| Title |
Improved health-related quality of life, participation, and autonomy in patients with treatment-resistant chronic pain after an intensive social cognitive intervention with the participation of support partners
|
|---|---|
| Published in |
Journal of Pain Research, December 2017
|
| DOI | 10.2147/jpr.s137609 |
| Pubmed ID | |
| Authors |
Peter Joseph Jongen, Rob P Ruimschotel, YM Museler-Kreijns, TMC Dragstra, L Duyverman, J Valkenburg-Vissers, J Cornelissen, R Lagrand, Rogier Donders, A Hartog |
| Abstract |
Despite the availability of various specific treatments, most patients with chronic pain (CP) consider their pain problem as undertreated. Recently, multiple sclerosis (MS) patients who were given an intensive 3-day social cognitive treatment with the participation of support partners experienced lasting improvements in health-related quality of life (HRQoL) and self-efficacy. In this study, a similar intervention was given to treatment-resistant CP patients with stressors, relational problems with support partner, and distress, anxiety or depression. Before and 1, 3, and 6 months after the intervention, patients completed the Euro-Qol 5 Dimensions 5 Levels (EQ-5D-5L) and Impact on Participation and Autonomy (IPA) questionnaires (primary outcomes), and the Survey Of Pain Attitudes (SOPA), the Four-Dimensional Symptom Questionnaire (4DSQ) (distress, depression, anxiety, and somatization), and Visual Analog Scale for pain intensity, whereas the support partners completed the Caregiver Strain Index (CSI) questionnaire. Differences between baseline and post-treatment were tested via paired t-tests (significance level 0.05). Of the 39 patients who were included, 34 (87.2%) completed the 3-day treatment. At 1, 3, and 6 months, improvements were seen in EQ-5D-5L-Index (+40.6%; +22.4%; +31.7%), Health Today (+61.8%; +36.3%; +46.8%), Control attitude (+45.8%; not significant [NS]; +55.0%) and decreases in IPA-Problems (-14.8%; NS; -20.4%), Harm attitude (-18.9%; -15.0%; -17.7%), Distress (-17.7%; -31.8%; -37.1%), and Depression (-37.4%; -31.4%; -35.7%) scores. The CSI score had decreased by -29.0%, -21.4%, and -25.9%, respectively. In conclusion, after an intensive 3-day social cognitive intervention, treatment-resistant CP patients experienced substantial and lasting improvements in HRQoL and in problematic limitations to participation and autonomy, in association with improvements in pain attitudes, depression, and distress. To assess whether this innovative approach may be an effective treatment for this subgroup of CP patients, future randomized controlled studies are needed. |
X Demographics
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Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 1 | 100% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 1 | 100% |
Mendeley readers
The data shown below were compiled from readership statistics for 97 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 97 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Bachelor | 13 | 13% |
| Student > Master | 12 | 12% |
| Researcher | 11 | 11% |
| Student > Doctoral Student | 9 | 9% |
| Student > Ph. D. Student | 6 | 6% |
| Other | 10 | 10% |
| Unknown | 36 | 37% |
| Readers by discipline | Count | As % |
|---|---|---|
| Psychology | 16 | 16% |
| Medicine and Dentistry | 14 | 14% |
| Nursing and Health Professions | 13 | 13% |
| Neuroscience | 5 | 5% |
| Agricultural and Biological Sciences | 2 | 2% |
| Other | 8 | 8% |
| Unknown | 39 | 40% |
Attention Score in Context
This research output has an Altmetric Attention Score of 4. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 06 April 2021.
All research outputs
#6,489,276
of 23,011,300 outputs
Outputs from Journal of Pain Research
#653
of 1,763 outputs
Outputs of similar age
#129,304
of 437,944 outputs
Outputs of similar age from Journal of Pain Research
#27
of 51 outputs
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