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Publication Detail
Efficacy of an out-patient pain management programme for people with joint hypermobility syndrome.
  • Publication Type:
    Journal article
  • Publication Sub Type:
    Journal Article
  • Authors:
    Rahman A, Daniel C, Grahame R
  • Publication date:
    11/2014
  • Pagination:
    1665, 1669
  • Journal:
    Clin Rheumatol
  • Volume:
    33
  • Issue:
    11
  • Status:
    Published
  • Country:
    Germany
  • Language:
    eng
  • Keywords:
    Adult, Anxiety, Catastrophization, Cognitive Behavioral Therapy, Depression, Female, Frustration, Humans, Joint Instability, Male, Musculoskeletal Pain, Outpatients, Pain Management, Self Efficacy, Treatment Outcome
Abstract
Joint hypermobility syndrome (JHS) is common in patients presenting to rheumatologists and can cause a range of symptoms leading to physical and psychological distress. Chronic musculoskeletal pain in patients with JHS often responds poorly to analgesics, and a pain management approach may be helpful. Since patients with JHS often have beliefs and experiences different to those of other chronic pain patients, they could fare better in JHS-specific programmes. Here, we report on the outcomes of patients in a JHS cognitive behavioural pain management programme. Patients fulfilling the Brighton criteria for JHS, who had suffered pain for at least 3 months, were assessed by a psychologist and physiotherapist for suitability for this programme. Those accepted took part in a programme of 8 days spread over 6 weeks, delivered by a multidisciplinary team and incorporating a cognitive behavioural approach. Outcomes were assessed at baseline, 1- and 5-month post-programme using validated outcome measures. Outcome measures at baseline and 1-month were available for 87 patients (96 % female, mean age 35 years). There were significant improvements in self-efficacy, pain catastrophising, depression, anxiety, frustration, impact of pain and average pain intensity (all P < 0.001). Although by 5 months all these outcomes had regressed towards pre-programme levels there remained significant improvements compared to baseline in all except average pain intensity. This open study shows that patients with JHS experienced significant benefits after attending a JHS-specific pain management programme, which were still evident 5 months later. Longer-term controlled studies are required.
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