東華大學圖書館 |

語系: 繁體中文

說明(常見問題)

回圖書館首頁

手機版館藏查詢

登入

回首頁

切換: 標籤 | MARC模式 | ISBD

A novel multidisciplinary approach t...

Shertzer, Erica L.

FindBook

Google Book

Amazon

博客來

A novel multidisciplinary approach to the treatment of chronic pain.

紀錄類型:	書目-電子資源 : Monograph/item
正題名/作者:	A novel multidisciplinary approach to the treatment of chronic pain./
作者:	Shertzer, Erica L.
面頁冊數:	151 p.
附註:	Source: Dissertation Abstracts International, Volume: 65-04, Section: B, page: 2113.
Contained By:	Dissertation Abstracts International65-04B.
標題:	Psychology, Clinical. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3131102
ISBN:	0496783461

A novel multidisciplinary approach to the treatment of chronic pain.
Shertzer, Erica L.

A novel multidisciplinary approach to the treatment of chronic pain. - 151 p.

Source: Dissertation Abstracts International, Volume: 65-04, Section: B, page: 2113.

Thesis (Ph.D.)--University of Montana, 2004.

A meta-analysis of outcome studies involving multidisciplinary pain treatment centers found that individuals participating in such programs showed substantial improvement in pain intensity, pain behaviors, activity level, and use of medical services when compared to untreated controls (Flor, Fydrich, & Turk, 1992). Two central components of multidisciplinary chronic pain treatment are group cognitive-behavioral psychotherapy and physical therapy/exercise. While each modality addresses and reinforces the other, current treatment models find physical therapists and psychologists working relatively independently. The novel approach to treatment of chronic pain utilized in this study sought to further integrate the roles of the physical therapist and psychologist by extending the role of the psychologist into the exercise room, and by extending the role of the physical therapist to the group psychotherapy room. 18 participants with chronic pain attended four weeks of group psychotherapy/psychoeducation and six weeks of physical therapy/exercise group. Increased collaboration between psychologists and physical therapists was provided for individuals in the experimental condition, while those in the control condition participated in each group without this enhancement. Participants completed measures of anxiety, kinesiophobia, depression, pain intensity, and disability at four-week intervals, muscular strength at six-week intervals, and weekly measures of treatment fidelity. Results were analyzed using ANOVA procedures to investigate the following hypotheses: (1) multidisciplinary pain treatment received by all participants will result in lower levels of anxiety, kinesiophobia, depression, pain, disability, and increased strength, and (2) individuals in the experimental condition will demonstrate greater improvement in levels of anxiety, kinesiophobia, depression, pain, disability, and strength when compared to those in the control condition. Results provide some support for hypothesis one, as treatment resulted in significant improvement of participants' mean pain related disability and chest strength over time. There were trends toward decreasing levels of pain related anxiety and kinesiophobia. Although hypothesis two was not generally supported, results suggest that experimental participants may have experienced greater improvements in depressive symptoms. Study limitations as well as implications for future research and clinical application are discussed.

ISBN: 0496783461Subjects--Topical Terms:

524864
Psychology, Clinical.

A novel multidisciplinary approach to the treatment of chronic pain.
LDR:03391nmm 2200289 4500 001 1836827
005 20050315121049.5
008 130614s2004 eng d
020 $a 0496783461
035 $a (UnM)AAI3131102
035 $a AAI3131102
040 $a UnM $c UnM
100 1 $a Shertzer, Erica L. $3 1925292
245 1 2 $a A novel multidisciplinary approach to the treatment of chronic pain.
300 $a 151 p.
500 $a Source: Dissertation Abstracts International, Volume: 65-04, Section: B, page: 2113.
500 $a Chair: John W. Klocek.
502 $a Thesis (Ph.D.)--University of Montana, 2004.
520 $a A meta-analysis of outcome studies involving multidisciplinary pain treatment centers found that individuals participating in such programs showed substantial improvement in pain intensity, pain behaviors, activity level, and use of medical services when compared to untreated controls (Flor, Fydrich, & Turk, 1992). Two central components of multidisciplinary chronic pain treatment are group cognitive-behavioral psychotherapy and physical therapy/exercise. While each modality addresses and reinforces the other, current treatment models find physical therapists and psychologists working relatively independently. The novel approach to treatment of chronic pain utilized in this study sought to further integrate the roles of the physical therapist and psychologist by extending the role of the psychologist into the exercise room, and by extending the role of the physical therapist to the group psychotherapy room. 18 participants with chronic pain attended four weeks of group psychotherapy/psychoeducation and six weeks of physical therapy/exercise group. Increased collaboration between psychologists and physical therapists was provided for individuals in the experimental condition, while those in the control condition participated in each group without this enhancement. Participants completed measures of anxiety, kinesiophobia, depression, pain intensity, and disability at four-week intervals, muscular strength at six-week intervals, and weekly measures of treatment fidelity. Results were analyzed using ANOVA procedures to investigate the following hypotheses: (1) multidisciplinary pain treatment received by all participants will result in lower levels of anxiety, kinesiophobia, depression, pain, disability, and increased strength, and (2) individuals in the experimental condition will demonstrate greater improvement in levels of anxiety, kinesiophobia, depression, pain, disability, and strength when compared to those in the control condition. Results provide some support for hypothesis one, as treatment resulted in significant improvement of participants' mean pain related disability and chest strength over time. There were trends toward decreasing levels of pain related anxiety and kinesiophobia. Although hypothesis two was not generally supported, results suggest that experimental participants may have experienced greater improvements in depressive symptoms. Study limitations as well as implications for future research and clinical application are discussed.
590 $a School code: 0136.
650 4 $a Psychology, Clinical. $3 524864
650 4 $a Psychology, Physiological. $3 1017869
650 4 $a Health Sciences, Rehabilitation and Therapy. $3 1017926
690 $a 0622
690 $a 0989
690 $a 0382
710 2 0 $a University of Montana. $3 1021963
773 0 $t Dissertation Abstracts International $g 65-04B.
790 1 0 $a Klocek, John W., $e advisor
790 $a 0136
791 $a Ph.D.
792 $a 2004
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3131102