A preliminary study of multidimensional pain inventory profile differences in predicting treatment outcome in a heterogeneous cohort of patients with chronic pain
A preliminary study of multidimensional pain inventory profile differences in predicting treatment outcome in a heterogeneous cohort of patients with chronic pain
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DOI：
10.1097/00002508-200205000-00001
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发表时间：
2002-05-01
影响因子：
2.9
通讯作者：
Vakharia, AS
中科院分区：
文献类型：
--
作者：
Gatchel, RJ;Noe, CE;Vakharia, AS
目的：目的是评估多维疼痛量表（MPI）是否能有效预测异质慢性疼痛患者组对跨学科治疗的反应。还评估了治疗后患者主要适应应对状态的变化。设计：对患有一系列疼痛状况的患者进行了一项前瞻性研究。所有患者在治疗前后均使用标准评估组，包括自我报告的疼痛和残疾、心理社会功能、计划的帮助性以及药物使用的测量。评估患者的 MPI 状态并评估对治疗的不同反应。方法：对 65 名连续患有慢性疼痛的患者在参加跨学科疼痛治疗计划之前和之后立即进行评估。该异质性疼痛状况队列还根据 MPI 进行区分，以评估对治疗的潜在差异反应。 结果：结果显示，在实施全面的跨学科疼痛管理计划后，这些慢性疼痛患者的病情得到了显着改善。这种改善体现在各种评估结果中，包括麻醉药物的使用。最重要的是，MPI 亚组分类并不能显着预测积极治疗结果的程度；所有亚组均有所改善。结论：尽管治疗前心理社会功能存在重大差异，但未发现 MPI 能够显着预测异质慢性疼痛患者组对跨学科治疗的反应。因此，无论最初的 MPI 概况分类如何，综合的跨学科治疗计划都可以在广泛的疼痛/残疾相关结果变量中实现其全部有效性。
Objective: The objective was to evaluate whether the Multidimensional Pain Inventory (MPI) is effective for predicting response to interdisciplinary treatment in a heterogeneous group of patients with chronic pain. Changes in patients' profiles to a predominantly adaptive coping status after treatment also were assessed.Design: A prospective study was conducted of patients with an array of pain conditions. A standard evaluation battery, including measures of self-reported pain and disability, psychosocial functioning, helpfulness of the program, and medication use, was used for all patients before and after treatment. The MPI status of patients was evaluated and differential response to treatment was assessed.Methods: Sixty-five consecutive patients with chronic pain were evaluated before and immediately after participation in an interdisciplinary pain treatment program. This heterogeneous pain-condition cohort was also differentiated on the basis of the MPI to evaluate potential differential response to treatment.Results: Results revealed significant improvement among these patients with chronic pain when a comprehensive interdisciplinary pain-management program was administered. This improvement was seen across the variety of outcomes evaluated, including narcotic medication use. Most important, the MPI subgroup classification did not significantly predict the degree of positive treatment outcome; all subgroups improved.Conclusions: Although there were major differences in psychosocial functioning before treatment, the MPI was not found to significantly predict response to interdisciplinary treatment in a heterogeneous group of patients with chronic pain. Thus, a comprehensive interdisciplinary treatment program may achieve its full effectiveness across a wide array of pain/disability-related outcome variables, regardless of initial MPI profile categorization.