Neglected topics in the treatment of chronic pain patients — relapse, noncompliance, and adherence enhancement

摘要: Although published treatment outcome studies for chronic pain have provided favorable support the efficacy of many clinics and use specific modalities such as biofeedback relaxation, there are several factors that mitigate against euphoria. Two related influence interpretation these reported outcomes discussed, namely, noncompliance with therapeutic recommendations during subsequent to termination, relapse. Conceptual methodological problems establishing prevalence relapse reviewed. Several contribute (individual differences, nature disease or injury, characteristics prescribed regimen, health-care provider-patient relationship, contextual) discussed. The literature reveals regimens is quite prevalent across diverse syndromes. incidence following initially successful persistent also appears be high, ranging from 30% 60%. Studies on arthritis heterogeneous clinic populations suggest related; however, this association less well established headache patients. Strategies assessing compliance (i.e., self-report, behavioral, biochemical, clinical outcome) perspectives' patients providers application self-care Strategic planning adherence enhancement tactics facilitate maintenance post-treatment gains described.