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Long-term outcomes of a multi-disciplinary cognitive behavioural programme for coping with chronic neuropathic spinal cord injury pain

OBJECTIVE: To explore the long-term outcomes of CONECSI (COping with NEuropathiC
Spinal cord Injury pain), a multidisciplinary cognitive behavioural treatment
programme in persons with spinal cord injury.
DESIGN: Long-term follow-up
pre-post-intervention design. SUBJECTS: A total of 29 subjects with a spinal cord
injury and chronic neuropathic pain from 4 Dutch rehabilitation centres. METHODS:
Primary outcomes were pain intensity and pain-related disability (Chronic Pain
Grade questionnaire). Secondary outcomes were mood (Hospital Anxiety and
Depression Scale), participation in activities (Utrecht Activities List), and
life satisfaction (Life Satisfaction Questionnaire). Random coefficient analysis
was used for the analyses of measurements before (t1), immediate
post-intervention (t2), and 6 (t3), 9 (t4), and 12 (t5) months follow-up.
RESULTS: The analyses showed significant improvements on pain intensity (t1-t2
and t1-t5) and pain-related disability (t1-t2, t1-t4, and t1-t5), anxiety and
participation in activities (t1-t2, t1-t3, and t1-t5).
CONCLUSION: This
exploratory study suggests that a multidisciplinary cognitive behavioural
programme might have lasting improvements on pain intensity, pain-related
disability, anxiety, and participation in activities in people with chronic
neuropathic spinal cord injury pain and highlights the potential of such
programmes.
- Douleurs chroniques - Douleurs neuropathiques - Thérapie cognitivocomportementale - Thérapie cognitive

Langue : ANGLAIS

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