PMID- 35787196
OWN - NLM
STAT- MEDLINE
DCOM- 20230922
LR  - 20230922
IS  - 1745-9206 (Electronic)
IS  - 1742-3953 (Linking)
VI  - 19
IP  - 3
DP  - 2023 Sep
TI  - Personality disorders and outcome after multidisciplinary pain therapy.
PG  - 635-645
LID - 10.1177/17423953221110150 [doi]
AB  - OBJECTIVES: Interdisciplinary treatment programmes are the gold standard for 
      patients suffering from chronic pain. However, several patient-related factors 
      seem to influence the patients' outcome. The aim of our study was to inquire 
      whether patients with personality disorders (PD) might benefit less from an 
      interdisciplinary treatment programme compared to patients without PD. METHODS: A 
      prospective, observational study with chronic pain patients attending a 5-week 
      interdisciplinary treatment programme was performed. Main outcome parameters were 
      psychological stabilization and pain intensity before and after the programme. 
      RESULTS: Out of the 104 included patients, 71 (68.3%) showed personality 
      accentuations and 16 (15.4%) were diagnosed with PDs. PDs were mostly classified 
      as histrionic, followed by borderline and narcistic personality. Patients 
      diagnosed with histrionic accentuation showed a significantly better treatment 
      response in terms of pain. Reduction in ADS (Allgemeine Depressionsskala - 
      depression scale) was 3.4 in patients with PD and 11.1 in those without PD. 
      Borderline patients showed a significant increase of ADS (by 2.0; p < 0.05) after 
      programme completion. DISCUSSION: Patients with chronic pain and personality 
      accentuations or disorder only showed a slightly different outcome after 
      interdisciplinary treatment programme and should therefore not be excluded from 
      these programmes. Registered at German Clinical Trials Register (DRKS-ID: 
      DRKS00015141).
FAU - Heyn, Jens
AU  - Heyn J
AD  - Department of Anesthesiology, Ludwig-Maximilians-University, Munich, Germany.
FAU - Uenze, Birgit
AU  - Uenze B
AD  - Interdisciplinary Pain Centre, Klinikum Landsberg am Lech, Germany.
FAU - Christoph, Ricarda
AU  - Christoph R
AD  - Interdisciplinary Pain Centre, Klinikum Landsberg am Lech, Germany.
FAU - Baumann, Nanette
AU  - Baumann N
AD  - Interdisciplinary Pain Centre, Klinikum Landsberg am Lech, Germany.
FAU - Kiesewetter, Isabel
AU  - Kiesewetter I
AD  - Department of Anesthesiology, Ludwig-Maximilians-University, Munich, Germany.
FAU - Mihatsch, Lorenz
AU  - Mihatsch L
AD  - Technical University of Munich, Germany; TUM School of Medicine, Germany.
AD  - Institute for Medical Information Processing, Biometry and Epidemiology, 
      Ludwig-Maximilians-University Munich, Germany.
FAU - Luchting, Benjamin
AU  - Luchting B
AUID- ORCID: 0000-0002-8919-9874
AD  - Department of Pain Medicine, Munich Hospital Schwabing, Germany.
LA  - eng
SI  - DRKS/DRKS00015141
PT  - Journal Article
PT  - Observational Study
DEP - 20220705
PL  - United States
TA  - Chronic Illn
JT  - Chronic illness
JID - 101253019
SB  - IM
MH  - Humans
MH  - *Chronic Pain/therapy
MH  - Prospective Studies
MH  - Personality Disorders/complications/therapy/diagnosis
OTO - NOTNLM
OT  - Chronic pain
OT  - interdisciplinary treatment programme
OT  - outcome after therapy
OT  - psychological attenuation
OT  - psychological disorders
EDAT- 2022/07/06 06:00
MHDA- 2023/09/22 06:42
CRDT- 2022/07/05 17:13
PHST- 2023/09/22 06:42 [medline]
PHST- 2022/07/06 06:00 [pubmed]
PHST- 2022/07/05 17:13 [entrez]
AID - 10.1177/17423953221110150 [doi]
PST - ppublish
SO  - Chronic Illn. 2023 Sep;19(3):635-645. doi: 10.1177/17423953221110150. Epub 2022 
      Jul 5.