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Psychological assessment for implantable therapies Dr Pete Murphy Consultant Clinical Psychologist Dept. of Pain Management  Walton Centre
Is psychological assessment  necessary  for SCS patients? ,[object Object],[object Object],[object Object]
Psychological Assessment of Candidates for Spinal Cord Stimulation for Chronic Pain Management.  Expert Panel Report 2004  ( Beltrutti … North, Turk, Melzack & others)  Pain Practice vol. 4 Sept. 2004 ) ,[object Object],[object Object],[object Object],[object Object]
Why Assess ? Mental health problems common in Chronic Pain ,[object Object],[object Object],[object Object],[object Object]
Psychological factors are associated with poor outcome ,[object Object],[object Object],[object Object],[object Object],[object Object]
psychological factors contd... ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Current UK practice  Survey by ACKROYD  et al. 2003 ,[object Object],[object Object],[object Object],[object Object],[object Object]
 
So for the MDT…  ,[object Object]
Psychologist can be involved at: ,[object Object],[object Object],[object Object],[object Object]
Initial clinical interview  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
State  vs.  Trait factors ,[object Object],[object Object],[object Object],[object Object],[object Object]
Facilitate  patient  risk assessment ,[object Object],[object Object],[object Object],[object Object],[object Object]
Informed consent ,[object Object],[object Object],[object Object],[object Object],[object Object]
Manage distress ,[object Object],[object Object],[object Object]
Facilitate behavioural change ,[object Object],[object Object],[object Object]
 
No Psychologist ? Psychometric screening & yellow flags ,[object Object],[object Object],[object Object]
Psychometric questionnaires ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
What to look for in the questionnaires ,[object Object],[object Object],[object Object],[object Object],[object Object]
Catastrophising ,[object Object],[object Object],[object Object],[object Object]
Pain Self Efficacy Questionnaire ,[object Object],[object Object],[object Object]
Pain Anxiety Symptom Scale ,[object Object],[object Object],[object Object],[object Object]
Refer to a clinical psychologist  and/or PMP ? ,[object Object],[object Object],[object Object],[object Object],[object Object]
Case example 1 ,[object Object],[object Object],[object Object],[object Object]
Case example 2 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Case example 3 ,[object Object],[object Object],[object Object]
Breakdown of all MDT Recommendations
Result of SCS  Trial:  MDT vs No MDT (success  => 50% pain relief)‏
Permanent  implants - 6 month follow-up ,[object Object],[object Object],[object Object],[object Object]

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Psychological Assessment For Implantable Therapies Dr Peter Murphy

  • 1. Psychological assessment for implantable therapies Dr Pete Murphy Consultant Clinical Psychologist Dept. of Pain Management Walton Centre
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  • 28. Breakdown of all MDT Recommendations
  • 29. Result of SCS Trial: MDT vs No MDT (success => 50% pain relief)‏
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