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Published (Version of record)CC BY V4.0, Open Access
Published (Version of record)CC BY V4.0, Open
Journal article
Integrative medicine for chronic pain: A cohort study using a process-outcome design in the context of a department for internal and integrative medicine
Medicine (Philadelphia), Vol.95(27), pp.1-7
07/2016
PMCID: PMC5058862
PMID: 27399133
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Source: InCites
Abstract
Integrative medicine inpatient treatment has been shown to improve physical and mental health in patients with internal medicine conditions. The aim of this study was to investigate the effectiveness of a 2-week integrative medicine inpatient treatment in patients with chronic pain syndromes and the association of treatment success with patient-related process variables.
Inpatients with chronic pain syndromes participating in a 2-week integrative medicine inpatient program were included. Patients' pain intensity, pain disability, pain perception, quality of life, depression, and perceived stress were measured on admission, discharge, and 6 months after discharge. Likewise process variables including ability and will to change, emotional/rational disease acceptance, mindfulness, life and health satisfaction, and easiness of life were assessed.
A total of 310 inpatients (91% female, mean age 50.7 ± 12.4 year, 26.5% low back pain, and 22.9% fibromyalgia) were included. Using mixed linear models, significant improvements in pain intensity, pain disability, pain perception, quality of life, depression, and perceived stress were found (all P < 0.05). Ability to change and implementation, disease acceptance, mindfulness, life and health satisfaction, and light heartedness/easiness likewise improved (all P < 0.05). Improved outcomes were associated with increases in process variables, mainly ability to change and implementation, disease acceptance, life and health satisfaction, and light heartedness/easiness (R = 0.03-0.40).
Results of this study suggest that a 2-week integrative medicine inpatient treatment can benefit patients with chronic pain conditions. Functional improvements are associated with improved ability to change and implementation, disease acceptance, and satisfaction.
Details
- Title
- Integrative medicine for chronic pain: A cohort study using a process-outcome design in the context of a department for internal and integrative medicine
- Creators
- Felix J Saha - University of Duisburg-EssenAlexander Brüning - University of Duisburg-EssenCyrus Barcelona - University of Duisburg-EssenArndt Büssing - Witten/Herdecke UniversityJost Langhorst - University of Duisburg-EssenGustav Dobos - University of Duisburg-EssenRomy Lauche - University of Duisburg-EssenHolger Cramer - University of Duisburg-Essen
- Publication Details
- Medicine (Philadelphia), Vol.95(27), pp.1-7
- Publisher
- Wolters Kluwer Health
- Identifiers
- 991013035754502368
- Copyright
- Copyright © 2016 the Author(s). Published by Wolters Kluwer Health, Inc. All rights reserved. This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
- Academic Unit
- Faculty of Health; National Centre for Naturopathic Medicine
- Language
- English
- Resource Type
- Journal article