The Experts below are selected from a list of 5760 Experts worldwide ranked by ideXlab platform

John T. Chibnall - One of the best experts on this subject based on the ideXlab platform.

  • Relationship between social desirability and self-report in chronic Pain patients.
    The Clinical journal of pain, 1995
    Co-Authors: Teresa L. Deshields, Raymond C. Tait, Jeffrey D. Gfeller, John T. Chibnall
    Abstract:

    Objective: To examine the relationship between social desirability and self- report in data collected from chronic Pain patients. Setting: A Multidisciplinary Pain Management center located in a major university medical center. Patients: Two hundred persons presenting with chronic Pain, including low back, head/neck, and extremity Pain. Measures: Marlowe-Crowne Social Desirability Scale, Beck Depression Inventory—Short Form, Spielberger Trait Anxiety Inventory, Psychosomatic Symptom Checklist, McGill Pain Questionnaire, Pain Disability Index, Quality of Life Scale, Pain Drawing. Results and Conclusions: Correlations showed that patients with greater social desirability response bias reported less depression and anxiety but higher levels of Pain severity. When depression effects were controlled in a regression analysis, social desirability correlated positively with self-reported disability. These results show systematic response patterns associated with social desirability, suggesting that social desirability response biases should be considered in both research and clinical assessments of chronic Pain patients.

  • The short form of the Beck Depression Inventory: validity issues with chronic Pain patients.
    The Clinical journal of pain, 1994
    Co-Authors: John T. Chibnall, Raymond C. Tait
    Abstract:

    OBJECTIVE To investigate the validity of the Beck Depression Inventory short form when used to screen for depression in chronic Pain patients. SETTING A Multidisciplinary Pain Management center located in a major university medical center. PATIENTS Seven hundred sixty-five persons presenting for evaluation of chronic Pain, including low back Pain, head/neck Pain, and extremity Pain. MEASURES Beck Depression Inventory short form, McGill Pain Questionnaire, Pain Disability Index, Pain drawing, and Quality of Life Scale. RESULTS AND CONCLUSIONS Items on the Beck Depression Inventory short form reflecting Pain-related interference with function (i.e., disability) were endorsed to a greater degree than affective and cognitive items. A factor analysis of the inventory yielded two affective/cognitive factors and one "disability" factor (work inhibition and fatigue). The correlations between the factor scores and the Pain Disability Index suggested that endorsement of the work inhibition and fatigue items by chronic Pain patients may not be indicative of affective disturbance. The results suggest that these items should be evaluated critically for their contribution to the total score of the Beck Depression Inventory short form when assessing depression in chronic Pain patients.

Gerd Karin Natvig - One of the best experts on this subject based on the ideXlab platform.

  • the effectiveness of an improved Multidisciplinary Pain Management programme a 6 and 12 month follow up study
    Journal of Advanced Nursing, 2012
    Co-Authors: Elin Dysvik, Jan Terje Kvaløy, Gerd Karin Natvig
    Abstract:

    dysvik e., kvaloy j.t. & natvig g.k. (2011) The effectiveness of an improved Multidisciplinary Pain Management programme: a 6- and 12-month follow-up study. Journal of Advanced Nursing 68(5), 1061–1072. Abstract Aim.  This article is a report of a Norwegian-revised study on the effectiveness of a follow-up Multidisciplinary Management programme for chronic Pain to investigate the change processes associated with treatment. Background.  Substantial evidence supports the use of Cognitive Behavioural Therapy approaches to chronic Pain. As relapse is often reported, follow-up sessions should be included. Methods.  A follow-up quasi-experimental design was performed, and a previous control group was used. The study initially included 117 participants, and 104 of the sample completed the 6- and 12-month follow-up programme. The 6-month follow-up consisted of therapeutic dialogue and education combined with physical activity. At the 12-month follow-up, a telephonic consultation was conducted. The data collection period was between September 2006 and January 2008. The statistical and clinical significance were considered. Results.  Findings suggest that this follow-up programme can potentially maintain the positive results of the basic programme in terms of reduced Pain perception, improved health-related quality of life, and movement towards self-Management. Conclusion.  These results are consistent with the ultimate goal of Cognitive Behavioural Therapy approaches, which is to help patients with chronic Pain to cope more effectively and to improve their health-related quality of life and functioning. To maintain treatment improvements and advance nursing, there is a clear need for research that tests the efficacy of follow-up interventions that are designed to prevent drop out and relapse.

