• Chronic illness · Sep 2014

    Spinal cord stimulation: Subjective pain intensity and presurgical correlates in chronic pain patients.

    • Lekeisha A Sumner and Kenneth Lofland.
    • Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA Department of Psychology, California School of Professional Psychology, Alliant International University, San Diego, CA, USA lsumner@alliant.edu.
    • Chronic Illn. 2014 Sep 1; 10 (3): 157-66.

    ObjectivesThis study determined the changes in pain intensity prior to and after permanent placement of spinal cord stimulation (SCS), as measured by the Visual Analog Scale (VAS) and, examined associations of presurgical characteristics to both pre- and post-SCS VAS scores.Materials And MethodsDemographic, disease, and psychological data were extracted from the medical charts of chronic pain patients (N = 58) being treated at a Hospital in IL, USA. Most patients were diagnosed with complex regional pain syndrome (51.9%) and low back pain (33.3%). The majority were White (72.5%), male (60%), married (72%), and temporary disabled or receiving worker's compensation (40%). Study objectives were tested with correlational and univariate analysis.ResultsA significant reduction between pre (M = 6.87; SD = 1.38) and Post-(M = 4.11; SD = 1.54) SCS pain intensity scores was observed (p < .000). Pre-SCS pain intensity scores were associated with medical diagnosis (p < .01), marital status (p < .05), and catastrophizing (p < .05). Post-SCS pain intensity scores were associated with body mass index (p < .05), medical diagnosis (p < .05), employment status (p < .05), bodily concern (p < .05), marital status (p < .05), and race (p < .05).ConclusionsResults strengthen support for the short-term effectiveness of SCS and demonstrate the differential associations of presurgical factors on pain intensity.© The Author(s) 2013 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav.

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