Short-term outcomes of patients being treated for chronic intractable pain at a liaison clinic and exacerbating factors of prolonged pain after treatment

Tetsunaga, Tomoko; Tetsunaga, Tomonori; Nishida, Keiichiro; Tanaka, Masato; Sugimoto, Yukihiko; Takigawa, Tomoyuki; Ozaki, Toshifumi

doi:10.1016/j.jos.2017.01.004

Cited by 7 publications

(7 citation statements)

References 27 publications

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“…The present study also suggested that high self-efficacy correlated with a lower level of pain-related disability. Our previous study reported that the main goal of treatment in the pain liaison outpatient clinic was not pain relief, but rather improved activities of daily living and quality of life, and depression was a risk factor for prolonged pain [24]. In this study, depression was identified as a factor that inhibited self-efficacy.…”

Section: Discussionmentioning

confidence: 75%

The factors driving self-efficacy in intractable chronic pain patients: a retrospective study

et al. 2019

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BackgroundThe fear-avoidance model is a theoretical paradigm for explaining acute and chronic pain. In this model, pain catastrophizing plays an important role. On the other hand, self-efficacy influences whether patients view their pain optimistically, ultimately preventing the conversion of pain into intractable pain. The aim of the present study was to evaluate the factors that influence self-efficacy in patients with chronic pain.MethodsStudy participants included 147 outpatients (35 men, 112 women) with intractable chronic pain who visited our hospital between September 2014 and July 2015. Their mean age was 71.0 (range 32–92) years. Pain sites were as follows: low back, 97 patients; knee, 71 patients; shoulder, 34 patients; and hip, 15 patients. All patients were assessed using the following measures: Numeric Rating Scale (NRS), Pain Catastrophizing Scale (PCS), Hospital Anxiety and Depression Scale (HADS), Pain Disability Assessment Scale (PDAS), and Pain Self-Efficacy Questionnaire (PSEQ). All participants were further divided into two groups based on median PSEQ scores (group L: PSEQ of 35 points or less, n = 74; group H: PSEQ greater than 35 points, n = 73). The factors that influenced self-efficacy in these patients were analyzed using univariate and multiple linear regression analyses.ResultsSignificant differences were observed in gender; pain duration; and NRS, PDAS, HADS, and PCS scores between group L and group H. Multiple linear regression analysis revealed that self-efficacy was correlated with PDAS score, HADS depression score, and pain duration.ConclusionsPatients with longer pain duration indicated greater self-efficacy and patients with higher pain disability and depression exhibited lower self-efficacy.

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Section: Discussionmentioning

confidence: 75%

The factors driving self-efficacy in intractable chronic pain patients: a retrospective study

et al. 2019

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“…Nine studies used physiotherapy interventions to reduce catastrophizing. 8,25,31,46,51,52,58,59,67,68 These studies were per formed in patients with operative spinal disease, chronic lowback pain and chronic pain, and those presenting for knee replacement and reconstruction of the anterior cruci ate ligament. The mean change in catastrophizing score ranged from -2.5 to -16.6 (PCS) and -6.5 to -8.0 (CSQ).…”

Section: Physiotherapymentioning

confidence: 99%

“…Twelve studies used CBT interventions. 8,25,35,36,51,[56][57][58][59]63,65,67 They included patients presenting with operative spine disease, chronic lowback pain, chronic pain and orthope dic trauma, and those undergoing knee replacement and spine surgery. The mean change in catastrophizing score as assessed with the CSQ ranged from -5 to -8.…”

Section: Psychologist-directed Interventions and Cognitive Behavioural Therapymentioning

confidence: 99%

“…Three studies in patients with osteoarthritis, chronic pain and chronic lowback pain evaluated a nursingdirected intervention to reduce catastrophizing. 8,30,58,59 The interven tions were nursingdirected training in paincoping skills, 30 patientspecific treatment at a "liaison clinic" for intractable chronic pain 58,59 and patientspecific care from a transitional pain service. 8 The mean change in catastrophizing score reported with the PCS ranged from -2.5 to -5.4.…”

