[Interdisciplinary multimodal inpatient pain treatment for young adults : Influence of autonomy on effectiveness].

Interdisziplinäre multimodale stationäre Schmerztherapie für junge Erwachsene : Einfluss der Autonomie auf die Effektivität.

Journal

Schmerz (Berlin, Germany)
ISSN: 1432-2129
Titre abrégé: Schmerz
Pays: Germany
ID NLM: 8906258

Informations de publication

Date de publication:
Feb 2020
Historique:
pubmed: 25 9 2019
medline: 25 2 2020
entrez: 25 9 2019
Statut: ppublish

Résumé

Emerging adulthood between the ages of 18 and 25 are vulnerable years that offer many opportunities and simultaneously represent huge challenges for autonomy and identity development. Chronic pain in this vulnerable stage of life is associated with long-term negative consequences. So far, knowledge regarding the effectiveness of treatment offers for this patient group is scarce. The aim of this study is to examine the effectiveness of a multimodal inpatient pain therapy for young adults with chronic pain. In addition, the change and influence of the autonomy development will be investigated. The present longitudinal study examined the effectiveness of a 3-week multimodal inpatient pain treatment in young adults with chronic pain. Three-month follow-up data from 74 patients aged 18-25 years (75.7% female) were included in the study. Standardized questionnaires were used to investigate pain characteristics, pain-associated and emotional impairments quality of life, and various facets of autonomy. The results show that pain-related and emotional impairments are significantly reduced after therapy. Furthermore, there is a significant improvement in the quality of life and resilience. The increased quality of life and reduced pain-related and emotional impairment are associated with a gain of autonomy convictions. Multimodal inpatient pain treatment seems to be effective during emerging adulthood. Autonomy convictions seem to be an important starting point for therapeutic success and have a modulating importance in terms of positive changes in emotional impairment and quality of live. Therefore, this aspect should be considered when pain treatment offers are developed for this age group.

Sections du résumé

BACKGROUND BACKGROUND
Emerging adulthood between the ages of 18 and 25 are vulnerable years that offer many opportunities and simultaneously represent huge challenges for autonomy and identity development. Chronic pain in this vulnerable stage of life is associated with long-term negative consequences. So far, knowledge regarding the effectiveness of treatment offers for this patient group is scarce.
OBJECTIVE OBJECTIVE
The aim of this study is to examine the effectiveness of a multimodal inpatient pain therapy for young adults with chronic pain. In addition, the change and influence of the autonomy development will be investigated.
MATERIALS AND METHODS METHODS
The present longitudinal study examined the effectiveness of a 3-week multimodal inpatient pain treatment in young adults with chronic pain. Three-month follow-up data from 74 patients aged 18-25 years (75.7% female) were included in the study. Standardized questionnaires were used to investigate pain characteristics, pain-associated and emotional impairments quality of life, and various facets of autonomy.
RESULTS RESULTS
The results show that pain-related and emotional impairments are significantly reduced after therapy. Furthermore, there is a significant improvement in the quality of life and resilience. The increased quality of life and reduced pain-related and emotional impairment are associated with a gain of autonomy convictions.
DISCUSSION CONCLUSIONS
Multimodal inpatient pain treatment seems to be effective during emerging adulthood. Autonomy convictions seem to be an important starting point for therapeutic success and have a modulating importance in terms of positive changes in emotional impairment and quality of live. Therefore, this aspect should be considered when pain treatment offers are developed for this age group.

Identifiants

pubmed: 31549245
doi: 10.1007/s00482-019-00417-0
pii: 10.1007/s00482-019-00417-0
doi:

