ABSTRACT
ABSTRACT: Anxiety and depression are often symptoms present in people who suffer from chronic pain, compromising the quality of life of these individuals. The objective of this study was to assess whether a pulsed radiofrequency (PRF) treatment, in addition to psychological support intervention, can decrease chronic pain, thereby improving quality of life and restoring psychological well-being.Fifty outpatients with a diagnosis of chronic pain, without any benefit from traditional drug therapies, were selected to perform a PRF treatment in combination with a psychological intervention. They were evaluated before and after the intervention through the Hamilton Anxiety Rating Scale and the Beck Depression Inventory-II for anxiety and depression symptomatology, respectively, the Short Form Health Survey 36 (SF-36) was used to assess the subject's quality of life, and the Numerical Rating Scale was used for pain assessment.The Wilcoxon signed-rank test showed a significant difference in Beck Depression Inventory-II (Pâ<â.001), Hamilton Anxiety Rating Scale (Pâ<â.01), and Numerical Rating Scale (P = .004). In the SF-36 scores, we observed a significant difference between T0 and T1 in both mental (Pâ<â.001) and physical (Pâ<â.001) dimensions.This study shows that a chronic pain reduction leads to a decrease of anxiety-depressive symptoms and an improvement in quality of life. PRF seems to be an appropriate method to reduce the chronic pain that influences psychological well-being and quality of life.
Subject(s)
Chronic Pain/therapy , Cognitive Behavioral Therapy/methods , Pulsed Radiofrequency Treatment/methods , Quality of Life , Aged , Ambulatory Care/methods , Anxiety/diagnosis , Anxiety/etiology , Anxiety/prevention & control , Chronic Pain/complications , Chronic Pain/diagnosis , Chronic Pain/psychology , Combined Modality Therapy/methods , Depression/diagnosis , Depression/prevention & control , Depression/psychology , Female , Humans , Male , Middle Aged , Pain Measurement , Psychometrics/statistics & numerical data , Retrospective Studies , Self Report/statistics & numerical data , Treatment OutcomeABSTRACT
Chronic pain can have a devastating impact and lead to patient isolation. Many people with chronic pain are predisposed to anxiety-depressant symptoms, due to a lower quality life. The aim of the study is to demonstrate how neuromodulation methods, can encourage the reduction of chronic pain and an improvement in the quality of life, therefore advancing the restoration of psychological well-being.We involved 50 patients with a diagnosis of pain that not respond to traditional pharmacological therapies. Interventions: All subject had depression and anxiety symptoms and a low-quality life. We used the spinal cord stimulation treatment and a psychological evaluation for assessment of depression-anxiety symptomatology and the level of quality life.We observed a significant difference in physical functioning, role limitations due to physical health, general health perceptions, vitality, social functioning, role limitations due to emotional problems and mental health.Our study affirms that the perception of chronic pain has a great impact on the perception of psychological well-being, quality of life, and the performance of normal daily social and professional activities.
Subject(s)
Chronic Pain/psychology , Chronic Pain/therapy , Spinal Cord Stimulation/methods , Female , Humans , Male , Pain Measurement , Quality of Life/psychologyABSTRACT
Pain has a major impact on anxiety and depression levels. The aim of this study is to demonstrate how these symptoms (depression and anxiety) could positively influence the perception of pain after neurostimulation system implantation.We enrolled 100 patients and divided in 2 different groups, by using tests screening such as Beck Depression Inventory (BDI), Hamilton Anxiety Rating Scale (HAM-A), Nursing Rating Scale (NRS): the group with spinal cord stimulation (SCS) and the group with pulsed spinal cord radiofrequency (RFP).We highlighted a significant decrease of scores (BDI, HAM-A, NRS) in each group between T0 (baseline) and T1. Moreover, the intra-group analysis showed a positive significant correlation between NRS and depressive and anxiety symptoms.We assert that the use of alternative methods (SCS and RFP) to the traditional pharmaceutical-surgical treatments, provide the reduction of the algic and anxiety-depressant symptoms, restoring also the perception of psychological well-being.
Subject(s)
Anxiety/psychology , Chronic Pain/psychology , Chronic Pain/therapy , Depression/psychology , Pulsed Radiofrequency Treatment/psychology , Spinal Cord Stimulation/psychology , Aged , Aged, 80 and over , Female , Humans , Male , Middle Aged , Pain Measurement , Psychiatric Status Rating Scales , Pulsed Radiofrequency Treatment/methods , Spinal Cord Stimulation/methodsABSTRACT
OBJECTIVE: Multiple sclerosis is a neurological disorder-may in some patients have impact on body image; this could contribute to neurological disability, psychological distress, and can reduce quality of life. This review has been conducted on studies investigating the representation of body image. METHOD: We have researched PubMed and Web of Science databases and included screening references for studies and review articles about this topic. From the initial 316 publications, we included only 9 studies that met the search criteria. RESULT AND CONCLUSION: The results showed that this construct has been little emphasized over time and has a significant impact on the patient.
