Are social problems a consequence of chronic pain Centre for Pain - - PowerPoint PPT Presentation

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Centre for Pain Medicine

Ljutow, André

Metzger, Marius; Matter, Sibylle; Frotzler, Angela; Schleinzer, Wolfgang

Are social problems a consequence of chronic pain

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my workplace the bio-psycho-social model of disease how to assess the need for social work in pain medicine is there a special relationship between pain and social factors? result of our data analysis: social factors are independet possible sources for chronic pain as well as medical or psychological disorders

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Centre for Pain Medicine

a part of the swiss paraplegic centre fullfills the IASP criteria for a comprehensive pain centre eleven different specialities work together in one team we provide any kind of pain care, education on all levels, research

My workplace

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injury pain

focus on symptoms learned helplessness (depression) physical deconditioning withdrawal from work & social activities patient`s (mis) attributions

socio-economic factors

treatment (failed) reduced physical activity anger frustration

fear / avoidance

Main & Spanswick, 2000

family I A T R O G E N I C S

guarded movements & muscle spasm

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The story behind the pain

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Is there a special relationship between pain and social factors?

An experimental study of shared sensitivity to physical pain and social rejection Eisenberger, Jarcho, Liebermann, Naliboff Pain 126 (2006) 132-138 Social rejection shares somatosensory representations with physical pain Kross, Bermann, Mischel, Smith, Wager PNAS Feb 22, 2011 www.pnas.org/cgi/doi /10.1073/pnas.1102693108

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Result of our data analysis

Do psychological and medical factors explain, which patient has a need for social work? Included psychological factors

Depression (HADSD) Anxiety (HADSA) Chronicity of pain (FSC) Psychological and physiological health-realted life quality (SF- 12)

Included medical factors

Pain intensity Number of medical diagnosis Number of pain diagnosis

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Result of our data analysis

• The probability of need for social work in pain medicine was determined by only few of

the analysed factors.

• The need for social work in the different areas has to be especially determined by social
• workers. It may not be interfered by psychological factors (i.e. depression, anxiety) or

medical factors (i.e. pain intensity, number of diagnosis)

Areas The probability of need for social work in pain medicine was significantly influenced by Logistic Regression Stepwise backward α = .05

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Take Home Messages

We have to pay more attention to the social aspects of pain than we are doing today, and we have to do it with professional social workers as team members! Medical, psychological and social conditions influence each

• ther in many ways.

Social aspects of chronic pain conditions have to be recognized and treated early. The need for social work in the different areas has to be especially determined by social workers. It may not be interfered by psychological factors (i.e. depression, anxiety)

• r medical factors (i.e. pain intensity, number of diagnosis)

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