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Evaluation of About Face: A Psychology and Physiotherapy Pain Management Program for Adults with Persistent Facial Pain

  • Jolyon Poole1,*,
  • Rachel Stovell2
  • Elenor McLaren2
  • Susie Holder3
  • Clare Maddocks3
  • Maeve Larkin4
  • Joanna M. Zakrzewska5

1Royal National ENT & Eastman Dental Hospitals, University College London Hospitals, NHS Foundation Trust, London, United Kingdom

2Royal National ENT & Eastman Dental Hospitals, Pain Management Centre, National Hospital for Neurology & Neurosurgery, University London College Hospitals, NHS Foundation Trust, London, United Kingdom

3Royal National ENT & Eastman Dental Hospitals, University College London Hospitals, NHS Foundation Trust, London, United Kingdom

4Royal National ENT & Eastman Dental Hospitals, Pain Management Centre, National Hospital for Neurology & Neurosurgery, University London College Hospitals, NHS Foundation Trust, London, United Kingdom

5Royal National ENT & Eastman Dental Hospitals, Pain Management Centre, National Hospital for Neurology & Neurosurgery, University London College Hospitals, NHS Foundation Trust, NIHR University College London, Hospitals Biomedical Research Centre, London, United Kingdom

DOI: 10.11607/ofph.2924 Vol.36,Issue 1,April 2022 pp.21-25

Submitted: 11 February 2021 Accepted: 14 August 2021

Published: 30 April 2022

*Corresponding Author(s): Jolyon Poole E-mail: jolyon.poole@nhs.net

Abstract

Aims: To evaluate About Face, a pain management program aimed at increasing quality of life in adults living with persistent facial pain through psychology- and physiotherapy-based skill development. Methods: A total of 90 patients attended a six-session program with a 1-month follow-up between 2015 and 2019. Patients filled out self-reported outcome measures preprogram, postprogram, and at a 1-month follow-up visit. Results: There was a significant reduction in pain catastrophizing and a significant increase in engagement in meaningful activity, as well as a reduction in pain-related interference. Conclusion: This evaluation adds to the small amount of existing literature on interventions aimed at increasing quality of life in patients living with persistent facial pain and provides suggestions for future research.


Keywords

persistent facial pain; pain management programme; psychology; physiotherapy; quality of life


Cite and Share

Jolyon Poole,Rachel Stovell,Elenor McLaren,Susie Holder,Clare Maddocks,Maeve Larkin,Joanna M. Zakrzewska. Evaluation of About Face: A Psychology and Physiotherapy Pain Management Program for Adults with Persistent Facial Pain. Journal of Oral & Facial Pain and Headache. 2022. 36(1);21-25.

References

1. Aggarwal VR, Fu Y, Main CJ, Wu J. The effectiveness of self-management interventions in adults with chronic orofacial pain: A systematic review, meta-analysis and meta-regression. Eur J Pain 2019;23:849–865.

2. Zakrzewska JM. Differential diagnosis of facial pain and guidelines for management. Br J Anaesth 2013;111:95–104.

3. Ryan J, Akhter R, Hassan N, Hilton G, Wickham J, Ibaragi S. Epidemiology of temporomandibular disorder in the general population: A systematic review. Adv Dent & Oral Health 2019:;10:555787.

4. Häggman-Henrikson B, Alstergren P, Davidson T, et al. Pharmacological treatment of orofacial pain - health technology assessment including a systematic review with network meta-analysis. J Oral Rehabil 2017;44:800–826.

5. Eccleston C, Morley SJ, Williams AC. Psychological approaches to chronic pain management: Evidence and challenges. Br J Anaesth 2013;111:59–63.

6. Daniel HC, Poole JJ, Klein H, Huang C, Zakrzewska JM. Cognitive behavioural therapy for patients with trigeminal neuralgia: A feasibility study. J Oral Facial Pain Headache 2021;35:30–34.

7. Keller S, Bann CM, Dodd SL, Schein J, Mendoza TR, Cleeland CS. Validity of the brief pain inventory for use in document-ing the outcomes of patients with noncancer pain. Clin J Pain 2004;20:309–318.

8. Sullivan MJ, Bishop SR, Pivik J. The Pain Catastrophizing Scale: Development and validation. Psychol Assess 1995;7:524–532.

9. Nicholas MK. The pain self-efficacy questionnaire: Taking pain into account. Euro J Pain 2007;11:153–163.

10. Cohen J. Statistical Power Analysis for the Behavioural Sciences, ed 2.1988. Hillsdale, NJ: Lawrence Earlbaum Associates, 1988.

11. McCracken LM, Vowles KE, Eccleston C. Acceptance of chronic pain: Component analysis and a revised assessment method. Pain 2004;107:159–166.

12. Williams AC, Eccleston C, Morley S. Psychological therapies for the management of chronic pain (excluding headache) in adults. Cochrane Database Syst Rev 2012;11:CD007407.

13. Jang HH, Kim ME, Kim HK. Pain catastrophizing mediates the effects of psychological distress on pain interference in pa-tients with orofacial pain: A cross-sectional study. J Oral Facial Pain Headache 2018;32:409–417.

14. Schütze R, Rees C, Smith A, Slater H, Campbell JM, O’Sullivan P. How can we best reduce pain catastrophizing in adults with chronic noncancer pain? A systematic review and meta-analysis. J Pain 2018;19:233–256.

15. Hofmann SG, Curtiss JE, Hayes SC. Beyond linear mediation: Toward a dynamic network approach to study treatment pro-cesses. Clin Psychol Rev 2020;76:101824.

16. Hofmann SG, Hayes SC. The future of intervention science: Process-based therapy. Clin Psychol Sci. 2019;7:37–50.


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