Effectiveness of a psychiatric pain clinic

Author(s): Streltzer, J., Goebert, D.

Journal/Book: Psychosomatics. 1999; 40: 1400 K St N W, Ste 1101, Washington, DC 20005, USA. Amer Psychiatric Press, Inc. 226-232.

Abstract: Medical charts were reviewed for 101 consecutive outpatients seen between January 1, 1993 and July 1, 1996 at a unidisciplinary, psychiatric pain clinic, which exists within a hospital-based university-run, outpatient service with primary and specialty care clinics. Mean duration of pain was 7 years. Multiple sites of pain were present in 69% of patients. Eighty-eight percent fulfilled DSM-IV criteria for pain disorder: The patients had significantly fewer medical visits and diagnostic tests 6 months after attending the pain clinic, compared with 6 months before (P<0.0001). Interventions frequently included detoxification and reduction and substitution of medication, and always included psychotherapeutic approaches, particularly support and suggestions.

Note: Article Streltzer J, Dept Psychiat, 1356 Lusitana St, 4th Floor, Honolulu,HI 96813 USA

Keyword(s): PATTERNS; DEPENDENCE; DEPRESSION; SUFFERERS; COMMUNITY; DIAGNOSIS; CENTERS

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