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Impact of emotional...
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- (författare)
- Örebro universitet,Institutionen för hälsovetenskaper,Psychosomatic Medicine Clinic, Västerås County Council, Västerås, Sweden,Psychosomat Medical Clin, Västerås, Sweden; University of Örebro, Sweden
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- Stålnacke, Britt-Marie (författare)
- Umeå universitet,Rehabiliteringsmedicin,Department of Clinical Sciences, Danderyd Hospital, Division of Rehabilitation Medicine,Umeå University, Sweden; Danderyd Hospital, Sweden
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- Enthoven, Paul (författare)
- Linköpings universitet,Avdelningen för fysioterapi,Medicinska fakulteten,Region Östergötland, Smärt och rehabiliteringscentrum
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- Brodda-Jansen, Gunilla (författare)
- Department of Clinical Sciences, Division of Rehabilitation Medicine, Danderyd Hospital, Stockholm, Sweden; Institute for Psychophysiological Behavioral Medicine, Stockholm, Sweden
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- Gerdle, Björn (författare)
- Linköpings universitet,Avdelningen för samhällsmedicin,Medicinska fakulteten,Region Östergötland, Smärt och rehabiliteringscentrum,Danderyd Hospital, Sweden; Institute Psychophysiol Behav Med, Sweden
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- Boersma, Katja, 1973- (författare)
- Örebro universitet,Institutionen för juridik, psykologi och socialt arbete,Center for Health and Medical Psychology,University of Örebro, Sweden
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(creator_code:org_t)
- Foundation for Rehabilitation Information, 2017
- 2017
- Engelska.
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Ingår i: Journal of Rehabilitation Medicine. - : Foundation for Rehabilitation Information. - 1650-1977 .- 1651-2081. ; 49:4, s. 354-361
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https://urn.kb.se/re...
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Abstract
Ämnesord
Stäng
- 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.
Ämnesord
- 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)
Nyckelord
- chronic pain
- rehabilitation
- multidisciplinary pain clinic
- fear avoidance beliefs
- distress
- profiles
- Swedish Quality Registry for Pain Rehabilitation
- rehabiliteringsmedicin
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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