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Related Experiment Videos

Setting up a pain management programme. The Ayrshire experience.

C Martin1, T Carney, T Obonyo

  • 1Douglas Grant Rehabilitation Centre, Ayrshire Central Hospital, Irvine.

Scottish Medical Journal
|June 22, 2000
PubMed
Summary

This study shows that an outpatient cognitive behavioural pain management programme significantly improves activity levels, mood, and coping skills for chronic pain patients. The programme also reduces pain severity and maladaptive pain behaviours long-term.

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Area of Science:

  • Psychology
  • Pain Management
  • Clinical Trials

Background:

  • Chronic non-cancer pain affects millions globally, leading to reduced quality of life.
  • Existing treatments often have limitations in managing long-term pain and associated psychological distress.

Purpose of the Study:

  • To evaluate the effectiveness of an outpatient cognitive behavioural pain management programme for chronic non-cancer pain.
  • To assess improvements in pain severity, activity levels, mood, coping strategies, and pain-related beliefs.

Main Methods:

  • A controlled trial involving a multidisciplinary team delivering a 10-session group programme.
  • Utilized self-report questionnaires for data collection at baseline, 6 weeks, 6 months, and 1 year post-programme.
  • Included a waiting list control group for comparison.

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Main Results:

  • The study group showed significant short- and long-term improvements in pain severity, activity levels, mood, and coping.
  • Patients in the intervention group experienced fewer catastrophizing thoughts compared to controls.
  • No significant changes were observed in the waiting list control group.

Conclusions:

  • Outpatient cognitive behavioural pain management is an effective intervention for chronic non-cancer pain.
  • The programme leads to sustained improvements in multiple domains of patient functioning and well-being.
  • Cognitive and behavioural strategies are key to maintaining treatment gains in chronic pain management.