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)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/8825284
- author
- Persson, Elisabeth
LU
; Eklund, Mona
LU
; Lexell, Jan
LU
and Rivano, Marcelo
LU
- organization
- publishing date
- 2017
- 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
- pmid:26883399
- 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
- 2016-04-04 07:40:38
- date last changed
- 2022-04-23 08:29:13
@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}},
doi = {{10.3109/09638288.2016.1141243}},
volume = {{39}},
year = {{2017}},
}