Article

PURPOSE: To measure the effect of 4 weeks traditional multidisciplinary pain
management program (TMP) versus neuroscience education and mindfulness-based
cognitive therapy (NEM) on quality of life (HRQL) among women with chronic pain.
METHOD: This observational longitudinal cohort study conducted in an Icelandic
rehabilitation centre included 122 women who received TMP, 90 receiving NEM, and
57 waiting list controls. Pain intensity (visual analogue scale) and HRQL
(Icelandic Quality of Life scale) were measured before and after interventions.
ANOVA and linear regression were used for comparisons. RESULTS: Compared with
controls we observed statistically significant changes in pain intensity (p <
0.001) and HRQL (p < 0.001) among women receiving both interventions, while NEM
participants reported significant improvements in sleep (8.0 versus 4.4 in TMP; p
= 0.008). Head to head comparison between study groups revealed that pain
intensity improved more among TMP participants (21.8 versus 17.2 mm; p = 0.013
adjusted). Women with low HRQL at baseline improved more than those with higher
HRQL (mean TMP = 13.4; NEM = 12.9 if HRQL </= 35 versus mean TMP = 6.6 and NEM =
7.8 if HQRL > 35). CONCLUSIONS: Our non-randomized study suggests that both NEM
and TMP programs improve pain and HRQL among women with chronic pain. Sleep
quality showed more improvements in NEM while pain intensity in TMP. Longer-term
follow-ups are needed to address whether improvements sustain. Implications for
Rehabilitation Chronic pain is a debilitating condition affecting quality of life
and restricting societal participation. Intensive multidisciplinary
bio-psycho-social rehabilitation is essential for this patient group. This study
shows improvement in health-related quality of life and pain intensity following
such rehabilitation. Emphasizing mindfulness based cognitive therapy and
neuroscience patient education improves sleep to more extend than more
traditional approach.

Langue : ANGLAIS