Section: Nursing-directed Interventionsmentioning

confidence: 99%

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Can pain catastrophizing be changed in surgical patients? A scoping review

Gibson

Sabo

2018

cjs

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Background: Catastrophizing, a coping style characterized by an exaggerated negative affect when experiencing or anticipating pain, is an important factor that adversely affects surgical outcomes. Various interventions have been attempted with the goal of reducing catastrophizing and, by extension, improving treatment outcomes. We performed a systematic review to determine whether catastrophizing can be altered in surgical patients and to present evidence for interventions aimed at reducing catastrophizing in this population. Methods: Using a scoping design, we performed a systematic search of MEDLINE and Embase. Studies reporting original research measuring catastrophizing, before and after an intervention, on the Pain Catastrophizing Scale (PCS) or Coping Strategies Questionnaire (CSQ) were selected. Studies were assessed for quality, the nature of the intervention and the magnitude of the effect observed. Results: We identified 47 studies that measured the change in catastrophizing score following a broad range of interventions in surgical patients, including surgery, patient education, physiotherapy, cognitive behavioural therapy, psychologist-directed therapy, nursing-directed therapy and pharmacological treatments. The mean change in catastrophizing score as assessed with the PCS ranged from 0 to –19, and that with the CSQ, from +0.07 to –13. Clinically important changes in catastrophizing were observed in 7 studies (15%). Conclusion: Catastrophizing was observed to be modifiable with an intervention in a variety of surgical patient populations. Some interventions produced greater reductions than others, which will help direct future research in the improvement of surgical outcomes.

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“…[7,25,26] Most patients with intractable chronic pain experience pain due to inactivity and have a strong fear of movement. [27] Therefore, multidisciplinary approaches, including patient education and physical therapy, are necessary to treat patients with anxiety and depression. Patients undergoing treatment for intractable chronic pain at the pain-liaison outpatient clinic showed significant improvement in anxiety, depression, and HRQoL after 6 months of treatment.…”

Section: Discussionmentioning

confidence: 99%

Insomnia among patients with chronic pain: A retrospective study

Ueda,

Tetsunaga,

Tetsunaga

et al. 2024

Medicine

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Insomnia can coexist with chronic pain and is a major cause of rapidly increasing medical expenses. However, insomnia has not been fully evaluated in patients with chronic pain. This retrospective study aimed to identify the risk factors for insomnia in patients with chronic non-cancer pain. A total of 301 patients with chronic non-cancer pain were enrolled. Patients with the Athens insomnia scale scores ≥ 6 and < 6 were classified into insomnia (+) and insomnia (−) groups, respectively. All patients completed self-report questionnaires as part of their chronic pain treatment approach. Univariate and multivariate analyses were performed to predict insomnia. We found that 219 of 301 (72.8%) patients met the AIS criteria for insomnia. Significant differences were depicted between patients with and without insomnia in terms of body mass index, numeric rating scale, pain catastrophizing scale, hospital anxiety, and depression scale (HADS), pain disability assessment scale, EuroQol 5 dimension (EQ5D), and pain self-efficacy questionnaire. Multiple regression analysis identified the numeric rating scale, HADS, and EQ5D scores as factors related to insomnia in patients with chronic non-cancer pain. Anxiety, depression, and disability were associated with a greater tendency toward insomnia. HADS and EQ5D scores are useful screening tools for preventing insomnia in patients with chronic non-cancer pain.

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Short-term outcomes of patients being treated for chronic intractable pain at a liaison clinic and exacerbating factors of prolonged pain after treatment

Cited by 7 publications

References 27 publications

The factors driving self-efficacy in intractable chronic pain patients: a retrospective study

The factors driving self-efficacy in intractable chronic pain patients: a retrospective study

Can pain catastrophizing be changed in surgical patients? A scoping review

Insomnia among patients with chronic pain: A retrospective study

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