  • The effectiveness of an improved Multidisciplinary Pain Management programme: a 6‐ and 12‐month follow‐up study
    Journal of advanced nursing, 2011
    Co-Authors: Elin Dysvik, Jan Terje Kvaløy, Gerd Karin Natvig
    Abstract:

    dysvik e., kvaloy j.t. & natvig g.k. (2011) The effectiveness of an improved Multidisciplinary Pain Management programme: a 6- and 12-month follow-up study. Journal of Advanced Nursing 68(5), 1061–1072. Abstract Aim.  This article is a report of a Norwegian-revised study on the effectiveness of a follow-up Multidisciplinary Management programme for chronic Pain to investigate the change processes associated with treatment. Background.  Substantial evidence supports the use of Cognitive Behavioural Therapy approaches to chronic Pain. As relapse is often reported, follow-up sessions should be included. Methods.  A follow-up quasi-experimental design was performed, and a previous control group was used. The study initially included 117 participants, and 104 of the sample completed the 6- and 12-month follow-up programme. The 6-month follow-up consisted of therapeutic dialogue and education combined with physical activity. At the 12-month follow-up, a telephonic consultation was conducted. The data collection period was between September 2006 and January 2008. The statistical and clinical significance were considered. Results.  Findings suggest that this follow-up programme can potentially maintain the positive results of the basic programme in terms of reduced Pain perception, improved health-related quality of life, and movement towards self-Management. Conclusion.  These results are consistent with the ultimate goal of Cognitive Behavioural Therapy approaches, which is to help patients with chronic Pain to cope more effectively and to improve their health-related quality of life and functioning. To maintain treatment improvements and advance nursing, there is a clear need for research that tests the efficacy of follow-up interventions that are designed to prevent drop out and relapse.

  • The effectiveness of a Multidisciplinary Pain Management programme managing chronic Pain on Pain perceptions, health-related quality of life and stages of change—A non-randomized controlled study
    International journal of nursing studies, 2009
    Co-Authors: Elin Dysvik, Jan Terje Kvaløy, Ragnhild Stokkeland, Gerd Karin Natvig
    Abstract:

    Abstract Background Cognitive behavioural therapy (CBT) has been useful in the treatment of chronic Pain conditions for many years. Given the increasing number of persons with chronic Pain and associated psychosocial problems, the development and implementation of effective interventions based on CBT is warranted. Objectives The aim of this study is to evaluate the effects of a Multidisciplinary Pain Management programme on health-related quality of life (HRQL), as measured by the Short Form Health Survey (SF-36), Pain perception as measured by the Brief Pain Inventory (BPI), and readiness-to-change as measured by the Pain Stages of Change Questionnaire (PSOCQ). Design A pretest–post-test quasi-experimental design, with waiting list controls and baseline and post-test measures, was used. Setting The study was conducted in the rehabilitation unit of a university hospital. Participants Of 117 people suffering from chronic Pain, 113 completed the 8-week Multidisciplinary Pain Management programme. The patients were consecutive referrals. Inclusion criteria were: adults (18–67 years), Pain lasting over 6 months, motivation and no ongoing litigation. Exclusion criteria were affected by major mental disorders or major medical conditions requiring treatment. Methods The intervention was based on a cognitive behavioural approach. Therapeutic dialogues and training, combined with physical activity, were provided to a fixed plan, including homework. The programme has several features that directly address psychosocial aspects of chronic Pain. Statistical and clinical significance are considered. Results The findings suggest that this programme has the potential to improve HRQL, reduce Pain intensity and interference, and contribute to improvement in readiness-to-change. Statistically significant results are supplemented by results showing their clinical significance. Conclusions Improvements in HRQL, Pain-related disability, and readiness-to-change suggest that the vicious cycle of chronic Pain may be alleviated by our programme. As we see it, effective treatment results are about identifying and addressing the important and changeable influences maintaining Pain problems such as acceptance, understanding the mind-body connection and self-Management. Although further research is needed to evaluate the effectiveness of this work, such group approaches appear to represent a feasible treatment option for many patients with chronic Pain.

