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Pain Research and Management
Volume 2018, Article ID 9472104, 7 pages
https://doi.org/10.1155/2018/9472104
Research Article

Long-Term Outcomes of a Multimodal Day-Clinic Treatment for Chronic Pain under the Conditions of Routine Care

1Georg-Elias-Müller Institute for Psychology, Georg-August University Göttingen, Göttingen, Lower Saxony, Germany
2Institute for Psychology, Regensburg University, Regensburg, Germany
3Hospital Barmherzige Brüder, Regensburg, Germany
4Department for Psychotherapy and Biopsychosocial Health, Danube University Krems, Krems, Austria

Correspondence should be addressed to Thomas Probst; ta.ca.inu-uanod@tsborp.samoht

Received 12 December 2017; Revised 21 February 2018; Accepted 6 March 2018; Published 1 April 2018

Academic Editor: Fletcher A. White

Copyright © 2018 Mira A. Preis et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Chronic pain has high prevalence rates and is one of the top causes of years lived with disability. The aim of the present study was to evaluate the long-term effects of a multimodal day-clinic treatment for chronic pain. The sample included 183 chronic pain patients (114 females and 69 males; 53.3 ± 9.8 years) who participated in a four-week multimodal day-clinic treatment for chronic pain. The patients’ average current pain intensity (NRS), sensory and affective pain (Pain Perception Scale), and depression and anxiety (HADS) were assessed at pre- and posttreatment, as well as at three follow-ups (one month, six months, and twelve months after completion of the treatment). Multilevel models for discontinuous change were performed to evaluate the change of the outcome variables. Improvements from pretreatment to posttreatment and from pretreatment to all follow-ups emerged for pain intensity (NRS; 0.54 ≤ d ≤ 0.74), affective pain (Pain Perception Scale; 0.24 ≤ d ≤ 0.47), depression (HADS; 0.38 ≤ d ≤ 0.53), and anxiety (HADS; 0.26 ≤ d ≤ 0.43) (all ). Sensory pain as assessed with the Pain Perception Scale did not show any significant change. Patients suffering from chronic pain benefited from the multimodal pain treatment up to twelve months after completion of the treatment.