Division of Rheumatology and Institute of Physical Medicine, University Hospital Zurich, Zurich, Switzerland.
Clin Rheumatol. 2013 Feb;32(2):189-97. doi: 10.1007/s10067-012-2099-9. Epub 2012 Oct 3.
The objective of this paper is to investigate whether there were differences in pain and psychological health status in chronic pain patients with and without migration background before and after an 8-week interdisciplinary outpatient pain programme (IOPP). One hundred eighteen consecutively assessed patients were included. Pain and psychological health were recorded prior to and after the intervention, and at the 3-, 6- and 12-month follow-up. The migrant group experienced a statistically significant and clinically relevant higher amount of pain and worse psychological functioning than the non-migrant group at all time points. Statistically significant differences between the groups for the variables depression, anxiety, kinesiophobia and passive coping, in particular catastrophizing, were observed in the short and long term. The non-migrant group improved continuously on all outcome measurements at all time points. The results show differences in outcome for chronic pain patients with and without migration background. High pain intensity, high levels of depression, anxiety and catastrophizing at baseline appear to be major barriers for improvement in a sample of migrant patients when participating in an IOPP. Treatments may have to be tailored to the specific needs of this patient group to better address their poor psychological health status and to improve the course of the pain disorder.
本文旨在探讨在接受 8 周的跨学科门诊疼痛治疗方案（IOPP）前后，具有和不具有移民背景的慢性疼痛患者在疼痛和心理健康状况方面是否存在差异。本研究共纳入了 118 名连续评估的患者。在干预前后以及 3、6 和 12 个月的随访中，记录了疼痛和心理健康状况。在所有时间点，移民组的疼痛程度和心理功能均显著高于非移民组，且具有临床相关性。在短期和长期内，移民组在抑郁、焦虑、运动恐惧和被动应对等变量方面，特别是在灾难化方面，与非移民组存在显著差异。非移民组在所有时间点的所有结果测量上均持续改善。研究结果表明，具有和不具有移民背景的慢性疼痛患者在治疗结果方面存在差异。在接受 IOPP 的移民患者样本中，高疼痛强度、基线时的高抑郁、焦虑和灾难化水平似乎是改善的主要障碍。治疗可能需要针对该患者群体的特定需求进行调整，以更好地解决他们较差的心理健康状况，并改善疼痛障碍的病程。
