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Impact of emotional distress and pain-related fear on patients with chronic pain: Subgroup analysis of patients referred to multimodal rehabilitation.
J Rehabil Med ; 49(4): 354-361, 2017 Apr 06.
Artigo em Inglês | MEDLINE | ID: mdl-28352937
ABSTRACT

OBJECTIVE:

Multimodal rehabilitation programmes (MMRP) for chronic pain could be improved by determining which patients do not benefit fully. General distress and pain-related fear may explain variations in the treatment effects of MMRP.

DESIGN:

Cohort study with a cross-sectional, prospective part. PATIENTS Chronic musculoskeletal pain patients referred to 2 hospital-based pain rehabilitation clinics.

METHODS:

The cross-sectional part of this study cluster analyses patients (n = 1,218) with regard to distress and pain-related fear at first consultation in clinical pain rehabilitation and describes differences in external variables between clusters. The prospective part follows the subsample of patients (n = 260) participating in MMRP and describes outcome post-treatment.

RESULTS:

Four distinct subgroups were found (i) those with low levels of distress and pain-related fear; (ii) those with high levels of pain-related fear; (iii) those with high levels of distress; and (iv) those with high levels of distress and pain-related fear. These subgroups showed differences in demogra-phics, pain characteristics, quality of life, and acceptance, as well as the degree of MMRP participation and MMRP outcome.

CONCLUSION:

Among patients with chronic pain referred to MMRP there are subgroups with different profiles of distress and pain-related fear, which are relevant to understanding the adaptation to pain and MMRP outcome. This knowledge may help us to select patients and tailor treatment for better results.
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Texto completo: Disponível Coleções: Bases de dados internacionais Base de dados: MEDLINE Assunto principal: Estresse Psicológico / Medição da Dor / Medo Tipo de estudo: Estudo de coorte / Incidence_studies / Prevalence_studies Aspecto clínico: Etiologia Limite: Adulto / Feminino / Humanos / Masculino Idioma: Inglês Revista: J Rehabil Med Assunto da revista: Reabilitação Ano de publicação: 2017 Tipo de documento: Artigo País de afiliação: Suécia