Health locus of control beliefs and psychological distress as predictors for treatment outcome in low-back pain patients: results of a 3-month follow-up of a controlled intervention study

Härkäpää, Kristiina; Järvikoski, Aila Marja Elina; Mellin, Guy; Hurri, Heikki; Luoma, J

doi:10.1016/0304-3959(91)90031-r

Cited by 150 publications

(76 citation statements)

References 26 publications

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“…The sustained but limited long-term decrease in functional disability and depression is consistent with the findings of other studies of multidisciplinary pain treatment strategies (1,39,40). In another study involving the same patient sample (Samwel et al, submitted), we found that functional disability and depression also significantly decreased immediately after treatment in comparison to a waiting list control group, as was the level of pain; however, unlike the effects of treatment on functional disability and depression, the effect of treatment on pain was not sustained during the 12-month follow-up.…”

Section: Discussionsupporting

confidence: 86%

Multidisciplinary Allocation of Pain Treatment: Long-Term Outcome and Correlates of Cognitive-Behavioral Processes

Samwel

Kraaimaat

Crul

et al. 2009

Journal of Musculoskeletal Pain

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Objective: To investigate the long-term effects of multidisciplinary allocation of pain treatment on pain intensity, functional disability, depression, and medication use in outpatients with chronic pain, and to identify cognitive-behavioral predictors [worrying, avoidance behavior, fear of pain, helplessness, and acceptance] of the primary outcome measures.Methods: Eighty-six outpatients with chronic pain who were treated at a multidisciplinary pain center completed various questionnaires and a pain diary one week before treatment started, and 3 and 12 months later.Results: Functional disability and depression improved significantly 12 months after the start of treatment in comparison with before treatment. The decrease in scores for the cognitivebehavioral variables worrying, fear of pain, helplessness, and avoidance behavior at three months was associated with the decrease in functional disability and depression at 12 months.Conclusion: Patients with chronic pain may benefit in the long term from multidisciplinary allocation to pain treatment with respect to functional disability and depression. Changes of cognitive-behavioral processes seem to contribute to achieving long-term effects of multidisciplinary allocation of pain treatment. There is a need for high quality clinical trials in this field in order to clarify the specific contribution of cognitive-behavioral process variables.

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Section: Discussionsupporting

confidence: 86%

Multidisciplinary Allocation of Pain Treatment: Long-Term Outcome and Correlates of Cognitive-Behavioral Processes

Samwel

Kraaimaat

Crul

et al. 2009

Journal of Musculoskeletal Pain

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“…Patients with chronic or recurrent LBP who relied on others, i.e. patients with a high external locus of control, also seem to use more passive coping strategies, such as hoping and praying, but also catastrophizing (15,16). Some participants in category (i) also mentioned a sense of guilt and selfaccusation.…”

Section: Discussionmentioning

confidence: 99%

Recurrent low back pain: Relapse from a patients perspective

Benjaminsson¹,

Biguet²,

Arvidsson³

et al. 2007

Acta Derm Venereol

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Objective: To explore and describe how patients with recurrent low back pain perceive and respond to the recurrence of pain. Design: A semi-structured interview study. Subjects: Seventeen patients (10 women and 7 men) with recurrent low back pain. Methods: Semi-structured interviews were analysed using the phenomenographic method. Results: Patients' perceptions of relapse of low back pain could be divided into 4 different categories: (i) an unsolved mystery, a source of uncertainty and self-accusation; (ii) an obvious part of life that has to be ignored; (iii) a reminder to keep within limits, both physically and psychologically; and (iv) an indication to change behaviour to prevent further relapse. The categories could be grouped hierarchically such that they reflect to what extent the patients showed readiness and self-efficacy in adopting self-management strategies to prevent further relapses. Conclusion:The results suggest that patients with relapse in low back pain could respond in different ways to the recurrence of pain and show different degree of readiness to change behavioural and movement patterns in order to prevent further relapses. The different responses might be important aspects to which physicians and allied health professionals should pay attention in the rehabilitation process.

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“…Some researchers (Crisson & Keefe, 1988) have shown that individuals with pain and a high perceived control trust that their own actions can affect the future course of the pain and they build up effective strategies for dealing with pain, and thus they report a lower pain intensity. Moreover, previous studies (Härkäpää, Järvikoski, Mellin, Hurri, & Luoma, 1991;Turner & Clancy, 1986) have demonstrated that individuals with low perceived control rely more on ineffective coping strategies. They report a poor ability to control and decrease their pain, they do not believe in recovery, and they avoid increasing their activity level.…”

Section: Discussionmentioning

confidence: 99%

What distinguishes responders from nonresponders to a vocational rehabilitation program?

Vindholmen

Haugen

Høigaard

et al. 2015

Health Psychology and Behavioral Medicine

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Objective: The aim of the present study was to compare responders and nonresponders in terms of work ability (WA) to a multidisciplinary vocational rehabilitation program (MVRP) in Norway. Methods: The WA of 74 participants was tested at baseline and in the final week of a 4-6-week intervention. The participants whose WA increased were defined as WA-responders, whereas participants with no increases or with decreases in their WA after the intervention were defined as WA-nonresponders. Measures of functional health, psychological functioning, and demographics were also collected. Results: Overall, the results of this study indicate that the WA improved and the proportion of participants with poor WA decreased by 26% after the intervention. However, the main outcome of this study was that not all of the participants reported improved WA after the intervention. WA of 43% of the participants did not improve and they were defined as WA-nonresponders, whereas the WA of the other 57% participants improved and they were defined as WA-responders. At baseline, the two groups did not differ significantly in terms of their basic characteristics, whereas there were significant differences between the two groups in terms of pain intensity and sense of mastery variables. Logistic regression analysis identified pain intensity and sense of mastery as significant predictors of WA-response. Conclusion: Multidisciplinary vocational rehabilitation seems effective for some but not all participants. Unfavorable WA responses were more prevalent in participants who reported high pain intensity and low sense of mastery at baseline. It is still a challenge to understand what distinguishes responders from nonresponders to MVRPs; thus, further research is required.

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Health locus of control beliefs and psychological distress as predictors for treatment outcome in low-back pain patients: results of a 3-month follow-up of a controlled intervention study

Cited by 150 publications

References 26 publications

Multidisciplinary Allocation of Pain Treatment: Long-Term Outcome and Correlates of Cognitive-Behavioral Processes

Multidisciplinary Allocation of Pain Treatment: Long-Term Outcome and Correlates of Cognitive-Behavioral Processes

Recurrent low back pain: Relapse from a patients perspective

What distinguishes responders from nonresponders to a vocational rehabilitation program?

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