Back to Journals » Journal of Pain Research » Volume 13

Chronic Pain, Mood Disorders and Substance Use: Outcomes of Interdisciplinary Care in a Residential Psychiatric Hospital

Authors Buono FD, Savage SR, Cerrito B, O'Connell J, Garakani A, Ackerman S, Cutter CJ

Received 20 February 2020

Accepted for publication 5 June 2020

Published 24 June 2020 Volume 2020:13 Pages 1515—1523


Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 2

Editor who approved publication: Dr Robert B. Raffa

Frank D Buono,1 Seddon R Savage,2 Brianna Cerrito,3 Julianne O’Connell,3 Amir Garakani,1,3 Sigurd Ackerman,3 Christopher J Cutter4

1Department of Psychiatry, Yale School of Medicine, New Haven, CT, USA; 2Department of Anesthesiology, Geisel School of Medicine at Dartmouth, Hanover, NH, USA; 3Silver Hill Hospital, New Canaan, CT, USA; 4Yale Child Study Center, Yale University School of Medicine, Yale University, New Haven, CT, USA

Correspondence: Frank D Buono Tel + 1-203-9372309 *118
Fax + 1-203-6040542

Purpose: The objective is to report outcomes of an interdisciplinary group-based residential chronic pain recovery program (CPRC), located in a private non-profit psychiatric hospital. The chronic pain program was aimed at treatment and engagement in self-care of both pain and co-occurring disorders in a residential facility that also offered treatment for specific psychiatric disorders.
Patients and Methods: A retrospective chart review was conducted that included a convenience sample of 131 patients admitted from March 2012 through August 2017 who completed treatment. An interdisciplinary team of professionals provided psycho-behavioral therapy, movement therapies and medication management. Patients completed a battery of psycho-social and demographic questionnaires on admission and before discharge of the program.
Results: Significant differences were noted in pain severity, pain interference, depression and anxiety (p< .01) between admission and discharge, and the Chronic Pain Coping Inventory demonstrated significant differences in guarding (p < .001), asking (p =.018), exercise (p < .001), relaxation (p < .001), and pacing (p=.024). Of patients using opioids on admission, at discharge, 37% had tapered and remained off all opioids, 43% were using buprenorphine for opioid use disorder, and 20% continued on analgesic opioids.
Conclusion: Treatment was associated with reductions in pain severity and interference, in anxiety and in depression as well as improvements in pain coping. Additionally, there was a reduction in reliance on opioids for pain relief.

Keywords: interdisciplinary care, chronic pain management, residential treatment, medication management, psychosocial therapy

Creative Commons License This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License. By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms.

Download Article [PDF]  View Full Text [HTML][Machine readable]