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Effectiveness of a Psychiatric Pain Clinic

Received May 16, 1998; revised September 8, 1998; accepted August 28, 1998. From the Department of Psychiatry, John A. Burns School of Medicine, University of Hawaii, Honolulu. Address correspondence and reprint requests to Dr. Streltzer, Department of Psychiatry, 1356 Lusitana Street, 4th Floor, Honolulu, HI 96813; e-mail: StreltzerJ{at}JABSOM.Biomed.Hawaii.Edu

Medical charts were reviewed for 101 consecutive outpatients seen between January 1, 1993 and July 1, 1996 at a unidisciplinary, psychiatric pain clinic, which exists within a hospital-based, university-run, outpatient service with primary and specialty care clinics. Mean duration of pain was 7 years. Multiple sites of pain were present in 69% of patients. Eighty-eight percent fulfilled DSM-IV criteria for pain disorder. The patients had significantly fewer medical visits and diagnostic tests 6 months after attending the pain clinic, compared with 6 months before (P<0.0001). Interventions frequently included detoxification and reduction and substitution of medication, and always included psychotherapeutic approaches, particularly support and suggestions.

Key Words: Pain • Chronic Pain • Pain Clinics

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