  • Results of a Multidisciplinary Pain Management program: a 6- and 12-month follow-up study.
    Rehabilitation nursing : the official journal of the Association of Rehabilitation Nurses, 2005
    Co-Authors: Elin Dysvik, Ole-johan Eikeland, Gerd Karin Natvig, Gunilla Brattberg
    Abstract:

    The aim of this study was to evaluate an 8-week Multidisciplinary Pain Management program offered to patients suffering from chronic Pain. The study initially included 88 participants, and 61 of the sample completed a follow-up program conducted at 6 and 12 months after the initial programs. The Pain Management program was based on a cognitive behavioral approach with active patient participation in learning new coping skills. The intervention consisted of supervised dialog, physical activity, and education. The main goals were change of focus from Pain and disability to resources and functional coping strategies. It was hypothesized that the positive changes gained at posttest registration after an 8-week program on coping, health-related quality of life, and Pain intensity would be maintained during follow-up sessions. The results indicated that these hypotheses were mainly supported and further Pain reduction, decreased emotion-focused coping, better social functioning, and overall physical and mental health gains were observed. The participants who did not complete the follow-up program did not differ from the patients who completed the program on background variables investigated. The study also supported the claim that professional nurses are competent to lead such programs and to evaluate treatment results. Clinical and research implications are discussed.

Elin Dysvik - One of the best experts on this subject based on the ideXlab platform.

  • the effectiveness of an improved Multidisciplinary Pain Management programme a 6 and 12 month follow up study
    Journal of Advanced Nursing, 2012
    Co-Authors: Elin Dysvik, Jan Terje Kvaløy, Gerd Karin Natvig
    Abstract:

    dysvik e., kvaloy j.t. & natvig g.k. (2011) The effectiveness of an improved Multidisciplinary Pain Management programme: a 6- and 12-month follow-up study. Journal of Advanced Nursing 68(5), 1061–1072. Abstract Aim.  This article is a report of a Norwegian-revised study on the effectiveness of a follow-up Multidisciplinary Management programme for chronic Pain to investigate the change processes associated with treatment. Background.  Substantial evidence supports the use of Cognitive Behavioural Therapy approaches to chronic Pain. As relapse is often reported, follow-up sessions should be included. Methods.  A follow-up quasi-experimental design was performed, and a previous control group was used. The study initially included 117 participants, and 104 of the sample completed the 6- and 12-month follow-up programme. The 6-month follow-up consisted of therapeutic dialogue and education combined with physical activity. At the 12-month follow-up, a telephonic consultation was conducted. The data collection period was between September 2006 and January 2008. The statistical and clinical significance were considered. Results.  Findings suggest that this follow-up programme can potentially maintain the positive results of the basic programme in terms of reduced Pain perception, improved health-related quality of life, and movement towards self-Management. Conclusion.  These results are consistent with the ultimate goal of Cognitive Behavioural Therapy approaches, which is to help patients with chronic Pain to cope more effectively and to improve their health-related quality of life and functioning. To maintain treatment improvements and advance nursing, there is a clear need for research that tests the efficacy of follow-up interventions that are designed to prevent drop out and relapse.

  • The effectiveness of an improved Multidisciplinary Pain Management programme: a 6‐ and 12‐month follow‐up study
    Journal of advanced nursing, 2011
    Co-Authors: Elin Dysvik, Jan Terje Kvaløy, Gerd Karin Natvig
    Abstract:

    dysvik e., kvaloy j.t. & natvig g.k. (2011) The effectiveness of an improved Multidisciplinary Pain Management programme: a 6- and 12-month follow-up study. Journal of Advanced Nursing 68(5), 1061–1072. Abstract Aim.  This article is a report of a Norwegian-revised study on the effectiveness of a follow-up Multidisciplinary Management programme for chronic Pain to investigate the change processes associated with treatment. Background.  Substantial evidence supports the use of Cognitive Behavioural Therapy approaches to chronic Pain. As relapse is often reported, follow-up sessions should be included. Methods.  A follow-up quasi-experimental design was performed, and a previous control group was used. The study initially included 117 participants, and 104 of the sample completed the 6- and 12-month follow-up programme. The 6-month follow-up consisted of therapeutic dialogue and education combined with physical activity. At the 12-month follow-up, a telephonic consultation was conducted. The data collection period was between September 2006 and January 2008. The statistical and clinical significance were considered. Results.  Findings suggest that this follow-up programme can potentially maintain the positive results of the basic programme in terms of reduced Pain perception, improved health-related quality of life, and movement towards self-Management. Conclusion.  These results are consistent with the ultimate goal of Cognitive Behavioural Therapy approaches, which is to help patients with chronic Pain to cope more effectively and to improve their health-related quality of life and functioning. To maintain treatment improvements and advance nursing, there is a clear need for research that tests the efficacy of follow-up interventions that are designed to prevent drop out and relapse.

