Treatment outcome in individuals with chronic pain: is the Pain Stages of Change Questionnaire (PSOCQ) a useful tool?

Abstract:

:The efficacy of psychological treatments emphasising a self-management approach to chronic pain has been demonstrated by substantial empirical research. Nevertheless, high drop-out and relapse rates and low or unsuccessful engagement in self-management pain rehabilitation programs have prompted the suggestion that people vary in their readiness to adopt a self-management approach to their pain. The Pain Stages of Change Questionnaire (PSOCQ) was developed to assess a patient's readiness to adopt a self-management approach to their chronic pain. Preliminary evidence has supported the PSOCQ's psychometric properties. The current study was designed to further examine the psychometric properties of the PSOCQ, including its reliability, factorial structure and predictive validity. A total of 107 patients with an average age of 36.2 years (SD=10.63) attending a multi-disciplinary pain management program completed the PSOCQ, the Pain Self-Efficacy Questionnaire (PSEQ) and the West Haven-Yale Multidimensional Pain Inventory (WHYMPI) pre-admission and at discharge from the program. Initial data analysis found inadequate internal consistencies of the precontemplation and action scales of the PSOCQ and a high correlation (r=0.66, P<0.01) between the action and maintenance scales. Principal component analysis supported a two-factor structure: 'Contemplation' and 'Engagement'. Subsequent analyses revealed that the PSEQ was a better predictor of treatment outcome than the PSOCQ scales. Discussion centres upon the utility of the PSOCQ in a clinical pain setting in light of the above findings, and a need for further research.

journal_name

Pain

journal_title

Pain

authors

Strong J,Westbury K,Smith G,McKenzie I,Ryan W

doi

10.1016/s0304-3959(01)00493-6

keywords:

subject

Has Abstract

pub_date

2002-05-01 00:00:00

pages

65-73

issue

1-2

eissn

0304-3959

issn

1872-6623

pii

S0304395901004936

journal_volume

97

pub_type

杂志文章

相关文献

PAIN文献大全
  • The role of calcitonin gene-related peptide (CGRP) in the generation and maintenance of mechanical allodynia and hyperalgesia in rats after intradermal injection of capsaicin.

    abstract::This study was designed to assess the role of calcitonin gene-related peptide (CGRP) and its receptor in the generation and maintenance of secondary mechanical allodynia and hyperalgesia induced by intradermal injection of capsaicin in rats. Paw withdrawal responses (PWRs) to von Frey hairs with different bending forc...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/s0304-3959(03)00008-3

    authors: Sun RQ,Lawand NB,Willis WD

    更新日期:2003-07-01 00:00:00

  • Effects of pain- and analgesia-related manipulations on intracranial self-stimulation in rats: further studies on pain-depressed behavior.

    abstract::Pain stimulates some behaviors (e.g., withdrawal responses) but depresses many other behaviors (e.g., feeding). Pain-stimulated behaviors are widely used in preclinical research on pain and analgesia, but human and veterinary medicine often rely on measures of functional impairment and pain-depressed behavior to diagn...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/j.pain.2009.04.010

    authors: Pereira Do Carmo G,Stevenson GW,Carlezon WA,Negus SS

    更新日期:2009-07-01 00:00:00

  • Spiritual healing as a therapy for chronic pain: a randomized, clinical trial.

    abstract::Spiritual healing is a popular complementary and alternative therapy; in the UK almost 13000 members are registered in nine separate healing organisations. The present randomized clinical trial was designed to investigate the efficacy of healing in the treatment of chronic pain. One hundred and twenty patients sufferi...

    journal_title:Pain

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/s0304-3959(00)00421-8

    authors: Abbot NC,Harkness EF,Stevinson C,Marshall FP,Conn DA,Ernst E

    更新日期:2001-03-01 00:00:00

  • Insular balance of glutamatergic and GABAergic signaling modulates pain processing.

