Higher adverse childhood experiences interference with targeted early intervention to reduce persistence of adult subacute pain: a feasibility open trial
IntroductionThe feasibility of an Early Subacute Pain Intervention Program was assessed for improving outcomes in patients with subacute pain and exposure to adverse childhood experiences (ACEs) at increased risk of long-term disability.MethodsEligible patients were referred by their general practit...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-11-01
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| Series: | Frontiers in Psychology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyg.2023.1270598/full |
| _version_ | 1797498408142897152 |
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| author | Joyce McSwan Peta Stapleton Catherine E. Panwar |
| author_facet | Joyce McSwan Peta Stapleton Catherine E. Panwar |
| author_sort | Joyce McSwan |
| collection | DOAJ |
| description | IntroductionThe feasibility of an Early Subacute Pain Intervention Program was assessed for improving outcomes in patients with subacute pain and exposure to adverse childhood experiences (ACEs) at increased risk of long-term disability.MethodsEligible patients were referred by their general practitioner for an open trial of individual case management with group-based education and psychological support sessions and access to allied health services. Measures of pain, disability, and mental health were assessed at baseline, on completion of the 6-month program, and 6 months after completion.ResultsThirty-nine participants (mean age 51 years, 72% women) completed the program. Pain at baseline was subacute (median duration 9.7 weeks) and of high intensity (median score 8/10), with a mean ACE score of 4.3. After completing the program, participants reported reduced pain severity and interference (~50% reduction), risk of future disability, psychological distress, and number of unhealthy days (~30% reduction) and were all statistically significant (p < 0.001). These gains were maintained at 6-months from the beginning of treatment. Higher ACE scores were associated with greater baseline levels of pain interference, risk of future disability, and psychological distress, and with less improvement in pain interference and psychological distress after completing the program.DiscussionThis program suggested pain-related disability and mental health in patients with subacute pain and ACE exposure may be improved, although with reduced efficacy with higher ACE exposure. There need to be further robust investigation to quantify the value of targeted early intervention programs in primary health care settings to help reduce subacute pain persistence and progression to chronic pain in patients at increased risk of long-term disability. |
| first_indexed | 2024-03-10T03:32:59Z |
| format | Article |
| id | doaj.art-95871af6e7da4473ba880f4a90373e8f |
| institution | Directory Open Access Journal |
| issn | 1664-1078 |
| language | English |
| last_indexed | 2024-03-10T03:32:59Z |
| publishDate | 2023-11-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychology |
| spelling | doaj.art-95871af6e7da4473ba880f4a90373e8f2023-11-23T11:52:48ZengFrontiers Media S.A.Frontiers in Psychology1664-10782023-11-011410.3389/fpsyg.2023.12705981270598Higher adverse childhood experiences interference with targeted early intervention to reduce persistence of adult subacute pain: a feasibility open trialJoyce McSwan0Peta Stapleton1Catherine E. Panwar2PainWise Pty Ltd., Varsity Lakes, QLD, AustraliaSchool of Psychology, Bond University, Varsity Lakes, QLD, AustraliaPanwar Health Pty Ltd., Wamberal, NSW, AustraliaIntroductionThe feasibility of an Early Subacute Pain Intervention Program was assessed for improving outcomes in patients with subacute pain and exposure to adverse childhood experiences (ACEs) at increased risk of long-term disability.MethodsEligible patients were referred by their general practitioner for an open trial of individual case management with group-based education and psychological support sessions and access to allied health services. Measures of pain, disability, and mental health were assessed at baseline, on completion of the 6-month program, and 6 months after completion.ResultsThirty-nine participants (mean age 51 years, 72% women) completed the program. Pain at baseline was subacute (median duration 9.7 weeks) and of high intensity (median score 8/10), with a mean ACE score of 4.3. After completing the program, participants reported reduced pain severity and interference (~50% reduction), risk of future disability, psychological distress, and number of unhealthy days (~30% reduction) and were all statistically significant (p < 0.001). These gains were maintained at 6-months from the beginning of treatment. Higher ACE scores were associated with greater baseline levels of pain interference, risk of future disability, and psychological distress, and with less improvement in pain interference and psychological distress after completing the program.DiscussionThis program suggested pain-related disability and mental health in patients with subacute pain and ACE exposure may be improved, although with reduced efficacy with higher ACE exposure. There need to be further robust investigation to quantify the value of targeted early intervention programs in primary health care settings to help reduce subacute pain persistence and progression to chronic pain in patients at increased risk of long-term disability.https://www.frontiersin.org/articles/10.3389/fpsyg.2023.1270598/fullsubacute painpain managementadverse childhood experiencesearly intervention programprimary healthcare |
| spellingShingle | Joyce McSwan Peta Stapleton Catherine E. Panwar Higher adverse childhood experiences interference with targeted early intervention to reduce persistence of adult subacute pain: a feasibility open trial Frontiers in Psychology subacute pain pain management adverse childhood experiences early intervention program primary healthcare |
| title | Higher adverse childhood experiences interference with targeted early intervention to reduce persistence of adult subacute pain: a feasibility open trial |
| title_full | Higher adverse childhood experiences interference with targeted early intervention to reduce persistence of adult subacute pain: a feasibility open trial |
| title_fullStr | Higher adverse childhood experiences interference with targeted early intervention to reduce persistence of adult subacute pain: a feasibility open trial |
| title_full_unstemmed | Higher adverse childhood experiences interference with targeted early intervention to reduce persistence of adult subacute pain: a feasibility open trial |
| title_short | Higher adverse childhood experiences interference with targeted early intervention to reduce persistence of adult subacute pain: a feasibility open trial |
| title_sort | higher adverse childhood experiences interference with targeted early intervention to reduce persistence of adult subacute pain a feasibility open trial |
| topic | subacute pain pain management adverse childhood experiences early intervention program primary healthcare |
| url | https://www.frontiersin.org/articles/10.3389/fpsyg.2023.1270598/full |
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