  • Conducting rehabilitation groups for people suffering from chronic Pain.
    International journal of nursing practice, 2010
    Co-Authors: Elin Dysvik, Paul Stephens
    Abstract:

    The aim of this study was to offer guidelines for counsellors who work with rehabilitation groups of patients with chronic Pain. The sample involved nine counsellors engaged in a Multidisciplinary Pain Management programme. Two focus group interviews were conducted. Data were analysed using qualitative content analysis. These indicate that main challenges facing counsellors were related to maintaining constructive group processes and being mentally prepared. The counsellors reported that knowledge concerning self-awareness, theoretical frameworks and counselling techniques was important. Personal learning included: group leadership, teamwork, grasping the inside story and obtaining supervision. The results show how important it is to have trained counsellors that are well prepared to prevent and deal with challenging group processes. Counsellors need to understand the concept of Pain and be acquainted with cognitive behavioural framework and group processes. The results indicate that counsellors perceive regular supervision as supportive and is likely to promote good team functioning.

  • The effectiveness of a Multidisciplinary Pain Management programme managing chronic Pain on Pain perceptions, health-related quality of life and stages of change—A non-randomized controlled study
    International journal of nursing studies, 2009
    Co-Authors: Elin Dysvik, Jan Terje Kvaløy, Ragnhild Stokkeland, Gerd Karin Natvig
    Abstract:

    Abstract Background Cognitive behavioural therapy (CBT) has been useful in the treatment of chronic Pain conditions for many years. Given the increasing number of persons with chronic Pain and associated psychosocial problems, the development and implementation of effective interventions based on CBT is warranted. Objectives The aim of this study is to evaluate the effects of a Multidisciplinary Pain Management programme on health-related quality of life (HRQL), as measured by the Short Form Health Survey (SF-36), Pain perception as measured by the Brief Pain Inventory (BPI), and readiness-to-change as measured by the Pain Stages of Change Questionnaire (PSOCQ). Design A pretest–post-test quasi-experimental design, with waiting list controls and baseline and post-test measures, was used. Setting The study was conducted in the rehabilitation unit of a university hospital. Participants Of 117 people suffering from chronic Pain, 113 completed the 8-week Multidisciplinary Pain Management programme. The patients were consecutive referrals. Inclusion criteria were: adults (18–67 years), Pain lasting over 6 months, motivation and no ongoing litigation. Exclusion criteria were affected by major mental disorders or major medical conditions requiring treatment. Methods The intervention was based on a cognitive behavioural approach. Therapeutic dialogues and training, combined with physical activity, were provided to a fixed plan, including homework. The programme has several features that directly address psychosocial aspects of chronic Pain. Statistical and clinical significance are considered. Results The findings suggest that this programme has the potential to improve HRQL, reduce Pain intensity and interference, and contribute to improvement in readiness-to-change. Statistically significant results are supplemented by results showing their clinical significance. Conclusions Improvements in HRQL, Pain-related disability, and readiness-to-change suggest that the vicious cycle of chronic Pain may be alleviated by our programme. As we see it, effective treatment results are about identifying and addressing the important and changeable influences maintaining Pain problems such as acceptance, understanding the mind-body connection and self-Management. Although further research is needed to evaluate the effectiveness of this work, such group approaches appear to represent a feasible treatment option for many patients with chronic Pain.

  • Results of a Multidisciplinary Pain Management program: a 6- and 12-month follow-up study.
    Rehabilitation nursing : the official journal of the Association of Rehabilitation Nurses, 2005
    Co-Authors: Elin Dysvik, Ole-johan Eikeland, Gerd Karin Natvig, Gunilla Brattberg
    Abstract:

    The aim of this study was to evaluate an 8-week Multidisciplinary Pain Management program offered to patients suffering from chronic Pain. The study initially included 88 participants, and 61 of the sample completed a follow-up program conducted at 6 and 12 months after the initial programs. The Pain Management program was based on a cognitive behavioral approach with active patient participation in learning new coping skills. The intervention consisted of supervised dialog, physical activity, and education. The main goals were change of focus from Pain and disability to resources and functional coping strategies. It was hypothesized that the positive changes gained at posttest registration after an 8-week program on coping, health-related quality of life, and Pain intensity would be maintained during follow-up sessions. The results indicated that these hypotheses were mainly supported and further Pain reduction, decreased emotion-focused coping, better social functioning, and overall physical and mental health gains were observed. The participants who did not complete the follow-up program did not differ from the patients who completed the program on background variables investigated. The study also supported the claim that professional nurses are competent to lead such programs and to evaluate treatment results. Clinical and research implications are discussed.

Christine T. Shiner - One of the best experts on this subject based on the ideXlab platform.

  • Reboot Online: A Randomized Controlled Trial Comparing an Online Multidisciplinary Pain Management Program with Usual Care for Chronic Pain.
    Pain medicine (Malden Mass.), 2019
    Co-Authors: Jessica Smith, Steven G Faux, Tania Gardner, Megan J. Hobbs, Matthew A James, Amy E. Joubert, Natalie Kladnitski, Jill M. Newby, Regina Schultz, Christine T. Shiner
    Abstract:

    Objective Chronic Pain is a prevalent and burdensome condition. Reboot Online was developed to address treatment barriers traditionally associated with accessing face-to-face chronic Pain Management programs. It is a comprehensive Multidisciplinary online treatment program, based on an existing and effective face-to-face Multidisciplinary Pain program (the Reboot program). Design & participants A CONSORT-compliant randomized controlled trial was conducted, enrolling adults who had experienced Pain for three months or longer. Methods Participants were randomly allocated to either an eight-lesson Multidisciplinary Pain Management program, Reboot Online (N = 41), or to a usual care (UC) control group (N = 39). Clinical oversight was provided by a Multidisciplinary team remotely, including physiotherapists and clinical psychologists. Participants were measured at baseline, post-treatment (week 16), and three-month follow-up (week 28). Results Intention-to-treat analyses revealed that Reboot Online was significantly more effective than UC at increasing Pain self-efficacy (g = 0.69) at post-treatment, and these gains were maintained at follow-up. Similarly, Reboot Online was significantly more effective than UC on several secondary measures at post-treatment and follow-up, including movement-based fear avoidance and Pain-related disability, but it did not significantly reduce Pain interference or depression compared with UC. Clinician input was minimal, and adherence to Reboot Online was moderate, with 61% of participants (N = 25) completing all eight lessons. Conclusions Reboot Online presents a novel approach to Multidisciplinary Pain Management and offers an accessible, efficacious alternative and viable treatment option for chronic Pain Management.

  • Pilot Trial of the Reboot Online Program: An Internet-Delivered, Multidisciplinary Pain Management Program for Chronic Pain.
    Pain research & management, 2018
    Co-Authors: Regina Schultz, Jessica Smith, Tania Gardner, Jill M. Newby, Christine T. Shiner, Gavin Andrews, Steven G Faux
    Abstract:

    Objectives. Chronic Pain causes significant disability and psychological distress, but barriers often prevent people with Pain from engaging in traditional face-to-face Pain Management programs. Accessible, feasible, and effective alternative treatment options are needed. Methods. A prospective, feasibility pilot study was conducted to trial a novel, Multidisciplinary online Pain Management program: the “Reboot Online” program. Twenty participants experiencing Pain of at least three months duration were recruited. All participants were enrolled in the “Reboot Online” program, consisting of eight online lessons completed over 16 weeks. Lessons incorporated Multidisciplinary input from medical Pain specialists, physiotherapists, and psychologists. Participants were assessed at pretreatment, posttreatment, and follow-up using a suite of outcome measures examining Pain, disability, catastrophising, self-efficacy, mood, and psychological distress. Results. 13 participants completed the program (65% adherence). Following treatment, the participants had significantly improved scores on measures of Pain-related disability, self-efficacy, catastrophising thoughts, acceptance of Pain, symptoms of depression, and general psychological distress. These findings were retained at three months posttreatment. Participants also reported high levels of acceptability and satisfaction with the program. Discussion. This study provides pilot evidence for the feasibility, acceptability, and effectiveness of an online, Multidisciplinary Pain program: “Reboot Online.” Future investigations will focus on conducting a randomised controlled trial of this innovative and promising treatment for chronic Pain. This trial is registered with ACTRN12615000660583 .