    abstract::Neuroimaging studies of patients with chronic pain have shown that neurotransmitter abnormalities, including increases in glutamate and decreases in GABA, could be responsible for the cortical hyperactivity and hyperalgesia/allodynia observed in some pain conditions. These finding are particularly evident in the insul...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1097/j.pain.0000000000000615

    authors: Watson CJ

    更新日期:2016-10-01 00:00:00

  • Independent time courses of supraspinal nociceptive activity and spinally mediated behavior during tonic pain.

    abstract::The behavioral response to acute tissue injury is usually characterized by different phases, but the brain mechanisms underlying changes in pain-related behavior over time are still poorly understood. We aimed to analyze time-dependent changes in metabolic activity levels of 49 forebrain structures in the formalin pai...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/s0304-3959(03)00015-0

    authors: Porro CA,Cavazzuti M,Lui F,Giuliani D,Pellegrini M,Baraldi P

    更新日期:2003-07-01 00:00:00

  • MMPI and headache: a special focus on differential diagnosis, prediction of treatment outcome, and patient-treatment matching.

    abstract::The relation between personality characteristics and the psychological functioning of headache patients has long been a topic of interest. Early investigations focused on clinical and anecdotal reports while recent research has moved toward a more objective evaluation of headache groups by using the MMPI. However, the...

    journal_title:Pain

    pub_type: 杂志文章,评审

    doi:10.1016/0304-3959(86)90037-0

    authors: Williams DE,Thompson KJ,Haber JD,Raczynski JM

    更新日期:1986-02-01 00:00:00

  • Orofacial pain onset predicts transition to head and neck cancer.

    abstract::Contrary to a clinical aphorism that early head and neck cancer is painless, we show that patients who develop head and neck cancer experience significant pain at the time of initial diagnosis. We compared orofacial pain sensitivity in groups of patients with normal oral mucosa, oral precancer, and newly diagnosed ora...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/j.pain.2011.02.009

    authors: Lam DK,Schmidt BL

    更新日期:2011-05-01 00:00:00

  • Validation of the "Pain Block" concrete ordinal scale for children aged 4 to 7 years.

    abstract::Pain scales using faces are commonly used tools for assessing pain in children capable of communicating. However, some children require other types of pain scales because they have difficulties in understanding faces pain scales. The goal of this study was to develop and validate the "Pain Block" concrete ordinal scal...

    journal_title:Pain

    pub_type: 杂志文章,多中心研究

    doi:10.1097/j.pain.0000000000001131

    authors: Jung JH,Lee JH,Kim DK,Jung JY,Chang I,Kwon H,Shin J,Paek SH,Oh S,Kwak YH

    更新日期:2018-04-01 00:00:00

  • The role of calcitonin gene-related peptide in peripheral and central pain mechanisms including migraine.

    abstract::Calcitonin gene-related peptide (CGRP) is a 37-amino acid peptide found primarily in the C and Aδ sensory fibers arising from the dorsal root and trigeminal ganglia, as well as the central nervous system. Calcitonin gene-related peptide was found to play important roles in cardiovascular, digestive, and sensory functi...

    journal_title:Pain

    pub_type: 杂志文章,评审

    doi:10.1097/j.pain.0000000000000831

    authors: Iyengar S,Ossipov MH,Johnson KW

    更新日期:2017-04-01 00:00:00

  • Treatment of terminal cancer pain in France: a questionnaire study.

    abstract::Compared with other European countries, French laws and restrictions concerning the use of opioids are of medium severity only. Still, together with Germany, Belgium and Spain, France belongs to the group of countries with a low national consumption of morphine, calculated by the International Narcotics Control Board ...

    journal_title:Pain

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/0304-3959(94)00264-F

    authors: Vainio A

    更新日期:1995-08-01 00:00:00

  • Pain affect without pain sensation in a patient with a postcentral lesion.

