Your browser doesn't support javascript.
loading
Seasonal impact on the outcome of multidisciplinary pain therapy.
Heyn, Jens; Kiesewetter, Isabel; Uenze, Birgit; Christoph, Ricarda; Baumann, Nannette; Mihatsch, Lorenz; Luchting, Benjamin.
Afiliação
  • Heyn J; Department of Anesthesiology, University of Munich (LMU), Munich, Germany.
  • Kiesewetter I; Department of Anesthesiology, University of Munich (LMU), Munich, Germany.
  • Uenze B; Interdisciplinary Pain Centre, Klinikum Landsberg am Lech, Landsberg am Lech, Germany.
  • Christoph R; Interdisciplinary Pain Centre, Klinikum Landsberg am Lech, Landsberg am Lech, Germany.
  • Baumann N; Interdisciplinary Pain Centre, Klinikum Landsberg am Lech, Landsberg am Lech, Germany.
  • Mihatsch L; Institute for Medical Information Processing, Biometry and Epidemiology, University of Munich, Munich, Germany.
  • Luchting B; TUM School of Medicine, Department of Pediatrics, Technical University of Munich, Munich, Germany.
Chronobiol Int ; 40(4): 400-406, 2023 04.
Article em En | MEDLINE | ID: mdl-36852529
ABSTRACT
Multidisciplinary pain treatment programs (MPTP) have been considered to be the most effective treatment of chronic pain. In this study, we analyzed the influence of seasons on the outcome of chronic pain patients undergoing MPTP. Therefore, a prospective, observational trial was conducted in patients with chronic pain undergoing a 5-week interdisciplinary treatment program. Psychological stabilization (measured by ADS - Allgemeine Depressionsskala) and pain levels (measured by NRS - numeric rating scale) were considered as primary endpoints. As a result of this study, we could show that chronic pain patients (exempt patients with chronic headache) showed a highly significant better improvement in terms of ADS after MPTP when participating in autumn (coefficient -11.67, p = .004). Patients treated during winter showed a tendency towards a better improvement in ADS scores (coefficient -6.89, p = .051). These effects were not found in patients suffering from chronic headache. Finally, patients participating in MPTPs during summer, autumn, and winter presented a tendency of higher reduction in pain scores when compared to patients participating in spring. In conclusion, the effect of MPTPs in terms of psychological stabilization is considered to be best during autumn. This should be therefore considered in planning an MPTP in all patients who do not need immediate psychological stabilization. The treatment effect of MPTP on pain seems not being dependent on a specific season.
Assuntos
Palavras-chave

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Transtornos da Cefaleia / Dor Crônica Idioma: En Ano de publicação: 2023 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Transtornos da Cefaleia / Dor Crônica Idioma: En Ano de publicação: 2023 Tipo de documento: Article