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Role revision in chronic pain patients
S327
A COMPARISON OF TRICYCCIC ANTIDEPRESSANT RESPONSE IN PATIENT WITH SOMATOFORMPAIN DISORDER, SOMATOFORMPAIN DISORDER WITH MAJOR DEPRESSION, AND MAJOR DEPRESSIVE DISORDER. T.G. Sriram,N.V.S.S.RangaoRao*, Radhika Sriraw*, Somnath Dept. of Psychiatry, National h tt erjee* and M.K .Iseac*. InItitute of Mental Health and Neuro Sciences, Bangalore 560029, India.
GREEN Th-Fri Exhibit Hall
AIM bF THE INVESTIGATION; This study aimed to test the hypothesis that the sonatoform pain disorder is a variant of depressive disorder by comoarinq response to. antidepressant treatment of patients with somatoform pain disorder, somatoform pain disorder vith major depression, and patients with major depressive disorder. METHDDS; Consenting patients fulfilling the DSM-IIIR Criteria for somatoform pdnsorder with or without associated major depression and patients with major depressive disorder vere recruited for this investigation from the Intake assessment included administration psychiatric outpatient services. of Hamilton Depression Rating Scale, Visual Analogue Scale, Present Pain scale suited for use in the Indian Intensity scale and another pain rating Patients were treated vith Imipramine Palmoate (Depsonil PM, population. SG Pharmaceuticals) equivalent to 75 mg of Imipramine hydrochloride per day for four veeks. Assessments vere repeated at the end of four veeks. RESULTS; Fifteen patients with somatoform pain disorder, 23 patients vith morm pain disorder and major depreSSiOn, and 11 patients vith major depressive disorder have so far completed the trial. Response to treatment was found to be comparable across all three groups. Improvement in the symptoms of pain correlated vith improvement in the symptoms of depression. ENCLUSIONt Results of this study seem to support the hypothesis that somatoform pain disorder is a variant of depressive disease.
Pain and Illness Behavior ROLE REVISION IN CHRONIC PAIN PATIENTS. E.G.HEINZE, JR., M.D. and B. TALKiNGTON, *R.N., Department of Neurology, Austin Diagnostic Clinic, and Pain Management Program, St. David's Hospital, Austin, Texas, U.S.A.
GREEN Th-Fri Exhibit Hall
AIM OF INVESTIGATION: This study investigated the occurrence and significance of role revision in chronic pain patients. Role revision is assuming, while disabled, a new duty or responsibility, usually income producing or money saving, which the patient feels the need to continue even though it conflicts with and prevents going back to work when the pain improves. METHODS: Non-judgmental questions specifically designed to identify role revision were asked by the nurse and the doctor at the initial and re-visit evaluations of chronic pain patients. The patients' progress and work status were also monitored over time. RESULTS: Previously unrecognized cases of role revision were identified. Role revision appeared to interfere with returning patients to work. CONCLUSION: Role revision occurred in chronic pain patients and seemed to interfere with return to work. Identifying role revision may allow the treatment team to resolve the need for role revision thereby allowing more patients to return to work.
A COMPARISON OF TRICYCCIC ANTIDEPRESSANT RESPONSE IN PATIENT WITH SOMATOFORMPAIN DISORDER, SOMATOFORMPAIN DISORDER WITH MAJOR DEPRESSION, AND MAJOR DEPRESSIVE DISORDER. T.G. Sriram,N.V.S.S.RangaoRao*, Radhika Sriraw*, Somnath Dept. of Psychiatry, National h tt erjee* and M.K .Iseac*. InItitute of Mental Health and Neuro Sciences, Bangalore 560029, India.
GREEN Th-Fri Exhibit Hall
AIM bF THE INVESTIGATION; This study aimed to test the hypothesis that the sonatoform pain disorder is a variant of depressive disorder by comoarinq response to. antidepressant treatment of patients with somatoform pain disorder, somatoform pain disorder vith major depression, and patients with major depressive disorder. METHDDS; Consenting patients fulfilling the DSM-IIIR Criteria for somatoform pdnsorder with or without associated major depression and patients with major depressive disorder vere recruited for this investigation from the Intake assessment included administration psychiatric outpatient services. of Hamilton Depression Rating Scale, Visual Analogue Scale, Present Pain scale suited for use in the Indian Intensity scale and another pain rating Patients were treated vith Imipramine Palmoate (Depsonil PM, population. SG Pharmaceuticals) equivalent to 75 mg of Imipramine hydrochloride per day for four veeks. Assessments vere repeated at the end of four veeks. RESULTS; Fifteen patients with somatoform pain disorder, 23 patients vith morm pain disorder and major depreSSiOn, and 11 patients vith major depressive disorder have so far completed the trial. Response to treatment was found to be comparable across all three groups. Improvement in the symptoms of pain correlated vith improvement in the symptoms of depression. ENCLUSIONt Results of this study seem to support the hypothesis that somatoform pain disorder is a variant of depressive disease.
Pain and Illness Behavior ROLE REVISION IN CHRONIC PAIN PATIENTS. E.G.HEINZE, JR., M.D. and B. TALKiNGTON, *R.N., Department of Neurology, Austin Diagnostic Clinic, and Pain Management Program, St. David's Hospital, Austin, Texas, U.S.A.
GREEN Th-Fri Exhibit Hall
AIM OF INVESTIGATION: This study investigated the occurrence and significance of role revision in chronic pain patients. Role revision is assuming, while disabled, a new duty or responsibility, usually income producing or money saving, which the patient feels the need to continue even though it conflicts with and prevents going back to work when the pain improves. METHODS: Non-judgmental questions specifically designed to identify role revision were asked by the nurse and the doctor at the initial and re-visit evaluations of chronic pain patients. The patients' progress and work status were also monitored over time. RESULTS: Previously unrecognized cases of role revision were identified. Role revision appeared to interfere with returning patients to work. CONCLUSION: Role revision occurred in chronic pain patients and seemed to interfere with return to work. Identifying role revision may allow the treatment team to resolve the need for role revision thereby allowing more patients to return to work.