    abstract::We report findings from clinical examination and cutaneous laser stimulation in a 57-year-old male, who suffered from a right-sided postcentral stroke. In this patient, we were able to demonstrate (i) a dissociation of discriminative and affective components of pain perception and, for the first time in humans, (ii) t...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/s0304-3959(99)00012-3

    authors: Ploner M,Freund HJ,Schnitzler A

    更新日期:1999-05-01 00:00:00

  • Sequential analysis of child pain behavior and maternal responses: an observational study.

    abstract::This laboratory-based study examined lagged associations between child pain behavior and maternal responses as a function of maternal catastrophizing (CAT). Mothers completed the parent version of the Pain Catastrophizing Scale. Children participated in a validated water ingestion procedure to induce abdominal discomf...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1097/j.pain.0000000000000963

    authors: Langer SL,Romano J,Brown JD,Nielson H,Ou B,Rauch C,Zullo L,Levy RL

    更新日期:2017-09-01 00:00:00

  • Preprotachykinin A is expressed by a distinct population of excitatory neurons in the mouse superficial spinal dorsal horn including cells that respond to noxious and pruritic stimuli.

    abstract::The superficial dorsal horn, which is the main target for nociceptive and pruritoceptive primary afferents, contains a high density of excitatory interneurons. Our understanding of their roles in somatosensory processing has been restricted by the difficulty of distinguishing functional populations among these cells. ...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1097/j.pain.0000000000000778

    authors: Gutierrez-Mecinas M,Bell AM,Marin A,Taylor R,Boyle KA,Furuta T,Watanabe M,Polgár E,Todd AJ

    更新日期:2017-03-01 00:00:00

  • Peripheral nerve injury and sensitization underlie pain associated with oral cancer perineural invasion.

    abstract::Cancer invading into nerves, termed perineural invasion (PNI), is associated with pain. Here, we show that oral cancer patients with PNI report greater spontaneous pain and mechanical allodynia compared with patients without PNI, suggesting that unique mechanisms drive PNI-induced pain. We studied the impact of PNI on...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1097/j.pain.0000000000001986

    authors: Salvo E,Campana WM,Scheff NN,Nguyen TH,Jeong SH,Wall I,Wu AK,Zhang S,Kim H,Bhattacharya A,Janal MN,Liu C,Albertson DG,Schmidt BL,Dolan JC,Schmidt RE,Boada MD,Ye Y

    更新日期:2020-11-01 00:00:00

  • The measurement of capsaicin-sensitive sensory nerve fiber function in elderly patients with pain.

    abstract::The present study was undertaken to investigate the possible involvement of peripheral nociceptors in 3 diagnostic categories of elderly patients with chronic pain. The 3 diagnostic groups consisted of: chronic lower lumbar pain of degenerative musculoskeletal etiology (LLP), post-herpetic neuralgia (PHN) and pain of ...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/0304-3959(90)91104-Q

    authors: LeVasseur SA,Gibson SJ,Helme RD

    更新日期:1990-04-01 00:00:00

  • Comparing the DN4 tool with the IASP grading system for chronic neuropathic pain screening after breast tumor resection with and without paravertebral blocks: a prospective 6-month validation study.

    abstract::Investigating protective strategies against chronic neuropathic pain (CNP) after breast cancer surgery entails using valid screening tools. The DN4 (Douleur Neuropathique en 4 questions) is 1 tool that offers important research advantages. This prospective 6-month follow-up study seeks to validate the DN4 and assess i...

    journal_title:Pain

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/j.pain.0000000000000108

    authors: Abdallah FW,Morgan PJ,Cil T,Escallon JM,Semple JL,Chan VW

    更新日期:2015-04-01 00:00:00

  • Local peripheral opioid effects and expression of opioid genes in the spinal cord and dorsal root ganglia in neuropathic and inflammatory pain.

    abstract::We investigated the efficacy of local intraplantar (i.pl.) injection of peptide and non-peptide mu-, delta- and kappa-opioid receptor agonists in rat models of inflammatory and neuropathic pain. Locally applied agonists dose-dependently reduced formalin-induced flinching of the inflamed paw and induced antiallodynic a...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/j.pain.2008.12.006

    authors: Obara I,Parkitna JR,Korostynski M,Makuch W,Kaminska D,Przewlocka B,Przewlocki R

