Cargando…

Early Changes in Pain Acceptance Predict Pain Outcomes in Interdisciplinary Treatment for Chronic Pain

Studies have shown that pain acceptance is associated with a better pain outcome. The current study explored whether changes in pain acceptance in the very early treatment phase of an interdisciplinary cognitive-behavioral therapy (CBT)-based treatment program for chronic pain predict pain outcomes....

Descripción completa

Detalles Bibliográficos
Autores principales: Probst, Thomas, Jank, Robert, Dreyer, Nele, Seel, Stefanie, Wagner, Ruth, Hanshans, Klaus, Reyersbach, Renate, Mühlberger, Andreas, Lahmann, Claas, Pieh, Christoph
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6780633/
https://www.ncbi.nlm.nih.gov/pubmed/31480798
http://dx.doi.org/10.3390/jcm8091373
_version_ 1783457184291487744
author Probst, Thomas
Jank, Robert
Dreyer, Nele
Seel, Stefanie
Wagner, Ruth
Hanshans, Klaus
Reyersbach, Renate
Mühlberger, Andreas
Lahmann, Claas
Pieh, Christoph
author_facet Probst, Thomas
Jank, Robert
Dreyer, Nele
Seel, Stefanie
Wagner, Ruth
Hanshans, Klaus
Reyersbach, Renate
Mühlberger, Andreas
Lahmann, Claas
Pieh, Christoph
author_sort Probst, Thomas
collection PubMed
description Studies have shown that pain acceptance is associated with a better pain outcome. The current study explored whether changes in pain acceptance in the very early treatment phase of an interdisciplinary cognitive-behavioral therapy (CBT)-based treatment program for chronic pain predict pain outcomes. A total of 69 patients with chronic, non-malignant pain (at least 6 months) were treated in a day-clinic for four-weeks. Pain acceptance was measured with the Chronic Pain Acceptance Questionnaire (CPAQ), pain outcomes included pain intensity (Numeric Rating Scale, NRS) as well as affective and sensory pain perception (Pain Perception Scale, SES-A and SES-S). Regression analyses controlling for the pre-treatment values of the pain outcomes, age, and gender were performed. Early changes in pain acceptance predicted pain intensity at post-treatment measured with the NRS (B = −0.04 (SE = 0.02); T = −2.28; p = 0.026), affective pain perception at post-treatment assessed with the SES-A (B = −0.26 (SE = 0.10); T = −2.79; p = 0.007), and sensory pain perception at post-treatment measured with the SES-S (B = −0.19 (SE = 0.08); T = −2.44; p = 0.017). Yet, a binary logistic regression analysis revealed that early changes in pain acceptance did not predict clinically relevant pre-post changes in pain intensity (at least 2 points on the NRS). Early changes in pain acceptance were associated with pain outcomes, however, the impact was beneath the threshold defined as clinically relevant.
format Online
Article
Text
id pubmed-6780633
institution National Center for Biotechnology Information
language English
publishDate 2019
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-67806332019-10-30 Early Changes in Pain Acceptance Predict Pain Outcomes in Interdisciplinary Treatment for Chronic Pain Probst, Thomas Jank, Robert Dreyer, Nele Seel, Stefanie Wagner, Ruth Hanshans, Klaus Reyersbach, Renate Mühlberger, Andreas Lahmann, Claas Pieh, Christoph J Clin Med Article Studies have shown that pain acceptance is associated with a better pain outcome. The current study explored whether changes in pain acceptance in the very early treatment phase of an interdisciplinary cognitive-behavioral therapy (CBT)-based treatment program for chronic pain predict pain outcomes. A total of 69 patients with chronic, non-malignant pain (at least 6 months) were treated in a day-clinic for four-weeks. Pain acceptance was measured with the Chronic Pain Acceptance Questionnaire (CPAQ), pain outcomes included pain intensity (Numeric Rating Scale, NRS) as well as affective and sensory pain perception (Pain Perception Scale, SES-A and SES-S). Regression analyses controlling for the pre-treatment values of the pain outcomes, age, and gender were performed. Early changes in pain acceptance predicted pain intensity at post-treatment measured with the NRS (B = −0.04 (SE = 0.02); T = −2.28; p = 0.026), affective pain perception at post-treatment assessed with the SES-A (B = −0.26 (SE = 0.10); T = −2.79; p = 0.007), and sensory pain perception at post-treatment measured with the SES-S (B = −0.19 (SE = 0.08); T = −2.44; p = 0.017). Yet, a binary logistic regression analysis revealed that early changes in pain acceptance did not predict clinically relevant pre-post changes in pain intensity (at least 2 points on the NRS). Early changes in pain acceptance were associated with pain outcomes, however, the impact was beneath the threshold defined as clinically relevant. MDPI 2019-09-02 /pmc/articles/PMC6780633/ /pubmed/31480798 http://dx.doi.org/10.3390/jcm8091373 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Probst, Thomas
Jank, Robert
Dreyer, Nele
Seel, Stefanie
Wagner, Ruth
Hanshans, Klaus
Reyersbach, Renate
Mühlberger, Andreas
Lahmann, Claas
Pieh, Christoph
Early Changes in Pain Acceptance Predict Pain Outcomes in Interdisciplinary Treatment for Chronic Pain
title Early Changes in Pain Acceptance Predict Pain Outcomes in Interdisciplinary Treatment for Chronic Pain
title_full Early Changes in Pain Acceptance Predict Pain Outcomes in Interdisciplinary Treatment for Chronic Pain
title_fullStr Early Changes in Pain Acceptance Predict Pain Outcomes in Interdisciplinary Treatment for Chronic Pain
title_full_unstemmed Early Changes in Pain Acceptance Predict Pain Outcomes in Interdisciplinary Treatment for Chronic Pain
title_short Early Changes in Pain Acceptance Predict Pain Outcomes in Interdisciplinary Treatment for Chronic Pain
title_sort early changes in pain acceptance predict pain outcomes in interdisciplinary treatment for chronic pain
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6780633/
https://www.ncbi.nlm.nih.gov/pubmed/31480798
http://dx.doi.org/10.3390/jcm8091373
work_keys_str_mv AT probstthomas earlychangesinpainacceptancepredictpainoutcomesininterdisciplinarytreatmentforchronicpain
AT jankrobert earlychangesinpainacceptancepredictpainoutcomesininterdisciplinarytreatmentforchronicpain
AT dreyernele earlychangesinpainacceptancepredictpainoutcomesininterdisciplinarytreatmentforchronicpain
AT seelstefanie earlychangesinpainacceptancepredictpainoutcomesininterdisciplinarytreatmentforchronicpain
AT wagnerruth earlychangesinpainacceptancepredictpainoutcomesininterdisciplinarytreatmentforchronicpain
AT hanshansklaus earlychangesinpainacceptancepredictpainoutcomesininterdisciplinarytreatmentforchronicpain
AT reyersbachrenate earlychangesinpainacceptancepredictpainoutcomesininterdisciplinarytreatmentforchronicpain
AT muhlbergerandreas earlychangesinpainacceptancepredictpainoutcomesininterdisciplinarytreatmentforchronicpain
AT lahmannclaas earlychangesinpainacceptancepredictpainoutcomesininterdisciplinarytreatmentforchronicpain
AT piehchristoph earlychangesinpainacceptancepredictpainoutcomesininterdisciplinarytreatmentforchronicpain