The Effect of the Treatment at a Pain Clinic on the Patients’ Assessment of Their Pain Intensity and the Incidence of Mental Disorders in the form of Anxiety, Depression, and Aggression

Dariusz Kosson, Marcin Kołacz, Robert Gałązkowski, Patryk Rzońca and Barbara Lisowska
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Dariusz Kosson: Department of Anaesthesiology and Intensive Care, Division of Teaching, Medical University of Warsaw, 4 Lindley St., 02-005 Warsaw, Poland
Marcin Kołacz: Department of Anaesthesiology and Intensive Care, Medical University of Warsaw, 4 Lindley St., 02-005 Warsaw, Poland
Robert Gałązkowski: Department of Emergency Medical Services, Faculty of Health Science, Medical University of Warsaw, 81 Żwirki i Wigury St., 02-091 Warsaw, Poland
Patryk Rzońca: Department of Emergency Medicine, Faculty of Health Sciences, Medical University of Lublin, 4-6 Staszica St., 20-081 Lublin, Poland
Barbara Lisowska: Department of Anesthesiology and Intensive Care, John Paul II Western Hospital in Grodzisk Mazowiecki, 11 Daleka St., 05-825 Grodzisk Mazowiecki, Poland

IJERPH, 2019, vol. 16, issue 4, 1-9

Abstract: The aim of the study was to analyze the effect of the treatment given to patients in a pain clinic on their assessment of pain intensity and the incidence of emotional disturbances in the form of anxiety, depression, and aggression. The study was conducted from January 2014 to April 2018 among patients under the care of two Warsaw pain clinics. The study tools were the Hospital Anxiety and Depression Scale—Modified Version (HADS-M) and the Numerical Rating Scale (NRS). The project enrolled 325 patients, with women comprising 60.62% of patients, and the age bracked of 65–79 years comprising 39.38% of patient. The major reasons for attending the pain clinic were osteoarticular pain (44.92%) and neuropathic pain (42.77%). The therapy applied lowered the patients’ pain intensity (4.98 vs. 3.83), anxiety (8.71 vs. 8.12), aggression (3.30 vs. 3.08), and the overall HADS-M score (18.93 vs. 17.90), which shows that the treatment of both the pain symptoms and the associated emotional disturbances in the form of anxiety and aggression was effective. Sex is a factor affecting pain intensity. The level of mental disorders was influenced by the sex and age of the patients and how long they had been treated in the pain clinics.

Keywords: pain; anxiety; depression; aggression; pain clinic; pain intensity; treatment effectiveness (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2019
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