Chronic pain : multiaxial assessment and behavioral mechanisms

Abstract

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Multidisciplinary Rehabilitation Treatment of Patients With Chronic Low Back Pain: A Prognostic Model for Its Outcome

“…26 The profile classifications (ie, DYS, ID, and AC), as described by Turk and Rudy, 27 were used. These clusters were replicated for the Dutch version of the MPI 28,29 in which a fourth cluster was added, labeled ''average'' (AV), which shares characteristics with the other profiles. In general, the AV type experiences less pain severity and interference, and more pain control compared with the ID and DYS type.…”

Is patient typology related to treatment outcome in patients with non-specific chronic low back pain? A pilot study.

“…Based on their score pattern on these domains, patients are assigned to one of the following four copying style types: Dysfunctional, Adaptive Coper, Interpersonally Distressed and Average 12 . Patients who are not classifiable are assigned the label "Anomalous 12,13 Commercial software (website E-Syntax: https://www.e-syntax.nl/?pageid=32) was used to assign patients to a specific group. 12…”

“…(3) the "Adaptive Coper" type, who reports relatively low levels of pain intensity, is not sensitive to psychological dysfunction and who has higher levels of activity and sense of self-control; (4) the "Average" type, who feels severely restricted, has a low activity level and experiences less pain; and (4) the "Anomalous" type, who effectively can't be categorized into any of the above mentioned four groups [11][12][13] .…”

“…Trudy and Turk, prominent researchers in the field of chronic pain, concluded earlier (1986) that multidimensional measurement and targeted treatment based on multidimensional measurement (subgroups, patient types), the treatments will be more successful [11][12][13] . The MPI-DLV questionnaire will support the assignment of patients in subgroups, leading to specific treatment modalities use per subgroup and, eventually, to an amplification of treatment success.…”

Cost-effectiveness of adding psychomotor therapy to a multidisciplinary rehabilitation program for chronic pain

“…Furthermore, the economic burden of chronic pain is considerable, with the major cost driver associated with productivity losses ( 2 ). In the Netherlands, it was estimated that approximately 10,000 patients per year receive a disability allowance because of chronic pain ( 3 ). The most prevalent body locations of chronic pain are lower back (21.3%), shoulder (15.1%), and neck (14.3%) ( 4 ), which may explain why most cost-effectiveness (CE) studies among chronic pain patients evaluated interventions for chronic low back pain ( 5 ).…”