Browsing by Subject "Pain -- Treatment -- Patients -- Psychology"
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Item Outpatient compliance with the various aspects of a multidisciplinary chronic pain management program(Texas Tech University, 2000-08) Vanecek, Robert JosephThe current study sought to differentiate patients who were compliant with 4 aspects of treatment (invasive medical, management of medications, psychotherapy, and physical therapy) offered at a multidisciplinary pain clinic from those who were not. Participants included 100 residents of West Texas who were treated on an outpatient basis Results indicated that participants were less willing to consider psychotherapy relative to other forms of treatment and that the initial sessions of psychotherapy and physical therapy were attended less often than appointments for medical interventions More persons arrived for office visits to receive prescriptions than arrived for invasive procedures. Discriminant function analyses (DFAs) indicated that being older, more educated and rating oneself as more willing to consider psychotherapy predicted initial compliance with psychotherapy. Compliant patients were less likely to be Caucasian than noncompliant patients Patients who were initially compliant with physical therapy had rated themselves as less disabled and were more likely to be African American. Self-rated willingness was positively related to initial compliance with invasive procedures Patients who attended initial office visits were younger, had higher premorbid income and had rated themselves as more willing to consider the use of medications DFAs were conducted to separate persons who continued beyond an initial session from those who did not No variable predicted continued compliance with psychotherapy Being older, more angry, having higher premorbid income and rating self as more disabled predicted continued compliance with physical therapy Education was positively related to continued invasive procedures beyond the first Medicaid insurance type was more in common among patients returning for office visits The results suggest that patients do not fully endorse the idea of multidisciplinary care and suggest that compliance must be studied independently for each form of intervention offered