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Psych Congress  

Beneficial Outcomes of a Behavioral Multidisciplinary Pain Treatment Program Using Acceptance and Commitment Therapy, Yoga, Mindfulness, and Didactic Teaching

Authors  
Janice Veenhuizen, MD, FRCPC; Rakesh Jain, MD, MPH; Deb Lamp, LPC
Sponsor  
Mid-Valley Pain Clinic

This poster was presented at the 30th annual  Psych Congress, held Sept. 16-19, 2017, in New Orleans, Louisiana.

OBJECTIVE: To examine outcomes of a multi-disciplinary behavioral pain treatment program that includes Acceptance and Commitment Therapy (ACT), yoga, mindfulness, and didactics on chronic pain.

METHODS: Consecutive groups of adult participants in a 10-week multidisciplinary behavioral chronic pain treatment program were followed for 2 years. The program includes an introduction, assessment by a licensed mental health professional, and a 10-week 3-hours per week group program consisting of ACT, yoga, mindfulness, and didactic teaching on chronic pain. For participants that completed the program pre and post data was recorded using PHQ-9, Fear of Movement, and Brief Pain Inventory scales. Smoking status was noted at pre and post program for the 129 participants that were self-identified smokers. The pre-post data was analyzed utilizing StatPlus statistical analysis software.

RESULTS: PHQ-9, a measure of depression severity, decreased by 25% from a baseline of 13.93 to 10.96 (p<0.0001). Smokers decreased the number of cigarettes per day from a mean of 12.45 to 9.67 representing a 22% decrease in smoking (p<0.0001). This outcome occurred despite the minimal attention paid to smoking during the sessions other than education that smoking may increase pain. Kinesiophobia, which is correlated with chronic pain, was measured using a Fear of Movement scale, and improved from a mean of 45.07 to 40.90 a 9% statistically significant change (p<0.0004). Measures of pain interference with quality of life including sleep, relationships, normal work, enjoyment of life, walking ability, mood, and general activity noted in the Brief Pain Inventory were all significantly improved by a range of 19-26% (p<0.0001).

CONCLUSION: A behavioral multidisciplinary program to treat chronic pain was effective in reducing depression, improving quality of life, decreasing kinesiophobia and decreasing smoking. Clinicians and insurance providers should consider this type of program for patients with chronic pain.

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