Multidisciplinary treatment of chronic pain patients: Its efficacy in changing patient locus of control

2000 ◽  
Vol 81 (6) ◽  
pp. 739-740
Author(s):  
Alicia M. Coughlin ◽  
Amy S. Badura ◽  
Todd D. Fleischer ◽  
Thomas P. Guck
Keyword(s):  
Chronic Pain ◽  
Locus Of Control ◽  
Multidisciplinary Treatment ◽  
Chronic Pain Patients ◽  
Pain Patients

Pain Locus of Control Scores in Chronic Pain Patients and Medical Clinic Patients With and Without Pain

1993 ◽  
Vol 9 (4) ◽  
pp. 242-247 ◽  
Author(s):  
TIMOTHY C. TOOMEY ◽  
J. DOUGLAS MANN ◽  
SANDRA W. ABASHIAN ◽  
C. L. M. CARNRIKE ◽  
JEANNE T. HERNANDEZ
Keyword(s):  
Chronic Pain ◽  
Locus Of Control ◽  
Medical Clinic ◽  
Chronic Pain Patients ◽  
Pain Locus Of Control ◽  
Pain Patients

scholarly journals Sex Differences in Predictors of Response to Multidisciplinary Treatment of Chronic Pain

1996 ◽  
Vol 1 (3) ◽  
pp. 149-154 ◽  
Author(s):  
John W Burns ◽  
Barbara J Johnson ◽  
Neil Mahoney ◽  
Martha Derleth ◽  
Ronald Pawl
Keyword(s):  
Chronic Pain ◽  
Multidisciplinary Treatment ◽  
Married Women ◽  
Predictors Of Outcome ◽  
Men And Women ◽  
Predictors Of Response ◽  
Chronic Pain Patients ◽  
Perceived Pain ◽  
Pain Patients ◽  
Archival Study

BACKGROUND:Multidisciplinary programs for treatment of chronic pain are generally effective, yet many patients fail to show significant improvement. The search for predictors of outcome has not explicitly considered sex.OBJECTIVE:To examine mediation and moderation pathways through which sex may predict outcome.DESIGN:Correlational outcome, exploratory, archival study.PARTICIPANTS:A total of 156 chronic pain patients.SETTING:Four-week multidisciplinary pain program.PREDICTOR AND OUTCOME MEASURES:Predictor variables of pain level, activity interference and perceived pain helplessness were culled from patient charts. Outcome was assessed with staff ratings of patient progress.RESULTS:While men responded to treatment more poorly than women, regressions suggested that the greater number of surgeries for men mediated this link. Further analyses revealed that sex acted as a moderator. Among women, perceived pain helplessness was negatively related to outcome, while married women with dissatisfying marriages responded more poorly than unmarried women and women with satisfying marriages. These variables were not significant predictors of outcome among men.CONCLUSIONS:Men and women may be differentially characterized by various risk factors for treatment failure. Moreover, relationships between pretreatment psychosocial factors and outcome may depend on sex.

Pain Influences Several Levels of Attention

2005 ◽  
Vol 16 (4) ◽  
pp. 235-242 ◽  
Author(s):  
Astrid von Bueren Jarchow ◽  
Bogdan P. Radanov ◽  
Lutz Jäncke
Keyword(s):  
Chronic Pain ◽  
Divided Attention ◽  
Covert Attention ◽  
Attention Task ◽  
Attentional Deficits ◽  
Control Subjects ◽  
Chronic Pain Patients ◽  
Divided Attention Task ◽  
Pain Stimuli ◽  
Pain Patients

Abstract: The aim of the present study was to examine to what extent chronic pain has an impact on various attentional processes. To measure these attention processes a set of experimental standard tests of the “Testbatterie zur Aufmerksamkeitsprüfung” (TAP), a neuropsychological battery testing different levels of attention, were used: alertness, divided attention, covert attention, vigilance, visual search, and Go-NoGo tasks. 24 chronic outpatients and 24 well-matched healthy control subjects were tested. The control subjects were matched for age, gender, and education. The group of chronic pain patients exhibited marked deficiencies in all attentional functions except for the divided attention task. Thus, the data supports the notion that chronic pain negatively influences attention because pain patients` attention is strongly captivated by the internal pain stimuli. Only the more demanding divided attention task has the capability to distract the focus of attention to the pain stimuli. Therefore, the pain patients are capable of performing within normal limits. Based on these findings chronic pain patients' attentional deficits should be appropriately evaluated and considered for insurance and work related matters. The effect of a successful distraction away from the pain in the divided attention task can also open new therapeutic aspects.

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