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An Interdisciplinary Multimodal Integrative Healthcare Program for Chronic Spinal Pain and Comorbid Mental Disorders.
Wijnen, Jaap; Geijselaers, Marciano Wilhelmina Henricus; Pont, Marc Lucas; Van't Hullenaar, Geert; Van Oosterwijck, Jessica; de Jong, Jeroen.
Afiliación
  • Wijnen J; From the Intergrin Academy, Geleen, The Netherlands (Wijnen, Geijselaers, van 't Hullenaar, de Jong), Spine, Head and Pain Research Unit Ghent, Department of Rehabilitation Sciences, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium (Wijnen, Van Oosterwijck), Pain in Motion Internationl Research Group, (Wijnen, Van Oosterwijck), Center for InterProfessional Collaboration in Education Research and Practice (IPC-ERP UGent), Faculty of Medicine and Health Sciences (Van Ooste
Psychosom Med ; 86(7): 603-614, 2024 Sep 01.
Article en En | MEDLINE | ID: mdl-38718168
ABSTRACT

OBJECTIVE:

Previous studies evaluating interdisciplinary multimodal interventions for chronic spinal pain often excluded patients with comorbid mental disorders. This study aims to assess the effectiveness of an outpatient secondary care interdisciplinary multimodal integrative healthcare program for individuals experiencing co-occurring chronic spinal pain and mental disorders.

METHODS:

Participants were 944 patients with chronic spinal pain and comorbid mental disorders. Primary outcomes were health-related quality of life, assessed using the Research and Development-36 (RAND-36), and pain-related disability, assessed using the Quebec Back Pain Disability Scale (QBPDS). Secondary outcomes included pain intensity, pain catastrophizing, kinesiophobia, fatigue, lumbar mobility, and isometric strength. Data were collected during the healthcare program at four time points pretreatment (T0), midway through 20-week treatment (T1), end of 20-week treatment (T2), and at completion of 12-month relapse prevention program (T3). Multilevel regression analyses were conducted to examine the effects of the healthcare program on primary outcomes over time.

RESULTS:

The 20-week treatment period yielded significant improvements in both mental ( B = 0.44, t (943) = 19.42, p < .001) and physical component summary scores ( B = 0.45, t (943) = 18.24, p < .001) of the RAND-36, as well as in QBPDS total score ( B = -0.77, t (943) = -26.16 p < .001). Pretreatment scores indicated the presence of problematic fatigue, kinesiophobia, and clinical levels of pain catastrophizing, all of which resolved by the end of the 12-month relapse prevention program.

CONCLUSIONS:

An interdisciplinary multimodal integrative healthcare program seems effective for patients with chronic spinal pain and comorbid mental disorders.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Banco de datos: MEDLINE Asunto principal: Calidad de Vida / Comorbilidad / Dolor Crónico / Trastornos Mentales Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Psychosom Med Año: 2024 Tipo del documento: Article

Texto completo: 1 Colección: 01-internacional Banco de datos: MEDLINE Asunto principal: Calidad de Vida / Comorbilidad / Dolor Crónico / Trastornos Mentales Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Psychosom Med Año: 2024 Tipo del documento: Article