Catastrophizing and internal pain control as mediators of outcome in the multidisciplinary treatment of chronic low back pain

Spinhoven, Philip; Kuile, Moniek ter; Kole-Snijders, Ank M. J.; Mansfeld, Menno Hutten; Ouden, Dirk-Jan den; Vlaeyen, Johan W.S.

doi:10.1016/j.ejpain.2003.08.003

Cited by 244 publications

(171 citation statements)

References 17 publications

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“…In numerous investigations, reductions in catastrophizing have been identified as a significant determinant of successful rehabilitation outcome [26,27,30]. The approach used in PGAP-Tel (and PGAP) to reduce catastrophizing includes education, the use of disclosure and validation techniques, thought monitoring/re-appraisal, goal setting, and activity participation.…”

Section: Original Researchmentioning

confidence: 99%

A telephonic intervention for promoting occupational re-integration in work-disabled individuals with musculoskeletal pain

Sullivan

Simon

2012

Behav. Med. Pract. Policy Res.

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The purpose of the present research was to examine the feasibility of a telephonic occupational rehabilitation program. A sample of 23 individuals with chronic musculoskeletal pain was enrolled in the telephonic version of the Progressive Goal Attainment Program (PGAP-Tel). The PGAP-Tel is a risk-targeted intervention designed to reduce pain-related disability consequent to musculoskeletal injury. Treatment outcomes of PGAP-Tel were compared to a group of individuals with chronic musculoskeletal pain, who participated in the face-to-face format of the PGAP. Results showed that PGAP-Tel was acceptable to the majority of participants (76%) to whom it was offered. There were indications that engagement and adherence issues were more problematic in PGAP-Tel than in the face-to-face intervention. Both groups showed comparable reductions in pain, depression, fear of symptom exacerbation, and self-reported disability. Participants in the face-to-face intervention showed greater reduction in catastrophic thinking than participants in PGAP-Tel. Finally, 26% of participants in PGAP-Tel had resumed some form of employment at treatment termination compared to 56% of the participants in the face-to-face intervention. Given the low cost of the PGAP-Tel intervention and the accessibility advantages of a telephonic delivery, this type of intervention might be an important resource for targeting occupational disability in rural or remote communities when face-to-face services are not available.

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Section: Original Researchmentioning

confidence: 99%

A telephonic intervention for promoting occupational re-integration in work-disabled individuals with musculoskeletal pain

Sullivan

Simon

2012

Behav. Med. Pract. Policy Res.

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“…Further studies lend support to the assumption that psychological factors are of greater importance for therapeutic success than other variables, such as medical findings or physical performance factors [8,10,43]. In particular, coping with pain and beliefs regarding the controllability of pain have been found to be prognostic factors [30,35,40]. Although favorable effects of cognitive-behavioral treatments on psychological outcome measures have been demonstrated, the impact on pain-related outcome measures seems to be diminished [39].…”

mentioning

confidence: 94%

Effects of gender and cognitive-behavioral management of depressive symptoms on rehabilitation outcome among inpatient orthopedic patients with chronic low back pain: a 1 year longitudinal study

Hampel

Graef²,

Krohn-Grimberghe³

et al. 2009

Eur Spine J

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Psychological factors have been found to be of major importance for the transition from acute to chronic low back pain (CLBP). Although some evidence has been provided that depressive symptoms occur secondarily to CLBP, psychological treatment modules that specifically address depressive symptoms are not yet included in German inpatient rehabilitation programs. In this study, a standard rehabilitation program for patients with CLBP and depressive symptoms was compared to a standard rehabilitation, into which a cognitive-behavioral management training of depressive symptoms was integrated. Moreover, treatment effects of this multidisciplinary standard rehabilitation program delivered to patients with either no or only mild depressive symptoms were investigated. As a further aim of the present study, gender effects on rehabilitation outcomes were examined. Short-, mid-, and longterm effects on individual global improvement as well as pain-related, psychological, and work-related measures were evaluated among N = 199 consecutively admitted patients with CLBP, aged from 24 to 62 years. The standard rehabilitation program had no persisting effects on psychological outcomes among patients with no and mild depressive symptoms. Patients with moderate and severe depressive symptoms in the standard rehabilitation program did not benefit with clinical importance at the 6-and 12-month follow-up assessments, but did show clinically significant improvements in psychological outcome measures at the 6-month follow-up assessment when the supplemental psychological component was applied. Additionally, days of sick leave decreased in the intervention group in the mid-term when compared to the baseline. Females benefited more in mental health than males. However, due to regression effects at the 12-month follow-up assessment, booster sessions are highly recommended. The results presented here support the notion that a more adequately tailored rehabilitation program seems to improve rehabilitation success and prevent further development of CLBP among this high-risk subpopulation.Keywords Chronic low back pain Á Depressive symptoms Á Gender Á Multidisciplinary inpatient orthopedic rehabilitation Á Cognitive-behavioral management of depressive symptoms

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“…The review identified 7 RCTs (N=308) that together indicated no statistically significant difference between different types of behavioural therapy in functional status or pain (van Tulder et A reanalysis of the data of a high quality RCT (KoleSnijders et al 1999)(included in the Cochrane review) found no statistically significant difference between operant behavioural treatment associated either with cognitive coping skills training or group discussion in changes in pain beliefs (Spinhoven et al 2004). Catastrophising decreased and perceived control over pain increased at one year in both groups.…”

Section: Effectiveness Of Cognitive-behavioural Treatment As An Adjunmentioning

confidence: 99%

Chapter 4 European guidelines for the management of chronic nonspecific low back pain

Airaksinen¹,

Brox²,

Cedraschi³

et al. 2006

Eur Spine J

2,266

1,673

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Catastrophizing and internal pain control as mediators of outcome in the multidisciplinary treatment of chronic low back pain

Cited by 244 publications

References 17 publications

A telephonic intervention for promoting occupational re-integration in work-disabled individuals with musculoskeletal pain

A telephonic intervention for promoting occupational re-integration in work-disabled individuals with musculoskeletal pain

Effects of gender and cognitive-behavioral management of depressive symptoms on rehabilitation outcome among inpatient orthopedic patients with chronic low back pain: a 1 year longitudinal study

Chapter 4 European guidelines for the management of chronic nonspecific low back pain

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