Multimodal pain therapy for persistent idiopathic facial pain - a pilot study.

IF 2.3 4区 医学 Q2 PSYCHIATRY
Zita Foerster, Barbara Kleinmann, Nadine Schlueter, Kirstin Vach, Tilman Wolter
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引用次数: 0

Abstract

Objective: Persistent Idiopathic Facial Pain (PIFP) is a pain syndrome with missing evidence-based therapy recommendations. According to the biopsychosocial pain model, multidisciplinary pain treatment (MPT) offers a promising therapeutic option for chronic pain syndromes. MPT is an interprofessional treatment procedure, consisting of medical, physiotherapeutic and psychotherapeutic treatment units, which has not yet been studied in PIFP.

Methods: This retrospective study included 25 patients with PIFP, who had been treated with MPT. Pain intensity on the numerical rating scale (NRS), perceived disability, habitual well-being, as well as anxiety/depression and stress scales were recorded. Moreover, the patients evaluated the efficacy of each type of the single therapeutic interventions.

Results: There was a highly significant decrease in the characteristic pain intensity. Also habitual well-being improved significantly, as did anxiety and depression. The perceived disability and stress also improved, but without statistical significance. Physiotherapy was rated as the most effective therapeutic unit. Among the medical measures, consultations took first place (40% of the participants). Nearly three-fourths of the patients (72%) would recommend MPT.

Conclusion: The present study shows beneficial outcomes in patients with PIFP following MPT. Patients evaluate physiotherapeutic treatment as particularly efficacious. Therefore, MPT can be considered as a therapeutic option in patients with PIFP.

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多模式疼痛治疗持续性特发性面部疼痛-一项初步研究。
目的:持续性特发性面部疼痛(PIFP)是一种缺乏循证治疗建议的疼痛综合征。根据生物-心理-社会疼痛模型,多学科疼痛治疗(MPT)为慢性疼痛综合征提供了一个有希望的治疗选择。MPT是一种跨专业治疗程序,由医疗、物理治疗和心理治疗单位组成,PIFP尚未对其进行研究。方法:回顾性研究25例经MPT治疗的PIFP患者。记录疼痛强度(NRS)、感知残疾、习惯幸福感、焦虑/抑郁和压力量表。此外,患者还评估了每种单一治疗干预措施的疗效。结果:特征性疼痛强度明显降低。此外,习惯性的幸福感、焦虑和抑郁也得到了显著改善。感知残疾和压力也有所改善,但无统计学意义。物理治疗被评为最有效的治疗单位。在医疗措施中,咨询居于首位(占参与者的40%)。近四分之三(72%)的患者会推荐MPT。结论:本研究显示MPT后PIFP患者的预后良好。患者评价物理治疗特别有效。因此,MPT可作为PIFP患者的一种治疗选择。
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来源期刊
CiteScore
3.60
自引率
0.00%
发文量
23
审稿时长
18 weeks
期刊介绍: BioPsychoSocial Medicine is an open access, peer-reviewed online journal that encompasses all aspects of the interrelationships between the biological, psychological, social, and behavioral factors of health and illness. BioPsychoSocial Medicine is the official journal of the Japanese Society of Psychosomatic Medicine, and publishes research on psychosomatic disorders and diseases that are characterized by objective organic changes and/or functional changes that could be induced, progressed, aggravated, or exacerbated by psychological, social, and/or behavioral factors and their associated psychosomatic treatments.
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