Comorbid Psychiatric Disorders and Predictors of Pain Management Program Success in Patients With Chronic Pain

摘要: Background: This prospective investigation assessed success rates of a pain management program for patients with and without DSM-III-R Axis I II psychiatric disorders. Method: Subjects included 40 consecutive chronic who were referred to physical therapy–oriented, “standard” program. Serial ratings levels measured via visual analogue scale (VAS) at baseline, weekly throughout 12-week program, during follow-up interval 1 month after completion the Weekly reports hours gainful employment recorded. VAS scores number worked per week combined into measure improvement. dependent variable was used compare groups across disorders diagnosed Diagnostic Interview Schedule (DIS). Percentages in each diagnostic group met minimal criteria improvement computed compared. A chi-square analysis conducted on between any disorder, substance abuse/dependence disorder. Results: Overall, 70% (N = 28) found have DIS disorder. There differences those disorders. The presence diagnosis associated significantly lower (p < .05). Conclusion: Patients enrolled this clinic had high prevalence comorbid disorders, these less likely improve standard treatment. In population seeking treatment pain, results suggest need detection further research efficacy interventions management.