Positive Effects of a Musculoskeletal Pain Rehabilitation Program Regardless of Pain Duration or Diagnosis.
Persson, Elisabeth LU ; Lexell, Jan LU ; Eklund, Mona LU
and Rivano, Marcelo
LU
(2012)
In PM&R
4(5).
p.355-366
- Abstract
- OBJECTIVES: To investigate how sociodemographic and clinical factors are associated with psychosocial functioning and disability at admission to a musculoskeletal pain rehabilitation program and at 1-year follow-up. DESIGN: A cohort pre-post study.
SETTING: A University hospital specialized pain rehabilitation unit.
PARTICIPANTS: Five hundred nine participants with musculoskeletal pain (neck disorders, 29%; fibromyalgia, 24%; low back pain, 24%; myalgia, 14%; and other pain diagnoses, 8%).
INTERVENTION: A 5-week outpatient, group-based, and goal-oriented comprehensive musculoskeletal interdisciplinary pain rehabilitation program based on cognitive behavioral principles.
... (More) - OBJECTIVES: To investigate how sociodemographic and clinical factors are associated with psychosocial functioning and disability at admission to a musculoskeletal pain rehabilitation program and at 1-year follow-up. DESIGN: A cohort pre-post study.
SETTING: A University hospital specialized pain rehabilitation unit.
PARTICIPANTS: Five hundred nine participants with musculoskeletal pain (neck disorders, 29%; fibromyalgia, 24%; low back pain, 24%; myalgia, 14%; and other pain diagnoses, 8%).
INTERVENTION: A 5-week outpatient, group-based, and goal-oriented comprehensive musculoskeletal interdisciplinary pain rehabilitation program based on cognitive behavioral principles.
MAIN OUTCOME MEASURES: The Multidimensional Pain Inventory (MPI), the Disability Rating Index (DRI), and forms including sociodemographic factors (sex, age, ethnicity, marital status, educational level, and vocational situation) and clinical factors (pain duration and pain diagnoses). Data were analyzed with multivariate logistic regression. RESULTS: At admission, factors associated with more positive scores on the MPI were being older than 40 years, being at work, being Nordic born, attainment of a higher educational level, and a diagnosis of fibromyalgia (compared with a neck disorder) (P < .05). Being at work and a diagnosis of fibromyalgia (compared with low back pain) were associated with more positive scores on the DRI (P < .05). On the basis of cut points for clinically important change on the MPI, participants rated themselves as most improved on the Affective Distress (52%), Life Control (49%), and Pain Severity (43%) subscales, and on the DRI index, the improvement rate was 22%. At the 1-year follow-up, neither sociodemographic nor clinical factors were associated with clinically important improvements of the MPI and the DRI, but younger age was related to deteriorations in pain severity.
CONCLUSIONS: The lack of an association between sociodemographic and clinical factors and psychosocial functioning and disability at a 1-year follow-up after a musculoskeletal pain rehabilitation program suggests that the program was effective regardless of the participants' initial characteristics, except for age. The changes at the 1-year follow-up indicate that the program influenced the participants' psychosocial functioning more than their perception of disability. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/2366772
- author
- Persson, Elisabeth
LU
; Lexell, Jan
LU
; Eklund, Mona
LU
and Rivano, Marcelo
LU
- organization
- publishing date
- 2012
- type
- Contribution to journal
- publication status
- published
- subject
- in
- PM&R
- volume
- 4
- issue
- 5
- pages
- 355 - 366
- publisher
- Wiley-Blackwell
- external identifiers
-
- wos:000305872800006
- pmid:22342820
- scopus:84861334219
- pmid:22342820
- ISSN
- 1934-1563
- DOI
- 10.1016/j.pmrj.2011.11.007
- language
- English
- LU publication?
- yes
- additional info
- The information about affiliations in this record was updated in December 2015. The record was previously connected to the following departments: Division of Occupational Therapy (Closed 2012) (013025000)
- id
- fdfc674d-47c8-4d06-b764-aef916d85944 (old id 2366772)
- alternative location
- http://www.ncbi.nlm.nih.gov/pubmed/22342820?dopt=Abstract
- date added to LUP
- 2016-04-01 10:17:28
- date last changed
- 2022-05-17 21:41:58
@article{fdfc674d-47c8-4d06-b764-aef916d85944,
abstract = {{OBJECTIVES: To investigate how sociodemographic and clinical factors are associated with psychosocial functioning and disability at admission to a musculoskeletal pain rehabilitation program and at 1-year follow-up. DESIGN: A cohort pre-post study. <br/><br>
<br/><br>
SETTING: A University hospital specialized pain rehabilitation unit. <br/><br>
<br/><br>
PARTICIPANTS: Five hundred nine participants with musculoskeletal pain (neck disorders, 29%; fibromyalgia, 24%; low back pain, 24%; myalgia, 14%; and other pain diagnoses, 8%). <br/><br>
<br/><br>
INTERVENTION: A 5-week outpatient, group-based, and goal-oriented comprehensive musculoskeletal interdisciplinary pain rehabilitation program based on cognitive behavioral principles. <br/><br>
<br/><br>
MAIN OUTCOME MEASURES: The Multidimensional Pain Inventory (MPI), the Disability Rating Index (DRI), and forms including sociodemographic factors (sex, age, ethnicity, marital status, educational level, and vocational situation) and clinical factors (pain duration and pain diagnoses). Data were analyzed with multivariate logistic regression. RESULTS: At admission, factors associated with more positive scores on the MPI were being older than 40 years, being at work, being Nordic born, attainment of a higher educational level, and a diagnosis of fibromyalgia (compared with a neck disorder) (P < .05). Being at work and a diagnosis of fibromyalgia (compared with low back pain) were associated with more positive scores on the DRI (P < .05). On the basis of cut points for clinically important change on the MPI, participants rated themselves as most improved on the Affective Distress (52%), Life Control (49%), and Pain Severity (43%) subscales, and on the DRI index, the improvement rate was 22%. At the 1-year follow-up, neither sociodemographic nor clinical factors were associated with clinically important improvements of the MPI and the DRI, but younger age was related to deteriorations in pain severity. <br/><br>
<br/><br>
CONCLUSIONS: The lack of an association between sociodemographic and clinical factors and psychosocial functioning and disability at a 1-year follow-up after a musculoskeletal pain rehabilitation program suggests that the program was effective regardless of the participants' initial characteristics, except for age. The changes at the 1-year follow-up indicate that the program influenced the participants' psychosocial functioning more than their perception of disability.}},
author = {{Persson, Elisabeth and Lexell, Jan and Eklund, Mona and Rivano, Marcelo}},
issn = {{1934-1563}},
language = {{eng}},
number = {{5}},
pages = {{355--366}},
publisher = {{Wiley-Blackwell}},
series = {{PM&R}},
title = {{Positive Effects of a Musculoskeletal Pain Rehabilitation Program Regardless of Pain Duration or Diagnosis.}},
url = {{https://lup.lub.lu.se/search/files/1717730/2493392.pdf}},
doi = {{10.1016/j.pmrj.2011.11.007}},
volume = {{4}},
year = {{2012}},
}