    更新日期:2009-02-01 00:00:00

  • Location-specific responses to nociceptive input support the purposeful nature of motor adaptation to pain.

    abstract::Movement is changed in pain, but the mechanisms remain unclear. Key questions are unresolved such as whether activation can be inhomogeneously distributed within a muscle in a manner that is specific to the location of noxious input. This study addressed this question using high-density electromyography (EMG) to study...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1097/j.pain.0000000000001317

    authors: Gallina A,Salomoni SE,Hall LM,Tucker K,Garland SJ,Hodges PW

    更新日期:2018-11-01 00:00:00

  • Investigating dose-dependent effects of placebo analgesia: a psychophysiological approach.

    abstract::Investigating dose-dependent effects of placebo analgesia (PA) in laboratory subjects undergoing pain testing, we evaluated 2 hypotheses: (1) greater expectancy for relief produces greater PA, and (2) cued expectancy for relief triggered by a predictive cue leads to more enhanced analgesia than does passive expectancy...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/j.pain.2011.10.024

    authors: Nakamura Y,Donaldson GW,Kuhn R,Bradshaw DH,Jacobson RC,Chapman RC

    更新日期:2012-01-01 00:00:00

  • Cocaine and morphine interaction in acute and chronic cancer pain.

    abstract::An evaluation of the analgesic, mood and side effects of the combination of intramuscular morphine and oral cocaine was conducted in 17 patients with postoperative pain and 19 others with chronic malignant pain for the purpose of assessing the therapeutic merits of so-called 'euphoriant' elixirs in the management of p...

    journal_title:Pain

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/0304-3959(87)90004-2

    authors: Kaiko RF,Kanner R,Foley KM,Wallenstein SL,Canel AM,Rogers AG,Houde RW

    更新日期:1987-10-01 00:00:00

  • An association between phantom limb sensations and stump skin conductance during transcutaneous electrical nerve stimulation (TENS) applied to the contralateral leg: a case study.

    abstract::This report describes a placebo-controlled study of transcutaneous electrical nerve stimulation (TENS) applied to the contralateral lower leg and outer ears of an amputee with non-painful phantom sensations. The subject received TENS or placebo stimulation on separate sessions in which baseline periods of no stimulati...

    journal_title:Pain

    pub_type: 临床试验,杂志文章

    doi:10.1016/0304-3959(89)90098-5

    authors: Katz J,France C,Melzack R

    更新日期:1989-03-01 00:00:00

  • Early changes in somatosensory function in spinal pain: a systematic review and meta-analysis.

    abstract::Alterations in sensory processing have been demonstrated in chronic low back and neck pain. However, it has not been yet systematically summarized how early these changes occur in spinal pain. This systematic review examines the available literature measuring somatosensory function in acute (<6 weeks) and subacute (6-...

    journal_title:Pain

    pub_type: 杂志文章,meta分析,评审

    doi:10.1097/01.j.pain.0000460300.10583.f6

    authors: Marcuzzi A,Dean CM,Wrigley PJ,Hush JM

    更新日期:2015-02-01 00:00:00

  • Catastrophizing, pain, and functional outcomes for children with chronic pain: a meta-analytic review.

    abstract::Pediatric chronic pain is associated with numerous negative outcomes including increased physical disability, increased rates of depression and anxiety, and decreased quality of life (QOL). Pain catastrophizing-broadly conceptualized as including rumination, magnification, and helplessness cognitions surrounding one's...

    journal_title:Pain

    pub_type: 杂志文章,meta分析,评审

    doi:10.1097/j.pain.0000000000001342

    authors: Miller MM,Meints SM,Hirsh AT

    更新日期:2018-12-01 00:00:00

  • Development of motor system dysfunction following whiplash injury.

