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

Pain Research & Management : the Journal of the Canadian Pain Society = Journal De La Société Canadienne Pour Le Traitement De La Douleur
Nidhi S AnamkathIrina A Strigo

Abstract

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. 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. 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 tha...Continue Reading

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Citations

Jul 25, 2019·Pain Practice : the Official Journal of World Institute of Pain·Julia R CranerLogan L George
May 15, 2021·Canadian Journal of Pain = Revue Canadienne De La Douleur·Louise BellPatricia A Poulin
Jun 22, 2021·PM & R : the Journal of Injury, Function, and Rehabilitation·Lindsey Brown-TaylorBenjamin S Brooke
Aug 24, 2021·The Journal of Pain : Official Journal of the American Pain Society·Jennifer N BaumgartnerLaura K Case

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Methods Mentioned

BETA
Cognitive-Behavioral Therapy

Software Mentioned

SPSS Statistics
PharmC

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