Evaluation of a Behavioral-medical Inpatient Rehabilitation Treatment Including Booster Sessions

Mangels, Marija; Schwarz, Susanne; Worringen, Ulrike; Holme, Martin; Rief, Winfried

doi:10.1097/ajp.0b013e3181925791

Cited by 55 publications

(126 citation statements)

References 28 publications

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“…Considerable long-term effects have been reported in studies implementing six booster sessions (90 min/session) over a period of 1 year after rehabilitation [16]. In contrast, Mangels, Schwarz, Worringen, Holme, and Rief [25] found no benefits of seven telephone-based booster sessions (20 min/session) over a period of 1 year, but concluded that this after-care program might not have been sufficiently intense. Therefore, more research is needed to determine whether there are any beneficial effects of intense after-care programs.…”

Section: Discussionmentioning

confidence: 91%

Long-term effects of a cognitive-behavioral training program for the management of depressive symptoms among patients in orthopedic inpatient rehabilitation of chronic low back pain: a 2-year follow-up

Tlach¹,

Hampel²

2011

Eur Spine J

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The aim of the present study was to investigate the 2-year outcome of a cognitive-behavioral training program for the management of depressive symptoms for patients with chronic low back pain (CLBP) and co-existing depressive symptoms compared with the standard rehabilitation. Therefore, a quasi-experimental 3 9 2 9 5 (treatment condition 9 gender 9 time) repeated measures design with five assessment points (pre-treatment, posttreatment, 6-, 12-, and 24-month follow-up) was employed among N = 153 patients with CLBP, aged 33-62 years. Patients were consecutively assigned to one of three treatment conditions: patients with no or mild depressive symptoms were treated with the standard rehabilitation (CG) and patients with moderate or severe depressive symptoms were either treated with the standard rehabilitation (CG depr ) or the standard rehabilitation plus cognitive-behavioral management of depressive symptoms (IG depr ). Patients in the IG depr significantly improved in mental health up to the 6-month follow-up and in anxiety and depressive symptoms up to the 24-month follow-up. Only short-or mid-term improvements were found in the CG depr . In conclusion, the new cognitive-behavioral training program augmented the long-term rehabilitation success in this highly strained subgroup of patients with CLBP and depressive symptoms.

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Section: Discussionmentioning

confidence: 91%

Long-term effects of a cognitive-behavioral training program for the management of depressive symptoms among patients in orthopedic inpatient rehabilitation of chronic low back pain: a 2-year follow-up

Tlach¹,

Hampel²

2011

Eur Spine J

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“…Außerdem konnte ein 11-stündiges Schmerzbewältigungstraining im Rahmen einer 3-wöchigen stationären orthopädischen Rehabilitation die kognitive Schmerzverarbeitungsstrategie "Durchhalteappelle", die sich in anderen Studien als dysfunktional erwiesen hat [ 25 ] , über den einjährigen Rehabilitationsverlauf mit kleinen Eff ektstärken verringern [ 26 ] . Schließlich war die Schmerzverarbeitung bis zur 12-Monatskatamnese mit kleinen Eff ektstärken bei Patientinnen und Patienten verbessert, die 9 anderthalbstündige Sitzungen zur Schmerzverarbeitung im Rahmen der stationären orthopädischen Rehabilitation erhielten [ 27 ] . Neuere Studien unterstreichen die Forderung von Härter [ 14 ] nach der Berücksichtigung komorbider psychischer Beeinträch-tigungen und legen nahe, dass die Behandlungsmaßnahmen an die Erfordernisse unterschiedlich beeinträchtigter Patientengruppen angepasst werden sollten.…”

Section: Long-term Eff Ects Of a Cognitive-behavioral Intervention Onunclassified

Langfristige Effekte einer kognitiv-behavioralen Intervention auf die Schmerzverarbeitung in der stationären orthopädischen Rehabilitation von chronisch unspezifischem Rückenschmerz und Depressivität

Hampel

Gemp

Mohr

et al. 2014

Psychother Psych Med

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Beneficial effects on psychological measures in orthopedic inpatient rehabilitation of patients with chronic low back pain (CLBP) and co-exist-ing depressive symptoms have been shown only for multidisciplinary approaches that incorporate psychotherapeutic interventions. Aim of this study was to verify these findings for pain coping outcomes (pain-related psychological disability, pain-related coping). Short-, mid-, and long-term effects of a standard pain management program that was either solely provided or combined with a supplemental cognitive-behavioral depression management were examined in a consecutive sample of n=84. Patients in both groups showed long-term beneficial effects in pain coping measures. Thus, the standard rehabilitation revealed specific and long-term effects on pain coping. However, further evidence suggests that diagnosis-specific psychotherapeutic treatment elements are required to improve psychological symptoms.

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“…biopsychosocial approaches) compared to traditional orthopaedic and pain management rehabilitation in terms of coping and depression [5]. Linton and Ryberg [6] randomly assigned 253 participants with severe back pain during the previous year to either a CBT group intervention or usual treatment.…”

Section: Cmentioning

confidence: 99%

“…Rehabilitation for individuals of working age who experience complex pain over a long period has been found to be most effective when behavioural medicine forms the basis for interventions provided by a multidisciplinary rehabilitation team [5]. For example, cognitive behavioural therapy (CBT) has been found to be more effective than traditional pain management treatment [6,7].…”

Section: Introductionmentioning

confidence: 99%

Patient-Reported Outcome of a Multidisciplinary Pain Management Program, Focusing on Occupational Performance and Satisfaction with Performance

Samuelsson¹

2011

TOREHJ

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Aim:The aim was to describe the effect of a multidisciplinary pain management program, in terms of patientreported occupational performance and satisfaction with performance. Methods:The study is a retrospective, case series study. Data from interviews documented routinely in patient medical records were used. Interviews were made at introduction, on conclusion and six months after a pain management program. Data from all participants (n=85) introduced during one year, were analysed. The Canadian Occupational Performance Measure (COPM) was used as the main outcome measure.Results: Estimated occupational performance as well as satisfaction with performance improved between measures (occupational performance p<0.001; satisfaction with performance p<0.001). The percentage of participants, who improved two or more points on the COPM ten-point scale between baseline and the 6-month follow up, was 27% for occupational performance and 40% for satisfaction with performance. Conclusion:The findings raise questions regarding what the team might learn from different ways of scrutinizing results; the relevant level of MID in this program; and the overall objective in terms of the proportion of clients who reported a 'successful' outcome in occupational performance and satisfaction with performance, based on the identified MID. These questions need to be further analysed and discussed within the professional team.

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Evaluation of a Behavioral-medical Inpatient Rehabilitation Treatment Including Booster Sessions

Cited by 55 publications

References 28 publications

Long-term effects of a cognitive-behavioral training program for the management of depressive symptoms among patients in orthopedic inpatient rehabilitation of chronic low back pain: a 2-year follow-up

Long-term effects of a cognitive-behavioral training program for the management of depressive symptoms among patients in orthopedic inpatient rehabilitation of chronic low back pain: a 2-year follow-up

Langfristige Effekte einer kognitiv-behavioralen Intervention auf die Schmerzverarbeitung in der stationären orthopädischen Rehabilitation von chronisch unspezifischem Rückenschmerz und Depressivität

Patient-Reported Outcome of a Multidisciplinary Pain Management Program, Focusing on Occupational Performance and Satisfaction with Performance

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