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Irish Journal of Medical Science

, Volume 183, Issue 2, pp 265–275 | Cite as

Ulysses: the effectiveness of a multidisciplinary cognitive behavioural pain management programme—an 8-year review

  • B. M. FullenEmail author
  • C. Blake
  • S. Horan
  • V. Kelley
  • O. Spencer
  • C. K. Power
Original Article

Abstract

Objectives

To characterise a cohort of patients with chronic pain registered to the Ulysses cognitive behavioural pain management programme (CBT-PMP) and to evaluate the effectiveness of the CBT-PMP 6 months post-discharge.

Methods

A review of patients referred to the Ulysses CBT-PMP from 2002 to 2010 was undertaken. The profile of patients was established. Domains measured included pain, physical and psychological function. Relationships between these factors were explored. Clinically significant changes in outcome measures were established at the 6-month follow-up.

Results

In total 553 patients registered to the CBT-PMP, pre–post data were available for 91 % of patients and 52 % at 6 months. The majority of patients were female and aged between 40 and 50 years. Most patients had significant psychological morbidity (76 % depression, 84.5 % anxiety), moderate reports of pain [numerical rating scale, mean (SD) 6.0 (2.2)], and low levels of functional activity. At 6 months follow-up, statistically significant positive findings for physical and psychological outcome measures are supplemented by results showing their clinical significance. With regard to psychological function, a clinically significant change (depending on outcome measure) was shown between 1 in 2 and 1 in 10 patients. Improvements in physical function were lower with rates of 1 in 4 to 1 in 14 reporting significant gains.

Conclusion

The effectiveness of the Ulysses CBT-PMP is established with measures of clinically significant change for physical and psychological outcomes contributing to the evidence for this novel approach of analysis. Future research determining benchmarks for CBT-PMP outcomes will assist clinicians in monitoring and enhancing patient’s progress in clinical practice.

Keywords

Cognitive behavioural pain management programme Clinical significant changes Chronic pain 

Notes

Acknowledgments

Ms Catherine Paisley, Pain Service, Adelaide and Meath Hospital, Tallaght, Dublin 24.

Conflict of interest

None.

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Copyright information

© Royal Academy of Medicine in Ireland 2013

Authors and Affiliations

  • B. M. Fullen
    • 1
    Email author
  • C. Blake
    • 1
  • S. Horan
    • 2
  • V. Kelley
    • 2
  • O. Spencer
    • 2
  • C. K. Power
    • 2
  1. 1.School of Public Health, Physiotherapy and Population ScienceUniversity College DublinDublinIreland
  2. 2.Pain Medicine Service, Adelaide and Meath Hospital Incorporating the National Children’s HospitalDublin 24Ireland

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