Types de publication

Journal Article

Langues

ger

Sous-ensembles de citation

IM

Pagination

41-51

Références

Pain. 2014 Feb;155(2):292-8
pubmed: 24120460
Pediatrics. 2014 Mar;133(3):e592-600
pubmed: 24567017
Eur J Pain. 2006 May;10(4):287-333
pubmed: 16095934
Clin J Pain. 2013 Jul;29(7):600-12
pubmed: 23328333
Pain. 2012 Aug;153(8):1735-41
pubmed: 22703692
Schmerz. 2014 Oct;28(5):459-72
pubmed: 25216605
Schmerz. 2002 Aug;16(4):263-70
pubmed: 12192435
Br J Pain. 2017 Aug;11(3):108-118
pubmed: 28785407
Qual Health Res. 2009 Jan;19(1):128-39
pubmed: 19029244
Psychol Addict Behav. 2004 Mar;18(1):19-30
pubmed: 15008682
Acta Psychiatr Scand. 2000 Mar;101(3):194-208
pubmed: 10721868
Pain. 2017 Sep;158(9):1629-1632
pubmed: 28267063
Schmerz. 1999 Dec 13;13(6):385-91
pubmed: 12799914
Pain. 1992 Aug;50(2):133-49
pubmed: 1408309
Psychol Aging. 2011 Mar;26(1):21-33
pubmed: 20973600
Dev Psychol. 2006 Mar;42(2):350-65
pubmed: 16569173
Am Psychol. 2000 May;55(5):469-80
pubmed: 10842426
J Adolesc Health. 2008 Nov;43(5):451-8
pubmed: 18848673
Eur J Pain. 2008 Aug;12(6):765-74
pubmed: 18248750
Eur J Pain. 2016 Apr;20(4):564-72
pubmed: 26282058
Schmerz. 2015 Dec;29(6):649-57
pubmed: 26205682
Psychol Bull. 1992 Jul;112(1):155-9
pubmed: 19565683

Auteurs

Sabrina Schenk (S)

Deutsches Kinderschmerzzentrum, Vestische Kinder- und Jugendklinik Datteln, Universität Witten/Herdecke, Dr.-Friedrich-Steiner-Str. 5, 45711, Datteln, Deutschland. S.Schenk@deutsches-kinderschmerzzentrum.de.
Lehrstuhl für Kinderschmerztherapie und Pädiatrische Palliativmedizin, Department für Humanmedizin, Fakultät für Gesundheit, Universität Witten/Herdecke, Witten, Deutschland. S.Schenk@deutsches-kinderschmerzzentrum.de.

Susanne Grothus (S)

Deutsches Kinderschmerzzentrum, Vestische Kinder- und Jugendklinik Datteln, Universität Witten/Herdecke, Dr.-Friedrich-Steiner-Str. 5, 45711, Datteln, Deutschland.
Lehrstuhl für Kinderschmerztherapie und Pädiatrische Palliativmedizin, Department für Humanmedizin, Fakultät für Gesundheit, Universität Witten/Herdecke, Witten, Deutschland.

Dunja Genent (D)

Deutsches Kinderschmerzzentrum, Vestische Kinder- und Jugendklinik Datteln, Universität Witten/Herdecke, Dr.-Friedrich-Steiner-Str. 5, 45711, Datteln, Deutschland.
Lehrstuhl für Kinderschmerztherapie und Pädiatrische Palliativmedizin, Department für Humanmedizin, Fakultät für Gesundheit, Universität Witten/Herdecke, Witten, Deutschland.

Felix Selent (F)

Deutsches Kinderschmerzzentrum, Vestische Kinder- und Jugendklinik Datteln, Universität Witten/Herdecke, Dr.-Friedrich-Steiner-Str. 5, 45711, Datteln, Deutschland.

Boris Zernikow (B)

Deutsches Kinderschmerzzentrum, Vestische Kinder- und Jugendklinik Datteln, Universität Witten/Herdecke, Dr.-Friedrich-Steiner-Str. 5, 45711, Datteln, Deutschland.
Lehrstuhl für Kinderschmerztherapie und Pädiatrische Palliativmedizin, Department für Humanmedizin, Fakultät für Gesundheit, Universität Witten/Herdecke, Witten, Deutschland.

Julia Wager (J)

Deutsches Kinderschmerzzentrum, Vestische Kinder- und Jugendklinik Datteln, Universität Witten/Herdecke, Dr.-Friedrich-Steiner-Str. 5, 45711, Datteln, Deutschland.
Lehrstuhl für Kinderschmerztherapie und Pädiatrische Palliativmedizin, Department für Humanmedizin, Fakultät für Gesundheit, Universität Witten/Herdecke, Witten, Deutschland.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female
Humans United States Aged Cross-Sectional Studies Medicare Part C
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH