Expectations predict chronic pain treatment outcomes.
Identifieur interne : 000F10 ( Main/Exploration ); précédent : 000F09; suivant : 000F11Expectations predict chronic pain treatment outcomes.
Auteurs : Stéphanie Cormier [Canada] ; Geneviève L. Lavigne ; Manon Choinière ; Pierre RainvilleSource :
- Pain [ 1872-6623 ] ; 2016.
Descripteurs français
- KwdFr :
- Adolescent (MeSH), Adulte (MeSH), Adulte d'âge moyen (MeSH), Autorapport (MeSH), Catastrophisation (psychologie), Douleur chronique (complications), Douleur chronique (psychologie), Douleur chronique (thérapie), Dépression (diagnostic), Dépression (étiologie), Femelle (MeSH), Gestion de la douleur (méthodes), Humains (MeSH), Jeune adulte (MeSH), Mesure de la douleur (MeSH), Modèles statistiques (MeSH), Mâle (MeSH), Résultat thérapeutique (MeSH), Satisfaction des patients (MeSH), Sujet âgé (MeSH), Sujet âgé de 80 ans ou plus (MeSH), Valeur prédictive des tests (MeSH), Échelles d'évaluation en psychiatrie (MeSH), Études longitudinales (MeSH), Études rétrospectives (MeSH).
- MESH :
- diagnostic : Dépression.
- méthodes : Gestion de la douleur.
- psychologie : Catastrophisation, Douleur chronique.
- thérapie : Douleur chronique.
- étiologie : Dépression.
- complications : Adolescent, Adulte, Adulte d'âge moyen, Autorapport, Douleur chronique, Femelle, Humains, Jeune adulte, Mesure de la douleur, Modèles statistiques, Mâle, Résultat thérapeutique, Satisfaction des patients, Sujet âgé, Sujet âgé de 80 ans ou plus, Valeur prédictive des tests, Échelles d'évaluation en psychiatrie, Études longitudinales, Études rétrospectives.
English descriptors
- KwdEn :
- Adolescent (MeSH), Adult (MeSH), Aged (MeSH), Aged, 80 and over (MeSH), Catastrophization (psychology), Chronic Pain (complications), Chronic Pain (psychology), Chronic Pain (therapy), Depression (diagnosis), Depression (etiology), Female (MeSH), Humans (MeSH), Longitudinal Studies (MeSH), Male (MeSH), Middle Aged (MeSH), Models, Statistical (MeSH), Pain Management (methods), Pain Measurement (MeSH), Patient Satisfaction (MeSH), Predictive Value of Tests (MeSH), Psychiatric Status Rating Scales (MeSH), Retrospective Studies (MeSH), Self Report (MeSH), Treatment Outcome (MeSH), Young Adult (MeSH).
- MESH :
- complications : Chronic Pain.
- diagnosis : Depression.
- etiology : Depression.
- methods : Pain Management.
- psychology : Catastrophization, Chronic Pain.
- therapy : Chronic Pain.
- Adolescent, Adult, Aged, Aged, 80 and over, Female, Humans, Longitudinal Studies, Male, Middle Aged, Models, Statistical, Pain Measurement, Patient Satisfaction, Predictive Value of Tests, Psychiatric Status Rating Scales, Retrospective Studies, Self Report, Treatment Outcome, Young Adult.
Abstract
Accumulating evidence suggests an association between patient pretreatment expectations and numerous health outcomes. However, it remains unclear if and how expectations relate to outcomes after treatments in multidisciplinary pain programs. The present study aims at investigating the predictive association between expectations and clinical outcomes in a large database of chronic pain patients. In this observational cohort study, participants were 2272 patients treated in one of 3 university-affiliated multidisciplinary pain treatment centers. All patients received personalized care, including medical, psychological, and/or physical interventions. Patient expectations regarding pain relief and improvements in quality of life and functioning were measured before the first visit to the pain centers and served as predictor variables. Changes in pain intensity, depressive symptoms, pain interference, and tendency to catastrophize, as well as satisfaction with pain treatment and global impressions of change at 6-month follow-up, were considered as treatment outcomes. Structural equation modeling analyses showed significant positive relationships between expectations and most clinical outcomes, and this association was largely mediated by patients' global impressions of change. Similar patterns of relationships between variables were also observed in various subgroups of patients based on sex, age, pain duration, and pain classification. Such results emphasize the relevance of patient expectations as a determinant of outcomes in multimodal pain treatment programs. Furthermore, the results suggest that superior clinical outcomes are observed in individuals who expect high positive outcomes as a result of treatment.
