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Psychosocial coping profiles after pain rehabilitation: associations with occupational performance and patient characteristics.

Persson, Elisabeth LU ; Eklund, Mona LU ; Lexell, Jan LU and Rivano, Marcelo LU (2017) In Disability and Rehabilitation 39(3). p.251-260
Abstract
Purpose The aims of the present study were to assess: (i) changes in coping by use of Multidimensional Pain Inventory profiles from baseline to follow-up, (ii) associations between Adaptive Coper (AC) profiles at follow-up and improvements in occupational performance (by Canadian Occupational Performance Measure COPM) and (iii) ability to predict AC profiles at follow-up by participants' baseline characteristics. Method Data at baseline, discharge and follow-up from 525 participants in a pain rehabilitation program were analyzed with multivariate statistics. Results AC profiles increased and Dysfunctional (DYS) profiles decreased at follow-up. Clinically relevant improvements on COPM were associated with having an AC profile at follow-up.... (More)
Purpose The aims of the present study were to assess: (i) changes in coping by use of Multidimensional Pain Inventory profiles from baseline to follow-up, (ii) associations between Adaptive Coper (AC) profiles at follow-up and improvements in occupational performance (by Canadian Occupational Performance Measure COPM) and (iii) ability to predict AC profiles at follow-up by participants' baseline characteristics. Method Data at baseline, discharge and follow-up from 525 participants in a pain rehabilitation program were analyzed with multivariate statistics. Results AC profiles increased and Dysfunctional (DYS) profiles decreased at follow-up. Clinically relevant improvements on COPM were associated with having an AC profile at follow-up. Being Nordic born, having longer education, an AC profile and higher baseline scores on satisfaction with performance predicted an AC profile at follow-up. Conclusions Pain rehabilitation seems to result in sustainable and favourable coping strategies at follow-up, and improved occupational performance is associated with favourable coping at follow-up. Outcomes need to be measured independently of improved coping strategies and improvements of participant's individual goals such as difficulties to perform their most meaningful occupations. Patients at risk for unfavourable coping strategies may need modified interventions. Implications for Rehabilitation More participants reported a beneficial coping, MPI profile, in a long-term perspective after a pain rehabilitation program. Improvements on occupational performance prioritized as meaningful by each of the participants are related to adequate coping strategies at follow-up. The associations between improved occupational performance and beneficial coping profiles need to be better understood. Patients with worse initial occupational performance may need modified pain rehabilitation interventions to improve their coping strategies. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Disability and Rehabilitation
volume
39
issue
3
pages
251 - 260
publisher
Taylor & Francis
external identifiers
  • pmid:26883399
  • scopus:84958531823
  • wos:000392480400005
ISSN
0963-8288
DOI
10.3109/09638288.2016.1141243
language
English
LU publication?
yes
id
6b351d2c-8ba3-4108-a0ab-76036303c608 (old id 8825284)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/26883399?dopt=Abstract
date added to LUP
2016-03-03 11:50:31
date last changed
2018-01-07 09:57:26
@article{6b351d2c-8ba3-4108-a0ab-76036303c608,
  abstract     = {Purpose The aims of the present study were to assess: (i) changes in coping by use of Multidimensional Pain Inventory profiles from baseline to follow-up, (ii) associations between Adaptive Coper (AC) profiles at follow-up and improvements in occupational performance (by Canadian Occupational Performance Measure COPM) and (iii) ability to predict AC profiles at follow-up by participants' baseline characteristics. Method Data at baseline, discharge and follow-up from 525 participants in a pain rehabilitation program were analyzed with multivariate statistics. Results AC profiles increased and Dysfunctional (DYS) profiles decreased at follow-up. Clinically relevant improvements on COPM were associated with having an AC profile at follow-up. Being Nordic born, having longer education, an AC profile and higher baseline scores on satisfaction with performance predicted an AC profile at follow-up. Conclusions Pain rehabilitation seems to result in sustainable and favourable coping strategies at follow-up, and improved occupational performance is associated with favourable coping at follow-up. Outcomes need to be measured independently of improved coping strategies and improvements of participant's individual goals such as difficulties to perform their most meaningful occupations. Patients at risk for unfavourable coping strategies may need modified interventions. Implications for Rehabilitation More participants reported a beneficial coping, MPI profile, in a long-term perspective after a pain rehabilitation program. Improvements on occupational performance prioritized as meaningful by each of the participants are related to adequate coping strategies at follow-up. The associations between improved occupational performance and beneficial coping profiles need to be better understood. Patients with worse initial occupational performance may need modified pain rehabilitation interventions to improve their coping strategies.},
  author       = {Persson, Elisabeth and Eklund, Mona and Lexell, Jan and Rivano, Marcelo},
  issn         = {0963-8288},
  language     = {eng},
  number       = {3},
  pages        = {251--260},
  publisher    = {Taylor & Francis},
  series       = {Disability and Rehabilitation},
  title        = {Psychosocial coping profiles after pain rehabilitation: associations with occupational performance and patient characteristics.},
  url          = {http://dx.doi.org/10.3109/09638288.2016.1141243},
  volume       = {39},
  year         = {2017},
}