An Interdisciplinary Pain Rehabilitation Program for Veterans with Chronic Pain: Description and Initial Evaluation of Outcomes
Objective. 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 stu...
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| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Pain Research and Management |
| Online Access: | http://dx.doi.org/10.1155/2018/3941682 |
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| _version_ | 1832547166006018048 |
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| author | Nidhi S. Anamkath Sarah A. Palyo Sara C. Jacobs Alain Lartigue Kathryn Schopmeyer Irina A. Strigo |
| author_facet | Nidhi S. Anamkath Sarah A. Palyo Sara C. Jacobs Alain Lartigue Kathryn Schopmeyer Irina A. Strigo |
| author_sort | Nidhi S. Anamkath |
| collection | DOAJ |
| description | Objective. 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. Methods. 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. Results. 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 that only changes in depressive symptoms significantly predicted changes in pain disability. Conclusion. Our results are consistent with evidence-based clinical practice guidelines for the management of chronic pain in Veterans. Further investigation of interdisciplinary treatment programs in Veterans is warranted. |
| format | Article |
| id | doaj-art-9b7d0b40ef9e4d028b2be57be1a7d4bd |
| institution | Kabale University |
| issn | 1203-6765 1918-1523 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Pain Research and Management |
| spelling | doaj-art-9b7d0b40ef9e4d028b2be57be1a7d4bd2025-02-03T06:45:57ZengWileyPain Research and Management1203-67651918-15232018-01-01201810.1155/2018/39416823941682An Interdisciplinary Pain Rehabilitation Program for Veterans with Chronic Pain: Description and Initial Evaluation of OutcomesNidhi S. Anamkath0Sarah A. Palyo1Sara C. Jacobs2Alain Lartigue3Kathryn Schopmeyer4Irina A. Strigo5Department of Veterans Affairs, San Francisco VA Healthcare System, 4150 Clement Street, San Francisco, CA, USADepartment of Veterans Affairs, San Francisco VA Healthcare System, 4150 Clement Street, San Francisco, CA, USADepartment of Veterans Affairs, San Francisco VA Healthcare System, 4150 Clement Street, San Francisco, CA, USADepartment of Veterans Affairs, San Francisco VA Healthcare System, 4150 Clement Street, San Francisco, CA, USADepartment of Veterans Affairs, San Francisco VA Healthcare System, 4150 Clement Street, San Francisco, CA, USADepartment of Veterans Affairs, San Francisco VA Healthcare System, 4150 Clement Street, San Francisco, CA, USAObjective. 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. Methods. 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. Results. 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 that only changes in depressive symptoms significantly predicted changes in pain disability. Conclusion. Our results are consistent with evidence-based clinical practice guidelines for the management of chronic pain in Veterans. Further investigation of interdisciplinary treatment programs in Veterans is warranted.http://dx.doi.org/10.1155/2018/3941682 |
| spellingShingle | Nidhi S. Anamkath Sarah A. Palyo Sara C. Jacobs Alain Lartigue Kathryn Schopmeyer Irina A. Strigo An Interdisciplinary Pain Rehabilitation Program for Veterans with Chronic Pain: Description and Initial Evaluation of Outcomes Pain Research and Management |
| title | An Interdisciplinary Pain Rehabilitation Program for Veterans with Chronic Pain: Description and Initial Evaluation of Outcomes |
| title_full | An Interdisciplinary Pain Rehabilitation Program for Veterans with Chronic Pain: Description and Initial Evaluation of Outcomes |
| title_fullStr | An Interdisciplinary Pain Rehabilitation Program for Veterans with Chronic Pain: Description and Initial Evaluation of Outcomes |
| title_full_unstemmed | An Interdisciplinary Pain Rehabilitation Program for Veterans with Chronic Pain: Description and Initial Evaluation of Outcomes |
| title_short | An Interdisciplinary Pain Rehabilitation Program for Veterans with Chronic Pain: Description and Initial Evaluation of Outcomes |
| title_sort | interdisciplinary pain rehabilitation program for veterans with chronic pain description and initial evaluation of outcomes |
| url | http://dx.doi.org/10.1155/2018/3941682 |
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