title: Factors for predicting premature termination from a multidisciplinary inpatient chronic pain program.
abstract: Forty-eight chronic pain patients who were discharged from or left the 21-day inpatient component of a multidisciplinary pain program prior to completion were compared with a randomly selected matched group of program patients who stayed the entire 21 days. The purpose of the study was to determine if pre-admission factors are useful in predicting whether a chronic pain patient will complete an inpatient pain program. The results of pre-admission MMPI, POMS, MPQ, and information obtained from a questionnaire specially created for the program were studied. On the tests, the non-completers admitted to less psychopathology than those who did complete the program. The non-completers also had a higher number of pain-related surgeries and were more likely to be college graduates; limited social support from their families and lower MMPI premature termination scale scores were also found. Implications of these findings for the management of chronic pain patients are discussed.
authors.affiliation: Pain Management Service, Departments of Anesthesiology and Psychiatry, Mount Sinai School of Medicine, New York, NYU.S.A. Orthopaedic-Arthritis Pain Center, Hospital for Joint Diseases Orthopaedic Institute, New York, NYU.S.A.
authors.forename: Steven A
authors.initials: SA
authors.lastname: King
authors.forename: Barry R
authors.initials: BR
authors.lastname: Snow
mesh_terms: D000328:Adult; D002908:Chronic Disease; D005260:Female; D006782:Hospitals, Special; D006801:Humans; D008297:Male; D008875:Middle Aged; D009985:Orthopedics; D010146:Pain / Q000523:psychology; D059408:Pain Management; D010349:Patient Compliance; D011795:Surveys and Questionnaires