Abstract
The purpose of this longitudinal outcome research study was to determine the effectiveness of the Integrative Health Clinic and Program (IHCP) and to perform a subgroup analysis investigating patient benefit. The IHCP is an innovative clinical service within the Veterans Affairs Health Care System designed for nonpharmacologic biopsychosocial management of chronic nonmalignant pain and stress-related depression, anxiety, and symptoms of post-traumatic stress disorder (PTSD) utilizing complementary and alternative medicine and mind-body skills. A post-hoc quasi-experimental design was used and combined with subgroup analysis to determine who benefited the most from the program. Data were collected at intake and up to four follow-up visits over a 2-year time period. Hierarchical linear modeling was used for the statistical analysis. The outcome measures included: Health-Related Quality of Life (SF-36), the Beck Depression Inventory (BDI), and Beck Anxiety Inventory (BAI). Subgroup comparisons included low anxiety (BAI < 19, n = 82), low depression (BDI < 19, n = 93), and absence of PTSD (n = 102) compared to veterans with high anxiety (BAI > or = 19, n = 77), high depression (BDI > 19, n = 67), and presence of PTSD (n = 63). All ...Continue Reading
References
Feb 10, 1988·Journal of Immunological Methods·B B Cohen
Nov 1, 1984·Journal of Clinical Psychology·A T Beck, R A Steer
Dec 1, 1993·American Journal of Epidemiology·G Maldonado, S Greenland
Jan 1, 1994·Medical Care·C A McHorneyC D Sherbourne
Feb 13, 1999·Clinical Psychology Review·G J AsmundsonG R Norton
Jun 3, 1999·PharmacoEconomics·G SamsaD Matchar
Apr 19, 2000·JAMA : the Journal of the American Medical Association·K BradyG M Farfel
Aug 31, 2000·The American Journal of Psychiatry·S G KornsteinM B Keller
Sep 25, 2002·Psychosomatic Medicine·Jeffrey DershRobert J Gatchel
Oct 8, 2004·European Journal of Epidemiology·Jos W R Twisk
Mar 14, 2007·Archives of Internal Medicine·Karen H SealCharles Marmar
Jun 15, 2007·The Journal of Nervous and Mental Disease·Michael HollifieldRichard Hammerschlag
Citations
Jul 26, 2013·Administration and Policy in Mental Health·Rogier H J HoendersJoop T V M de Jong
Dec 14, 2011·Neuropsychopharmacology : Official Publication of the American College of Neuropsychopharmacology·Emmeline Edwards
Dec 29, 2013·Evidence-based Complementary and Alternative Medicine : ECAM·Sally E DoddsVictoria H Maizes
Dec 2, 2015·Experimental and Therapeutic Medicine·Baohua LiJinguo Zhai
Jan 23, 2016·Social Work in Public Health·Donna Schuman
Jul 30, 2014·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Vivian LinBronwyn Carter
May 19, 2011·Neuropharmacology·Tobias Moeller-BertramIrina A Strigo
Jan 21, 2014·Explore : the Journal of Science and Healing·Dawson Church, Audrey J Brooks
Mar 31, 2015·Evidence-based Complementary and Alternative Medicine : ECAM·Agnes M SchitterLuigi Raio
May 6, 2014·Pain·Shuzhuo ZhangJianren Mao
May 13, 2014·Journal of Evidence-based Complementary & Alternative Medicine·Jane Mulcahy, Brett Vaughan
Oct 23, 2014·Journal of Central Nervous System Disease·William E ShellDavid S Silver
May 15, 2018·Complementary Medicine Research·Agnes M Schitter, Johannes Fleckenstein
Jan 3, 2019·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Matthew S HerbertNiloofar Afari
Mar 15, 2019·The Journal of Alternative and Complementary Medicine : Research on Paradigm, Practice, and Policy·Lara G HiltonAllison A Clark
Apr 6, 2020·Military Medicine·Timothy M BenedictTobias Moeller-Bertram
Feb 7, 2017·The Journal of Alternative and Complementary Medicine : Research on Paradigm, Practice, and Policy·Cindy Breed, Catherine Bereznay
May 5, 2018·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Ariel M BariaChristine Miaskowski
Apr 3, 2021·The International Journal of Social Psychiatry·Mogesie NechoErkihun Tadesse
Jan 27, 2011·Current Pain and Headache Reports·Christopher Spevak, Chester Buckenmaier