An Interdisciplinary Pain Rehabilitation Program for Veterans with Chronic Pain: Description and Initial Evaluation of Outcomes

OBJECTIVE: Chronic pain conditions are prominent among Veterans. To leverage the biopsychosocial model of pain and comprehensively serve Veterans with chronic pain, the San Francisco Veterans Affairs Healthcare System has implemented the interdisciplinary pain rehabilitation program (IPRP). This stu...

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Autores principales: Anamkath, Nidhi S., Palyo, Sarah A., Jacobs, Sara C., Lartigue, Alain, Schopmeyer, Kathryn, Strigo, Irina A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5932417/
https://www.ncbi.nlm.nih.gov/pubmed/29849842
http://dx.doi.org/10.1155/2018/3941682
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author Anamkath, Nidhi S.
Palyo, Sarah A.
Jacobs, Sara C.
Lartigue, Alain
Schopmeyer, Kathryn
Strigo, Irina A.
author_facet Anamkath, Nidhi S.
Palyo, Sarah A.
Jacobs, Sara C.
Lartigue, Alain
Schopmeyer, Kathryn
Strigo, Irina A.
author_sort Anamkath, Nidhi S.
collection PubMed
description OBJECTIVE: Chronic pain conditions are prominent among Veterans. To leverage the biopsychosocial model of pain and comprehensively serve Veterans with chronic pain, the San Francisco Veterans Affairs Healthcare System has implemented the interdisciplinary pain rehabilitation program (IPRP). This study aims to (1) understand initial changes in treatment outcomes following IPRP, (2) investigate relationships between psychological factors and pain outcomes, and (3) explore whether changes in psychological factors predict changes in pain outcomes. METHODS: A retrospective study evaluated relationships between clinical pain outcomes (pain intensity, pain disability, and opioid use) and psychological factors (depressive symptoms, catastrophizing, and “acceptable” level of pain) and changes in these outcomes following treatment. Multiple regression analysis explored whether changes in psychological variables significantly predicted changes in pain disability. RESULTS: Catastrophizing and depressive symptoms were positively related to pain disability, while “acceptable” level of pain was idiosyncratically related to pain intensity. Pain disability and psychological variables showed significant changes in their expected directions. Regression analysis indicated that only changes in depressive symptoms significantly predicted changes in pain disability. CONCLUSION: Our results are consistent with evidence-based clinical practice guidelines for the management of chronic pain in Veterans. Further investigation of interdisciplinary treatment programs in Veterans is warranted.
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spelling pubmed-59324172018-05-30 An Interdisciplinary Pain Rehabilitation Program for Veterans with Chronic Pain: Description and Initial Evaluation of Outcomes Anamkath, Nidhi S. Palyo, Sarah A. Jacobs, Sara C. Lartigue, Alain Schopmeyer, Kathryn Strigo, Irina A. Pain Res Manag Research Article OBJECTIVE: Chronic pain conditions are prominent among Veterans. To leverage the biopsychosocial model of pain and comprehensively serve Veterans with chronic pain, the San Francisco Veterans Affairs Healthcare System has implemented the interdisciplinary pain rehabilitation program (IPRP). This study aims to (1) understand initial changes in treatment outcomes following IPRP, (2) investigate relationships between psychological factors and pain outcomes, and (3) explore whether changes in psychological factors predict changes in pain outcomes. METHODS: A retrospective study evaluated relationships between clinical pain outcomes (pain intensity, pain disability, and opioid use) and psychological factors (depressive symptoms, catastrophizing, and “acceptable” level of pain) and changes in these outcomes following treatment. Multiple regression analysis explored whether changes in psychological variables significantly predicted changes in pain disability. RESULTS: Catastrophizing and depressive symptoms were positively related to pain disability, while “acceptable” level of pain was idiosyncratically related to pain intensity. Pain disability and psychological variables showed significant changes in their expected directions. Regression analysis indicated that only changes in depressive symptoms significantly predicted changes in pain disability. CONCLUSION: Our results are consistent with evidence-based clinical practice guidelines for the management of chronic pain in Veterans. Further investigation of interdisciplinary treatment programs in Veterans is warranted. Hindawi 2018-04-17 /pmc/articles/PMC5932417/ /pubmed/29849842 http://dx.doi.org/10.1155/2018/3941682 Text en Copyright © 2018 Nidhi S. Anamkath et al. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Anamkath, Nidhi S.
Palyo, Sarah A.
Jacobs, Sara C.
Lartigue, Alain
Schopmeyer, Kathryn
Strigo, Irina A.
An Interdisciplinary Pain Rehabilitation Program for Veterans with Chronic Pain: Description and Initial Evaluation of Outcomes
title An Interdisciplinary Pain Rehabilitation Program for Veterans with Chronic Pain: Description and Initial Evaluation of Outcomes
title_full An Interdisciplinary Pain Rehabilitation Program for Veterans with Chronic Pain: Description and Initial Evaluation of Outcomes
title_fullStr An Interdisciplinary Pain Rehabilitation Program for Veterans with Chronic Pain: Description and Initial Evaluation of Outcomes
title_full_unstemmed An Interdisciplinary Pain Rehabilitation Program for Veterans with Chronic Pain: Description and Initial Evaluation of Outcomes
title_short An Interdisciplinary Pain Rehabilitation Program for Veterans with Chronic Pain: Description and Initial Evaluation of Outcomes
title_sort interdisciplinary pain rehabilitation program for veterans with chronic pain: description and initial evaluation of outcomes
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5932417/
https://www.ncbi.nlm.nih.gov/pubmed/29849842
http://dx.doi.org/10.1155/2018/3941682
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