    abstract::Dysfunction in the motor system is a feature of persistent whiplash associated disorders. Little is known about motor dysfunction in the early stages following injury and of its progress in those persons who recover and those who develop persistent symptoms. This study measured prospectively, motor system function (ce...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/s0304-3959(02)00420-7

    authors: Sterling M,Jull G,Vicenzino B,Kenardy J,Darnell R

    更新日期:2003-05-01 00:00:00

  • Selective regulation of 3 alpha-hydroxysteroid oxido-reductase expression in dorsal root ganglion neurons: a possible mechanism to cope with peripheral nerve injury-induced chronic pain.

    abstract::The enzyme 3alpha-hydroxysteroid oxido-reductase (3alpha-HSOR) catalyzes the synthesis and bioavailability of 3alpha,5alpha-neurosteroids as allopregnanolone (3alpha,5alpha-THP) which activates GABA(A) receptors and blocks T-type calcium channels involved in pain mechanisms. Here, we used a multidisciplinary approach ...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/j.pain.2010.06.004

    authors: Patte-Mensah C,Meyer L,Schaeffer V,Mensah-Nyagan AG

    更新日期:2010-09-01 00:00:00

  • The effects of myofascial trigger point injections are naloxone reversible.

    abstract::Ten patients with myofascial trigger point pain were entered into a double-blind cross-over study of the reversibility of myofascial trigger point injection (TPI) effects with naloxone versus placebo in order to test the hypothesis that the benefits of TPI are mediated, at least in part, through activation of an endog...

    journal_title:Pain

    pub_type: 临床试验,杂志文章

    doi:10.1016/0304-3959(88)90018-8

    authors: Fine PG,Milano R,Hare BD

    更新日期:1988-01-01 00:00:00

  • The roles of NMDA receptor activation and nucleus reticularis gigantocellularis in the time-dependent changes in descending inhibition after inflammation.

    abstract::Previous studies indicate that descending modulation of nociception is progressively increased following persistent inflammation. The present study was designed to further examine the role of supraspinal neurons in descending modulation following persistent inflammation. Constant levels of paw withdrawal (PW) and tail...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1016/s0304-3959(02)00017-9

    authors: Terayama R,Dubner R,Ren K

    更新日期:2002-05-01 00:00:00

  • The analgesic effects of caffeine in headache.

    abstract::Caffeine is frequently added to mild analgesic preparations but its effect when used alone on pain has never been studied in humans. Using a double-blind placebo-controlled multiple crossover design, 53 patients with non-migrainous headaches were given placebo, acetaminophen, 2 doses of caffeine and 2 combinations of ...

    journal_title:Pain

    pub_type: 临床试验,杂志文章

    doi:10.1016/0304-3959(91)90129-L

    authors: Ward N,Whitney C,Avery D,Dunner D

    更新日期:1991-02-01 00:00:00

  • Post-trauma ratings of pre-collision pain and psychological distress predict poor outcome following acute whiplash trauma: a 12-month follow-up study.

    abstract::Patients with acute whiplash trauma were followed to examine if post-trauma ratings of pre-collision pain and psychological distress were associated with reduced work capability and neck pain at 12 months follow-up. The study included 740 consecutive patients (474 females, 266 males) referred from emergency department...

    journal_title:Pain

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.pain.2008.04.008

    authors: Carstensen TBW,Frostholm L,Oernboel E,Kongsted A,Kasch H,Jensen TS,Fink P

    更新日期:2008-10-15 00:00:00

  • Pain quality descriptors in community-dwelling older adults with nonmalignant pain.

    abstract::This study aimed to characterize the prevalence of various pain qualities in older adults with chronic nonmalignant pain and determine the association of pain quality to other pain characteristics namely: severity, interference, distribution, and pain-associated conditions. In the population-based MOBILIZE Boston Stud...

    journal_title:Pain

    pub_type: 杂志文章

    doi:10.1097/j.pain.0000000000000719

    authors: Thakral M,Shi L,Foust JB,Patel KV,Shmerling RH,Bean JF,Leveille SG

    更新日期:2016-12-01 00:00:00