Sullivan Amy Burleson, Scheman Judith, Lopresti Anthony, Prayor-Patterson Heather
The Cleveland Clinic Foundation, Mellen Center for Multiple Sclerosis Treatment and Research, Cleveland, OH, USA.
Int J MS Care. 2012 Winter;14(4):216-20. doi: 10.7224/1537-2073-14.4.216.
The objective of this study was to examine the efficacy of an interdisciplinary pain rehabilitation program in a multiple sclerosis (MS) population by evaluating changes in mood, pain, and functioning. This descriptive study examined 20 patients with chronic pain and MS who were admitted to the Cleveland Clinic's Chronic Pain Rehabilitation Program (CPRP) between 2000 and 2009. At both admission to and discharge from the CPRP, measures of pain, depression, and functioning were obtained using a pain visual analogue scale (VAS), the Beck Depression Inventory (BDI), the Depression Anxiety Stress Scale (DASS), and the Pain Disability Index (PDI). Outcomes for the MS patients were compared with those of patients without MS who had participated in the same program. The results showed that MS patients who completed the CPRP reported dramatic decreases in pain and depression and an increase in daily functioning. The benefits received by MS patients from the program were similar to those received by patients without MS. Thus programs like the CPRP can result in significant improvements in pain, depression, and functioning among people with MS.
本研究的目的是通过评估情绪、疼痛和功能的变化，检验多学科疼痛康复项目在多发性硬化症（MS）患者群体中的疗效。这项描述性研究考察了2000年至2009年间入住克利夫兰诊所慢性疼痛康复项目（CPRP）的20名患有慢性疼痛的MS患者。在CPRP入院时和出院时，使用疼痛视觉模拟量表（VAS）、贝克抑郁量表（BDI）、抑郁焦虑压力量表（DASS）和疼痛残疾指数（PDI）获取疼痛、抑郁和功能的测量数据。将MS患者的结果与参加同一项目的非MS患者的结果进行比较。结果显示，完成CPRP的MS患者报告疼痛和抑郁显著减轻，日常功能有所改善。MS患者从该项目中获得的益处与非MS患者相似。因此，像CPRP这样的项目可以使MS患者的疼痛、抑郁和功能得到显著改善。
