Impact of emotional distress and pain-related fear on patients with chronic pain: Subgroup analysis of patients referred to multimodal rehabilitation

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Svanberg, Mikael,1958-Örebro universitet,Institutionen för hälsovetenskaper,Psychosomatic Medicine Clinic, Västerås County Council, Västerås, Sweden,Psychosomat Medical Clin, Västerås, Sweden; University of Örebro, Sweden (author)

Impact of emotional distress and pain-related fear on patients with chronic pain : Subgroup analysis of patients referred to multimodal rehabilitation

Article/chapterEnglish2017

Publisher, publication year, extent ...

Foundation for Rehabilitation Information,2017
printrdacarrier

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LIBRIS-ID:oai:DiVA.org:oru-57517
https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-57517URI
https://doi.org/10.2340/16501977-2212DOI
https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-134103URI
https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-136884URI

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Language:English
Summary in:English

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Subject category:ref swepub-contenttype
Subject category:art swepub-publicationtype

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Funding Agencies:Vardal Foundation (Rehsam)AFA InsuranceALF (University Hospital Linköping)
Funding Agencies|Vardal Foundation (Rehsam); AFA Insurance; ALF (University Hospital Linkoping)
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 demographics, 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.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Idrottsvetenskap hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Sport and Fitness Sciences hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Omvårdnad hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Nursing hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Annan medicin och hälsovetenskap Övrig annan medicin och hälsovetenskap hsv//swe
MEDICAL AND HEALTH SCIENCES Other Medical and Health Sciences Other Medical and Health Sciences not elsewhere specified hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Sjukgymnastik hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Physiotherapy hsv//eng
chronic pain
rehabilitation
multidisciplinary pain clinic
fear avoidance beliefs
distress
profiles
Swedish Quality Registry for Pain Rehabilitation
rehabiliteringsmedicin

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Stålnacke, Britt-MarieUmeå universitet,Rehabiliteringsmedicin,Department of Clinical Sciences, Danderyd Hospital, Division of Rehabilitation Medicine,Umeå University, Sweden; Danderyd Hospital, Sweden(Swepub:umu)brst0005 (author)
Enthoven, PaulLinköpings universitet,Avdelningen för fysioterapi,Medicinska fakulteten,Region Östergötland, Smärt och rehabiliteringscentrum(Swepub:liu)pauen91 (author)
Brodda-Jansen, GunillaDepartment of Clinical Sciences, Division of Rehabilitation Medicine, Danderyd Hospital, Stockholm, Sweden; Institute for Psychophysiological Behavioral Medicine, Stockholm, Sweden (author)
Gerdle, BjörnLinköpings universitet,Avdelningen för samhällsmedicin,Medicinska fakulteten,Region Östergötland, Smärt och rehabiliteringscentrum,Danderyd Hospital, Sweden; Institute Psychophysiol Behav Med, Sweden(Swepub:liu)bjoge88 (author)
Boersma, Katja,1973-Örebro universitet,Institutionen för juridik, psykologi och socialt arbete,Center for Health and Medical Psychology,University of Örebro, Sweden(Swepub:oru)kba (author)
Örebro universitetInstitutionen för hälsovetenskaper (creator_code:org_t)

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In:Journal of Rehabilitation Medicine: Foundation for Rehabilitation Information49:4, s. 354-3611650-19771651-2081

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