Pretreatment anxiety and pain acceptance are associated with response to trigger point injection therapy for chronic myofascial pain.
Pain Med
; 16(10): 1955-66, 2015 Oct.
Article
em En
| MEDLINE
| ID: mdl-26309134
ABSTRACT
BACKGROUND AND AIM:
This study examined the psychosocial profile of patients who responded or did not respond to trigger point injection therapy for chronic myofascial pain.METHODS:
Seventy one patients with a diagnosis of chronic myofascial pain of the paraspinous muscles completed a pretreatment questionnaire measuring demographic and social factors, and validated scales to assess pain intensity, pain interference (physical and emotional), and defined psychological characteristics (pain catastrophizing, pain acceptance, pain self-efficacy, mood and anxiety). Trigger point injection therapy of the affected areas of myofascial pain was performed and follow-up was conducted by telephone at one week (n = 65) and one month (n = 63) post intervention to assess treatment outcome (pain intensity and pain-related physical interference).RESULTS:
At one week follow-up and one-month follow-up, using pain-related physical interference as the outcome measure, we found that those who responded well to treatment were characterized by a lower level of pretreatment anxiety and a higher level of pain acceptance, with anxiety being the strongest predictor.CONCLUSION:
These results suggest that responses to interventional pain management in chronic myofascial paraspinous pain may be influenced by psychological characteristics, especially pretreatment anxiety.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Ansiedade
/
Adaptação Psicológica
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Catastrofização
/
Analgésicos
/
Síndromes da Dor Miofascial
Tipo de estudo:
Prognostic_studies
/
Qualitative_research
/
Risk_factors_studies
Limite:
Adult
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Aged
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Female
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Humans
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Male
/
Middle aged
Idioma:
En
Ano de publicação:
2015
Tipo de documento:
Article