A multidisciplinary, biopsychosocial treatment for non-cardiac chest pain

A multidisciplinary, biopsychosocial treatment for non-cardiac chest pain

Summary Background Non‐cardiac chest pain (NCCP) affects up to 80% of patients attending chest pain clinics, but its treatment is suboptimal. Aim To describe the outcomes of a pilot, stepped care, biopsychosocial management programme in terms of improvements in chest pain, psychosocial scores and us...

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Veröffentlicht in:International journal of clinical practice (Esher) 2015-09, Vol.69 (9), p.922-927
Hauptverfasser: Chambers, J. B., Marks, E. M., Russell, V., Hunter, M. S.
Format: Artikel
Sprache:eng
Schlagworte:
Adult
Aged
Anxiety Disorders - complications
Anxiety Disorders - therapy
Chest Pain - etiology
Chest Pain - psychology
Chest Pain - therapy
Clinical outcomes
Cognitive therapy
Cognitive Therapy - methods
Depressive Disorder - complications
Depressive Disorder - therapy
Female
Health Services - utilization
Humans
Male
Middle Aged
Pain Clinics
Pain management
Stress, Psychological - complications
Stress, Psychological - therapy
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Zusammenfassung:Summary Background Non‐cardiac chest pain (NCCP) affects up to 80% of patients attending chest pain clinics, but its treatment is suboptimal. Aim To describe the outcomes of a pilot, stepped care, biopsychosocial management programme in terms of improvements in chest pain, psychosocial scores and use of healthcare resources. Methods Of 198 referrals, 77 patients were suitable for the clinic and received a one hour biopsychosocial assessment. Stepped care consisted of assessment only, low intensity Cognitive Behaviour Therapy (CBT), or high intensity CBT. Results The proportion with pain occurring more than once monthly fell from 100% at baseline to 61% at 3 months (p 
ISSN:1368-5031
1742-1241
DOI:10.1111/ijcp.12533