DOI: 10.1097/j.pain.0000000000000379
PubMed: 26447703
Affiliations:
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However, it remains unclear if and how expectations relate to outcomes after treatments in multidisciplinary pain programs. The present study aims at investigating the predictive association between expectations and clinical outcomes in a large database of chronic pain patients. In this observational cohort study, participants were 2272 patients treated in one of 3 university-affiliated multidisciplinary pain treatment centers. All patients received personalized care, including medical, psychological, and/or physical interventions. Patient expectations regarding pain relief and improvements in quality of life and functioning were measured before the first visit to the pain centers and served as predictor variables. Changes in pain intensity, depressive symptoms, pain interference, and tendency to catastrophize, as well as satisfaction with pain treatment and global impressions of change at 6-month follow-up, were considered as treatment outcomes. Structural equation modeling analyses showed significant positive relationships between expectations and most clinical outcomes, and this association was largely mediated by patients' global impressions of change. Similar patterns of relationships between variables were also observed in various subgroups of patients based on sex, age, pain duration, and pain classification. Such results emphasize the relevance of patient expectations as a determinant of outcomes in multimodal pain treatment programs. Furthermore, the results suggest that superior clinical outcomes are observed in individuals who expect high positive outcomes as a result of treatment. </div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">26447703</PMID><DateCompleted><Year>2016</Year><Month>10</Month><Day>13</Day></DateCompleted><DateRevised><Year>2021</Year><Month>01</Month><Day>12</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1872-6623</ISSN><JournalIssue CitedMedium="Internet"><Volume>157</Volume><Issue>2</Issue><PubDate><Year>2016</Year><Month>Feb</Month></PubDate></JournalIssue><Title>Pain</Title><ISOAbbreviation>Pain</ISOAbbreviation></Journal><ArticleTitle>Expectations predict chronic pain treatment outcomes.</ArticleTitle><Pagination><MedlinePgn>329-338</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1097/j.pain.0000000000000379</ELocationID><Abstract><AbstractText>Accumulating evidence suggests an association between patient pretreatment expectations and numerous health outcomes. However, it remains unclear if and how expectations relate to outcomes after treatments in multidisciplinary pain programs. The present study aims at investigating the predictive association between expectations and clinical outcomes in a large database of chronic pain patients. In this observational cohort study, participants were 2272 patients treated in one of 3 university-affiliated multidisciplinary pain treatment centers. All patients received personalized care, including medical, psychological, and/or physical interventions. Patient expectations regarding pain relief and improvements in quality of life and functioning were measured before the first visit to the pain centers and served as predictor variables. Changes in pain intensity, depressive symptoms, pain interference, and tendency to catastrophize, as well as satisfaction with pain treatment and global impressions of change at 6-month follow-up, were considered as treatment outcomes. Structural equation modeling analyses showed significant positive relationships between expectations and most clinical outcomes, and this association was largely mediated by patients' global impressions of change. Similar patterns of relationships between variables were also observed in various subgroups of patients based on sex, age, pain duration, and pain classification. Such results emphasize the relevance of patient expectations as a determinant of outcomes in multimodal pain treatment programs. Furthermore, the results suggest that superior clinical outcomes are observed in individuals who expect high positive outcomes as a result of treatment. </AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Cormier</LastName><ForeName>Stéphanie</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Département de psychoéducation et de psychologie, Université du Québec en Outaouais, Gatineau, QC, Canada School of Nursing, McGill University, Montréal, QC, Canada Centre de recherche, Centre hospitalier de l'Université de Montréal, Montréal, QC, Canada Département d'anesthésiologie, Université de Montréal, Montréal, QC, Canada Département de stomatologie, Université de Montréal, Montréal, QC, Canada Centre de recherche, Institut universitaire de gériatrie de Montréal, Montréal, QC, Canada Centre de recherche en neuropsychologie et cognition, Montréal, QC, Canada Groupe de recherche sur le système nerveux central, Montréal, QC, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lavigne</LastName><ForeName>Geneviève L</ForeName><Initials>GL</Initials></Author><Author ValidYN="Y"><LastName>Choinière</LastName><ForeName>Manon</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Rainville</LastName><ForeName>Pierre</ForeName><Initials>P</Initials></Author></AuthorList><Language>eng</Language><GrantList CompleteYN="Y"><Grant><Agency>Canadian Institutes of Health Research</Agency><Country>Canada</Country></Grant></GrantList><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016448">Multicenter Study</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Pain</MedlineTA><NlmUniqueID>7508686</NlmUniqueID><ISSNLinking>0304-3959</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D058443" MajorTopicYN="N">Catastrophization</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D059350" MajorTopicYN="N">Chronic Pain</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName><QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003863" MajorTopicYN="N">Depression</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008137" MajorTopicYN="N">Longitudinal Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015233" MajorTopicYN="N">Models, Statistical</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D059408" MajorTopicYN="N">Pain Management</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D010147" MajorTopicYN="N">Pain Measurement</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D017060" MajorTopicYN="N">Patient Satisfaction</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011237" MajorTopicYN="N">Predictive Value of Tests</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011569" MajorTopicYN="N">Psychiatric Status Rating Scales</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D057566" MajorTopicYN="N">Self Report</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016896" MajorTopicYN="Y">Treatment Outcome</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2015</Year><Month>10</Month><Day>9</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2015</Year><Month>10</Month><Day>9</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2016</Year><Month>10</Month><Day>14</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">26447703</ArticleId><ArticleId IdType="doi">10.1097/j.pain.0000000000000379</ArticleId><ArticleId IdType="pii">00006396-201602000-00008</ArticleId></ArticleIdList><ReferenceList><Reference><Citation>Atlas LY, Wager TD. 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Lavigne</name><name sortKey="Rainville, Pierre" sort="Rainville, Pierre" uniqKey="Rainville P" first="Pierre" last="Rainville">Pierre Rainville</name></noCountry><country name="Canada"><noRegion><name sortKey="Cormier, Stephanie" sort="Cormier, Stephanie" uniqKey="Cormier S" first="Stéphanie" last="Cormier">Stéphanie Cormier</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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