Are Multidimensional Pain Inventory Coping Strategy Profiles Associated with Long-Term Spinal Cord Stimulation Effectiveness?

Pain Med. 2018 May 1;19(5):1023-1032. doi: 10.1093/pm/pnx106.

Abstract

Introduction: It is acknowledged that the way patients cope with pain may influence treatment outcome. In particular, psychological factors are deemed important when considering patients for suitability for spinal cord stimulation (SCS).

Objective: The aim of the study is to observe how pre-implantation psychological characteristics impact the effectiveness of SCS for chronic pain.

Methods: The analysis comprised data from 137 patients who underwent an SCS implant. Screening evaluation included a coping strategies profile (Multidimensional Pain Inventory) and psychiatric disorders (Mini-International Neuropsychiatric Interview). Based on SCS implant outcome collected during follow-up visits, patients were divided into three groups: subjects with long-term pain relief (long-term group), subjects who failed the SCS treatment and decided to explant trial device (trial explanter group [TE]), and those who chose a permanent device (permanent explanter group [PE]).

Results: Results showed that most of the patients who failed with the SCS (TE and PE groups) demonstrated a dysfunctional coping profile and showed a higher presence of psychiatric disorders, which significantly influenced the experience and perception of pain.

Conclusions: The findings of this study support the value of a multidisciplinary screening. Addressing psychological issues before SCS implantation can reduce the failure rate of SCS.

MeSH terms

  • Adaptation, Psychological / physiology
  • Adult
  • Aged
  • Aged, 80 and over
  • Chronic Pain / therapy*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Pain Management* / methods
  • Pain Measurement / methods
  • Spinal Cord / physiopathology
  • Spinal Cord / surgery*
  • Spinal Cord Stimulation* / methods
  • Time
  • Treatment Outcome