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Patients’ perceptions of their pain condition across a multidisciplinary pain management program: do they change and if so does it matter?

Patients’ perceptions of their pain condition across a multidisciplinary pain management program: do they change and if so does it matter?
Patients’ perceptions of their pain condition across a multidisciplinary pain management program: do they change and if so does it matter?
Objectives: The primary aim of this study was to determine whether changes in cognitive processes are related to improved functional outcomes across a multidisciplinary pain management program.
Methods: A longitudinal design was employed where patients completed 6 versions of the same questionnaire at the beginning, middle, and end of the 4-week treatment program and at 1, 3, and 6 months follow-up. Seventy-six patients consented to participate in this study. Outcome was assessed using the physical and mental component scores of the Short Form Health Questionnaire. Measures of cognitive processes included the Illness Perceptions Questionnaire Revised, the Pain Catastrophizing Scale, and the Pain Vigilance and Awareness Questionnaire. Fifty-eight patients (76%) completed all 6 questionnaires.
Results: We found reductions in catastrophizing and beliefs about the serious consequences of pain were most strongly associated with improved physical functioning, whereas reductions in pain vigilance, emotional representations of pain, and sense of coherence about pain were the best predictors of improved mental functioning. Overall, change in cognitive processes accounted for 26% of the variance in improved physical functioning and 23% of the variance in mental functioning.
Discussion: These findings suggest that interventions that specifically target cognitive processes may enhance treatment effects for patients with chronic pain.
0749-8047
558-564
Moss-Morris, Rona
a502f58a-d319-49a6-8aea-9dde4efc871e
Humphrey, Katrina
db936b16-4d3f-4af1-a3d5-ae20842f94da
Johnson, Malcolm H.
dd9106fa-6462-46bc-af3d-8638a73152f4
Petrie, Keith J.
13a60af9-094f-4ad3-898e-18ccd2c75b2c
Moss-Morris, Rona
a502f58a-d319-49a6-8aea-9dde4efc871e
Humphrey, Katrina
db936b16-4d3f-4af1-a3d5-ae20842f94da
Johnson, Malcolm H.
dd9106fa-6462-46bc-af3d-8638a73152f4
Petrie, Keith J.
13a60af9-094f-4ad3-898e-18ccd2c75b2c

Moss-Morris, Rona, Humphrey, Katrina, Johnson, Malcolm H. and Petrie, Keith J. (2007) Patients’ perceptions of their pain condition across a multidisciplinary pain management program: do they change and if so does it matter? Clinical Journal of Pain, 23 (7), 558-564.

Record type: Article

Abstract

Objectives: The primary aim of this study was to determine whether changes in cognitive processes are related to improved functional outcomes across a multidisciplinary pain management program.
Methods: A longitudinal design was employed where patients completed 6 versions of the same questionnaire at the beginning, middle, and end of the 4-week treatment program and at 1, 3, and 6 months follow-up. Seventy-six patients consented to participate in this study. Outcome was assessed using the physical and mental component scores of the Short Form Health Questionnaire. Measures of cognitive processes included the Illness Perceptions Questionnaire Revised, the Pain Catastrophizing Scale, and the Pain Vigilance and Awareness Questionnaire. Fifty-eight patients (76%) completed all 6 questionnaires.
Results: We found reductions in catastrophizing and beliefs about the serious consequences of pain were most strongly associated with improved physical functioning, whereas reductions in pain vigilance, emotional representations of pain, and sense of coherence about pain were the best predictors of improved mental functioning. Overall, change in cognitive processes accounted for 26% of the variance in improved physical functioning and 23% of the variance in mental functioning.
Discussion: These findings suggest that interventions that specifically target cognitive processes may enhance treatment effects for patients with chronic pain.

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More information

Published date: September 2007
Organisations: Human Wellbeing

Identifiers

Local EPrints ID: 49501
URI: http://eprints.soton.ac.uk/id/eprint/49501
ISSN: 0749-8047
PURE UUID: 1afd182d-c811-4918-8f66-3b22b9f5da45

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Date deposited: 13 Nov 2007
Last modified: 08 Jan 2022 03:58

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Contributors

Author: Rona Moss-Morris
Author: Katrina Humphrey
Author: Malcolm H. Johnson
Author: Keith J. Petrie

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