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- Document type:
- Journal Article; Article
- Author(s):
- Pieh, Christoph; Neumeier, Susanne; Loew, Thomas; Altmeppen, Jürgen; Angerer, Michael; Busch, Volker; Lahmann, Claas
- Title:
- Effectiveness of a multimodal treatment program for somatoform pain disorder.
- Abstract:
- Chronic pain conditions are highly prevalent, with somatoform pain disorder accounting for a large proportion. However, the psychological forms of treatment currently used achieve only small to medium effect sizes. This retrospective study investigated the effectiveness of a 5-week multimodal pain program for patients with somatoform pain disorder. The diagnosis of somatoform pain disorder was confirmed by a specialist for anesthesiology and pain management and a specialist for psychosomatic medicine. Therapy outcome was evaluated with a Numeric Rating Scale (NRS), the Pain Disability Index (PDI), and the Pain Perception Scale. Within the study sample (n = 100), all parameters showed a significant and clinically relevant improvement at the end of therapy (P values < 0.001). The highest effect sizes (d) were found for reduction in average pain rating (NRS: d = 1.00) and the affective items of the Pain Perception Scale (SES-A: d = 0.07). The lowest effect sizes were found for improvement of pain-related disabilities (PDI: d = 0.42) and sensory items of the Pain Perception Scale (SES-S: d = 0.50). Despite high chronification of pain condition, with average pain duration of greater than 8 years, the multimodal treatment program showed medium to large effect sizes on the outcome of patients with somatoform pain disorder. Compared with previous data with small to moderate effect sizes, a multimodal program seems to be more effective than other interventions to address somatoform pain disorder.
- Journal title abbreviation:
- Pain Pract
- Year:
- 2014
- Journal volume:
- 14
- Journal issue:
- 3
- Pages contribution:
- E146-51
- Language:
- eng
- Fulltext / DOI:
- doi:10.1111/papr.12144
- Pubmed ID:
- http://view.ncbi.nlm.nih.gov/pubmed/24305036
- Print-ISSN:
- 1530-7085
- TUM Institution:
- Klinik und Poliklinik für Psychosomatische Medizin und Psychotherapie
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