beliefs and beliefs about rehabilitation made a significant contribution to the prediction of rehabilitation outcomes. In the short and medium term, incremental variance for coping with pain was as much as 13%, for functioning up to 14%, and for pain intensity between 6% and 9%. Conclusion: Further studies should be conducted as a confirmatory test of our preliminary results and to test the relative relevance of these constructs compared with other yellow flags for chronic patient samples.

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“…No significant differences were found, which was surprising [14] given that previous findings report older patients to benefit less from psychotherapeutic treatments [5,15]. Neither diagnosis nor gender influenced treatment efficacy in terms of depressive symptom reduction.…”

Section: Discussionmentioning

confidence: 89%

Younger and older chronic somatoform pain patients in psycho-diagnostics, physician-patient relationship and treatment outcome

Bergander

Erdur

Kallenbach-Dermutz

et al. 2013

BioPsychoSocial Med

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IntroductionPatients with chronic pain are found with highly variable clinical presentation and differing physical complaints. They are seen as a heterogenic group. Based on clinical observations, elderly patients seem to differ from younger patients with chronic pain. We examined whether there were systematic differences between young and old pain patients.MethodsAs part of a routine evaluation of university hospital care, a newly developed psychosomatic treatment model for chronic somatoform pain disorders was examined. The basis for treatment efficacy was a target-oriented, specific somatic and psychological intervention that included a stable physician-patient relationship. Particular attention was paid to differences in treatment outcome with regard to changes in both physical and psychopathological symptom levels. We hypothesised that younger pain patients had higher psychological burden and benefitted more from our treatment than older pain patients.ResultsOverall, 179 inpatients (57.5% women) with chronic pain were examined (age between 16 and 79 years). The group as a whole yielded high scores on the somatisation dimension (SCL-90) and showed a considerable amount of psychopathological symptoms, such as depressive mood and anxiety (HADS) and a great emotional instability (FPI-R). Age differences were only found with regards to patients’ degree of aggression (SCl-90): younger patients showed higher aggressive tendencies than older ones (p< 0.05). The treatment offered helped patients in both age groups especially with regard to reduction of depressive mood (HADS, p< 0.01) and anxiety levels (HADS, p< 0.01). Regression analysis showed different age groups and gender as significant predictors of anxiety reduction under therapy (R2=.108; model: p< 0.01).Discussion and conclusionResults show that younger chronic pain patients suffer more from a considerable amount of psychological distress than older ones, but our treatment approach was equally effective in both groups. However, age and gender differences, as well as the patient’s baseline level of anxiety influenced the outcome. These factors need to be studied in future research.

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Effect of an Interdisciplinary Outpatient Pain Management Program (IOPP) for Chronic Pain Patients with and without Migration Background: A Prospective, Observational Clinical Study

Abstract: This study provides evidence for the short-term effect of the IOPP in chronic pain patients as well as the long-term effect for the variable "pain-related psychological strain".

Cited by 18 publications

References 55 publications

Basal Pain Sensitivity does not Predict the Outcome of Multidisciplinary Chronic Pain Treatment

Basal Pain Sensitivity does not Predict the Outcome of Multidisciplinary Chronic Pain Treatment

Illness beliefs and treatment beliefs as predictors of short-term and medium-term outcome in chronic back pain

Younger and older chronic somatoform pain patients in psycho-diagnostics, physician-patient relationship and treatment outcome

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