Interdisziplinäre multimodale stationäre Schmerztherapie für junge Erwachsene

Schenk, Sabrina; Grothus, Susanne; Genent, Dunja; Selent, Felix; Zernikow, Boris; Wager, Julia

doi:10.1007/s00482-019-00417-0

Cited by 3 publications

(1 citation statement)

References 28 publications

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“…Approximately twenty years ago, core outcome domains for chronic pain trials were recommended, including pain, physical impairment and emotional distress [ 6 ]. In more recent data on chronic pain, trials have incorporated such different outcomes to underscore the treatment effects of multimodal interventions [ 24 , 25 , 26 ]. When pain intensity (NRS) may not reflect the overall treatment effect, differentiating changes in different trajectories of pain is not only a scientific aspect, but also a clinical need.…”

Section: Discussionmentioning

confidence: 99%

Influence of Cannabinoid Treatment on Trajectories of Patient-Related Outcomes in Chronic Pain: Pain Intensity, Emotional Distress, Tolerability and Physical Disability

et al. 2023

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The treatment of chronic pain with cannabinoids is becoming more widespread and popular among patients. However, studies show that only a few patients experience any benefit from this treatment. It also remains unclear which domains are affected by cannabinoid treatment. Therefore, the present study is novel in that it explores the effects of cannabinoid treatment on four patient-related outcome measures (PROMs), and includes patients with chronic refractory pain conditions who have been given the option of cannabinoid treatment. A retrospective design was used to evaluate the impact of cannabinoid treatment on patients with refractory pain in two German outpatient pain clinics. The present study shows that pain intensity (mean relative reduction (−14.9 ± 22.6%), emotional distress (−9.2 ± 43.5%), pain-associated disability (−7.0 ± 46.5%) and tolerability of pain (−11 ± 23.4%)) improved with cannabinoid treatment. Interestingly, the trajectories of the PROMs seemed to differ between patients, with only 30% of patients responding with respect to pain intensity, but showing improvements in other PROMs. Although the mean treatment effects remained limited, the cumulative magnitude of change in all dimensions may affect patients’ quality of life. In summary, a singular evaluation with pain intensity as the sole outcome does not cover the multidimensional effects of cannabinoids. Therefore, the treatment effects of cannabinoids should be evaluated with different PROMs.

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Section: Discussionmentioning

confidence: 99%

Influence of Cannabinoid Treatment on Trajectories of Patient-Related Outcomes in Chronic Pain: Pain Intensity, Emotional Distress, Tolerability and Physical Disability

et al. 2023

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Spezifische Therapiebedürfnisse junger Erwachsener mit chronischen Schmerzen

Schenk

Genent

Hartenstein-Pinter

et al. 2022

Schmerz

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Evaluation of an App-Supported Intensive Interdisciplinary Treatment for Young People with Chronic Pain: A Mixed-Methods Study

Genent,

Schenk,

Hartenstein-Pinter

et al. 2024

Sci

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Chronic pain in the vulnerable phase of emerging adulthood is associated with severe life impairments. The current healthcare system has no suitable treatments for young people. A new multimodal inpatient and app-supported treatment for young people with chronic pain counteracts this. The study examines the effectiveness of this new treatment. Our mixed-methods design combined qualitative and quantitative evaluations. The sample comprised N = 44 patients (18–25 years) who took part in the new treatment. The quantitative data showed a reduced degree of pain severity, pain-related and emotional impairments, and an improved quality of life. The qualitative data showed that several components of the new treatment were particularly important to the young adults: individuality and taking the patient seriously, group therapy with peers, individual therapies (psychological, medical), life counselling, and sports. Results support the individual and objective success of a new inpatient pain treatment applied during emerging adulthood.

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Interdisziplinäre multimodale stationäre Schmerztherapie für junge Erwachsene

Cited by 3 publications

References 28 publications

Influence of Cannabinoid Treatment on Trajectories of Patient-Related Outcomes in Chronic Pain: Pain Intensity, Emotional Distress, Tolerability and Physical Disability

Influence of Cannabinoid Treatment on Trajectories of Patient-Related Outcomes in Chronic Pain: Pain Intensity, Emotional Distress, Tolerability and Physical Disability

Spezifische Therapiebedürfnisse junger Erwachsener mit chronischen Schmerzen

Evaluation of an App-Supported Intensive Interdisciplinary Treatment for Young People with Chronic Pain: A Mixed-Methods Study

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