Luís Filipe Azevedo - One of the best experts on this subject based on the ideXlab platform.

  • the impact of anxiety and depression on the outcomes of chronic low back Pain Multidisciplinary Pain Management a multicenter prospective cohort study in Pain clinics with one year follow up
    Pain Medicine, 2019
    Co-Authors: Daniela Oliveira, Liliane Mendonça, Rute Sampaio, Jose Manuel Castrolopes, Luís Filipe Azevedo
    Abstract:

    OBJECTIVE The psychological health of patients with chronic low back Pain (CLBP) influences their response to a number of conservative and invasive Pain treatments. However, evidence is still scarce regarding the impact of anxiety and depression in the clinical outcomes of Multidisciplinary Pain Management over time. This study, based on longitudinal data from a clinical practice setting, aimed to assess the effectiveness of the usual Multidisciplinary approach provided to CLBP patients and to explore the impact of anxiety and depression symptoms and their interaction on clinical outcomes. METHODS In this study, participants included were adult patients in their first consultation in a Multidisciplinary chronic Pain clinic. Anxiety and depression symptoms were assessed with the Hospital Anxiety and Depression Scale (HADS). The Brief Pain Inventory (BPI) and the Shortened Treatment Outcomes in Pain Survey (S-TOPS) were used to assess outcomes. Linear mixed effects models were used to assess the impact of anxiety, depression, and their interaction on treatment outcomes. RESULTS A total of 284 patients (age 60.4 ± 13.7 years, 74.6% female) with CLBP were included at baseline. The majority of patients had both anxiety and depression and experienced higher Pain severity (P < 0.001) and higher Pain-related disability (P < 0.001). Anxiety and depression mainly predicted changes in Pain interference over time. Their interaction significantly predicted changes in Pain interference. CONCLUSIONS Anxiety, depression, and their interaction are associated with changes in Pain disability at one-year follow-up. These findings encourage the pretreatment screening of anxiety and depression as independent symptoms in patients with CLBP in order to design more tailored and effective Multidisciplinary treatments.

  • The Impact of Anxiety and Depression on the Outcomes of Chronic Low Back Pain Multidisciplinary Pain Management—A Multicenter Prospective Cohort Study in Pain Clinics with One-Year Follow-up
    Pain medicine (Malden Mass.), 2018
    Co-Authors: Daniela Oliveira, Liliane Mendonça, Rute Sampaio, José Manuel Castro-lopes, Luís Filipe Azevedo
    Abstract:

    OBJECTIVE The psychological health of patients with chronic low back Pain (CLBP) influences their response to a number of conservative and invasive Pain treatments. However, evidence is still scarce regarding the impact of anxiety and depression in the clinical outcomes of Multidisciplinary Pain Management over time. This study, based on longitudinal data from a clinical practice setting, aimed to assess the effectiveness of the usual Multidisciplinary approach provided to CLBP patients and to explore the impact of anxiety and depression symptoms and their interaction on clinical outcomes. METHODS In this study, participants included were adult patients in their first consultation in a Multidisciplinary chronic Pain clinic. Anxiety and depression symptoms were assessed with the Hospital Anxiety and Depression Scale (HADS). The Brief Pain Inventory (BPI) and the Shortened Treatment Outcomes in Pain Survey (S-TOPS) were used to assess outcomes. Linear mixed effects models were used to assess the impact of anxiety, depression, and their interaction on treatment outcomes. RESULTS A total of 284 patients (age 60.4 ± 13.7 years, 74.6% female) with CLBP were included at baseline. The majority of patients had both anxiety and depression and experienced higher Pain severity (P