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首页> 外文期刊>Pain research & management: the journal of the Canadian Pain Society = journal de la socie?te? canadienne pour le traitement de la douleur >An Interdisciplinary Pain Rehabilitation Program for Veterans with Chronic Pain: Description and Initial Evaluation of Outcomes
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An Interdisciplinary Pain Rehabilitation Program for Veterans with Chronic Pain: Description and Initial Evaluation of Outcomes

机译：慢性疼痛退伍军人跨学科疼痛康复计划：结果的描述和初步评估

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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.
机译：目的。慢性疼痛状况在退伍军人中尤为突出。为了利用疼痛的生物心理社会模型并全面为患有慢性疼痛的退伍军人服务，旧金山退伍军人事务医疗系统已实施了跨学科的疼痛康复计划（IPRP）。这项研究旨在（1）了解IPRP后治疗结果的初始变化，（2）研究心理因素与疼痛结果之间的关系，以及（3）探索心理因素的变化是否可以预测疼痛结果的变化。方法。一项回顾性研究评估了临床疼痛预后（疼痛强度，疼痛残疾和使用阿片类药物）与心理因素（抑郁症状，灾难性和“可接受的”疼痛水平）之间的关系，以及治疗后这些预后的变化。多元回归分析探讨了心理变量的变化是否显着预测了疼痛残疾的变化。结果。灾难性和抑郁症状与疼痛残疾呈正相关，而“可接受的”疼痛水平与疼痛强度呈特质相关。疼痛残疾和心理变量显示出其预期方向的重大变化。回归分析表明，只有抑郁症状的改变才能显着预测疼痛残疾的改变。结论。我们的结果与退伍军人慢性疼痛管理的循证临床实践指南一致。有必要对退伍军人的跨学科治疗计划进行进一步调查。

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